Position: Registered Nurse (RN), Mercy Stoddard Department: Emergency Room Shift: Part-Time (24 Hrs. Week), Varies.../Rotating Where Nurses Come to Grow! We understand you have invested time and resources into becoming a great nurse...
Commission, OSHA, CMS, HCFA, AHCA). • Mentors staff on Utilization Review (UR) standards and Length of Stay (LOS) topics. 4... regarding patient progress and barriers to care. • Coordinates changes to the care plan as needed. 6. Utilization Review...
company such as Utilization Review, Patient Services, Personal Care Guide nurses, and Client Services. The Pre-Certification... role The Pre-Certification Nurse is responsible for all aspects of the prior authorization process for members of Quantum...
required Experience in Utilization Review, Case Management, Discharge Planning, and Clinical Leadership is highly preferred...
, Utilization Review staff, and Discharge Planners assure that payer requirements are met and develop an individualized plan of care...Registered Nurse (RN), Case Manager PRN/Hourly Job Type: PRN/Hourly | M-Sun 8a-430p Department/Unit Summary Case...
organization that provides high quality primary medical care without regard to ability to pay. The Ambulatory Care Nurse (RN...) is an on-site nurse RN serving as an integral member of the patient care team, supporting assigned care teams by managing high...
SUMMARY: We are currently seeking a Staff Nurse to join our Utilization Management department for Psychiatry Primary... on staffing needs and may require up to Every Other Weekend coverage. SPECIFIC RESPONSIBILITIES: The Utilization Review (UR...
SUMMARY: We are currently seeking a Staff Nurse to join our Utilization Management department for the Emergency... and may require up to Every Other Weekend coverage. SPECIFIC RESPONSIBILITIES: The Utilization Review (UR) Registered...
Utilization Review (UR) Nurse is responsible for conducting real-time clinical reviews to ensure the medical necessity..., with at least 1 year in utilization review, case management, or a related field. Experience in a managed care setting with medical...
Utilization Review (UR) Nurse is responsible for conducting real-time clinical reviews to ensure the medical necessity... years of clinical nursing experience, with at least 1 year in utilization review, case management, or a related field...
Utilization Review Nurse (URN) performs clinical review to determine the medical necessity of requested services. The URN obtains...) required. Two (2) years of clinical experience as an RN in a varied clinical setting required. Previous utilization review...
Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities Review... criteria Apply evidence-based clinical guidelines and criteria to assess and ensure proper utilization of healthcare...
Utilization Review Registered Nurse- FT Nights, 5-8 hour shifts- Sunday through Thursday ESSENTIAL DUTIES... for Health and Dependent Care JOB SUMMARY: The Utilization Review (UR) Registered Nurse independently facilitates clinical...
Coordination and Utilization Review Education Required: Associate degree in Nursing Preferred: Bachelor of Science... and hospital staff. Utilize Utilization Management tools Interqual and MCG to assist with placement of the patient in the correct...
Description We're seeking an Inpatient Registry Utilization Review Nurse (PRN) who is responsible for conducting... will: Perform utilization review by completing a timely and comprehensive review of all new observation and inpatient admissions...
an Inpatient Registry Utilization Review Nurse (PRN) who is responsible for conducting medical necessity reviews by utilizing..., and discussions with the attending physician and/or physician advisor. This individual will: Perform utilization review by completing...
Facility: Dayton Children's - Main Campus Department: Utilization Review Team Schedule: Part time Hours: 8... Job Details: Under the supervision of the Manager of Utilization Management, the Utilization Review RN conducts medical record review...
VHS is looking for a qualified Registered Nurse - Case Manager/Utilization Review. City: Syracuse State: NY Start...
as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of a team responsible..., and performs medical necessity reviews for retrospective authorization requests as well as claims disputes. The Utilization Review...
VHS is looking for a qualified Registered Nurse - Case Manager/Utilization Review. City: Syracuse State: NY Start...