or Identification card. Position Purpose: The Utilization Review Nurse I provides first level clinical review for all outpatient.... Provides first level RN review for all outpatient and ancillary prior authorization requests for medical appropriateness...
RN- Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* Must reside within the New York Tri... is looking for a self-motivated and passionate RN as Utilization Review Nurse for a Full-Time position. This is an exciting and dynamic...
AN RN LICENSE IN A STATE OTHER THAN CONNECTICUT AND WISH TO APPLY FOR A CONNECTICUT LICENSE, PLEASE: * Review the for CT... and medical care delivery and reimbursement systems; Participates in utilization review and/or quality assurance programs...
Job Type: Per Diem Time Type: Part time Work Shift: Day (United States of America) FLSA Status: Non-Exempt When... management team to validate the medical necessity of the hospital care. Using the concepts of utilization review, clinical...
and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience..., education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may...
and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience..., education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may...
abuse utilization review process preferred. Experience working with providers and healthcare teams to review care services..., and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional...
abuse utilization review process preferred. Experience working with providers and healthcare teams to review care services...-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject...
, RN, LMSW, LCSW, LPC, LPC-I Job Type: Part-time Pay: $32.00 - $36.50 per hour Expected hours: 24 per week Expected... will proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities...
health and substance abuse utilization review process preferred. Experience working with providers and healthcare teams... by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits...
Director Utilization Management-Clinical Review Are you looking for a rewarding career with family-friendly hours... Utilization Management required 3 years previous leadership experience required Licenses and Certifications RN - Registered...
Job Type: Per Diem Time Type: Part time Work Shift: Day (United States of America) FLSA Status: Non-Exempt When... management team to validate the medical necessity of the hospital care. Using the concepts of utilization review, clinical...
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...
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...
for utilization review. Apply clinical reasoning to determine the suitable evidence-based guidelines. Foster efficient and high... and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims...
-to-date with regulatory prerequisites (such as URAC) and state standards for utilization review. Apply clinical reasoning to determine the...The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services...
, or quality assurance. Extensive experience in utilization review, with a strong background in health plan practices. Experience... and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims...
of mental health and substance abuse utilization review process preferred. Experience working with providers and healthcare... permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives...
required. Knowledge of ABA services and BH utilization review process required. Experience working with providers and healthcare teams... by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits...
professionals. We are presently looking for a Full Time Utilization Management Specialist who will be responsible for: The...Description : Utilization Management Specialist Seven Hills Hospital brings a world of compassion, hope...