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...
, discharge planning and utilization review. Responsibilities: Review admissions and service requests within assigned unit... with healthcare team members. May prepare statistical analysis and utilization review reports as necessary. Oversee and coordinate...
Utilization Review Nurse – RN or LVN (Remote, $43/hr) Join one of the nation’s leading managed care organizations... license in Ohio or a compact state. Preference for Ohio residents and licenses. Position Summary The Utilization Review...
Skills in a New Way RN Utilization Review Nurse Bring your clinical expertise beyond the bedside! As a Utilization Review... Nurse, you’ll ensure patients receive the right care in the right setting while supporting quality outcomes and hospital...
through the continuum while facilitating the functions of utilization review, utilization management, and cost containment... methods for monthly reporting and statistics for presentation to the Utilization Review Committee. Interfaces with patient...
is looking for a Utilization Review Nurse (RN) to coordinate patients’ services across the continuum of care by promoting effective utilization..., monitoring health resources and elaborating with multidisciplinary teams. This will provide service to our utilization review...
: In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission... to support the level of care being billed. Conducts concurrent reviews as directed in the hospital's Utilization Review Plan...
is looking for a Utilization Review Nurse (RN) to coordinate patients’ services across the continuum of care by promoting effective utilization..., monitoring health resources and elaborating with multidisciplinary teams. This will provide service to our utilization review...
. The Utilization Review (UR) Nurse is responsible for the clinical review and documentation for services requiring prior... required. Minimum two (2) years of acute care experience is required as a Registered Nurse. Minimum of two (2) years Utilization...
. Job Summary: The Medical Necessity Review Nurse is responsible for evaluating medical records and clinical data to determine the... Nurse license in Oklahoma. Minimum of 3 years of clinical experience (e.g., Med-Surg, ICU, Case Management, Utilization...
Position Title Case Manager (Utilization Review), Registered Nurse (RN) or MSW Job Description Purpose & Scope...
is looking for a Utilization Review Nurse (RN) to coordinate patients’ services across the continuum of care by promoting effective utilization..., monitoring health resources and elaborating with multidisciplinary teams. This will provide service to our utilization review...
Job Description: The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring... to determine the necessity and appropriateness of medical procedures, tests, and treatments. Utilization Management Nurse...
The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services... necessity and appropriateness of medical procedures, tests, and treatments. Utilization Management Nurse Reviewers collaborate...
Regional office in Temecula, CA is seeking a Per-Diem RN Central Utilization Review Nurse who will be responsible for carrying.... Ensures compliance of utilization review practices as required by payers, external regulatory agencies, and organization...