activities and Professional Staff quality and peer review activities. Assists in development and performance of educational... activities as related to Quality Improvement, Accreditation requirements, and Resource Utilization. Providence caregivers...
activities and Professional Staff quality and peer review activities. Assists in development and performance of educational... activities as related to Quality Improvement, Accreditation requirements, and Resource Utilization. Providence caregivers...
education needs based on own the review of clinical documentation in addition to feedback and recommendations by Utilization.... Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance review...
RN Case Manager - Day Shift M-F (Hours: 8a-4:30p with call rotation every 7 weeks) No Holidays or Weekends! Newark..., DE Christiana Care Hospital in Newark, DE is looking for a (RN) Case Manager with experience in Discharge Planning in an Acute Care...
RN Case Manager – Weekender - Day Shift Saturday & Sunday (Hours: 8a-8:30p plus one rotating Friday shift (4p-8p...). Wilmington, DE ChristianaCare - Wilmington Hospital is currently recruiting an RN Case Manager - Weekender with experience...
with Quality Management, Utilization Review, Information Technology Services, and other departments regarding data availability... of clinical tools for optimal outcomes and reports findings. Current Iowa registered nurse (RN) license. Bachelor's degree...
more at HonorHealth.com. Responsibilities: Job Summary The Utilization Review RN Specialist reviews and monitors utilization of health... comprehensive review for medical necessity of extended stay, outpatient observation, and inpatient stays and the utilization...
to other team members including UR Tech and AA to support UR and revenue cycle process. Position Responsibilities: Utilization... Appropriate and complete documentation of clinical review and denial management in the case management documentation system...
of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist... reviews and monitors utilization of health care services with the goal of maintaining high quality cost-effective care...
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...
’s. Job Description Provides leadership and oversight of the Utilization Review department, ensuring appropriate utilization of healthcare... resources. Effectively manages all utilization review functions, including clinical reviews, concurrent authorization...
Job Description: Overview The Utilization Management (UM) RN is responsible to facilitate care along a continuum... through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization...
Way RN Utilization Review Nurse Bring your clinical expertise beyond the bedside! As a Utilization Review Nurse, you’ll...) Scheduled Weekly Hours: 36 Salary Range: $34.00 - $51.00 Union Position: No Department Details Use Your RN Skills in a New...
Utilization Review Registered Nurse- FT Nights, 5-8 hour shifts- Sunday through Thursday ESSENTIAL DUTIES.... Consistent and timely response to emails and other communications relating to utilization review. Prepare and submit appeals...
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...
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...
information, medical necessity standards, and/or and InterQual guidelines. The Utilization Review Nurse utilizes clinical.... Minimum 2 years experience as an RN preferred. Minimum of at least 2 years as care management and/or utilization management...
Review Manager RN to join our Utilization Review team. The Utilization Review Manager RN oversees and directs all operations... of the Utilization Review department. Ensures the effective use and monitoring of healthcare resources to support positive...
school of nursing and a current state Registered Nurse license. Minimum 3 years RN Utilization Manager working for a Health... Plan. At least 3 years of experience in utilization review, referrals, authorizations, denials and appeals. Current BCLS...