and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation... Surgical or Inpatient setting IRR or annual competency testing in Utilization Review Preferred Qualifications: Bachelor...
and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation... Surgical or Inpatient setting IRR or annual competency testing in Utilization Review Preferred Qualifications: Bachelor...
and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation... Surgical or Inpatient setting IRR or annual competency testing in Utilization Review Preferred Qualifications: Bachelor...
as needed. Actively participates in utilization review meetings and quality improvement projects / meetings. Evaluates the competence... SUMMARY: The RN Care Manager is responsible for assessing the care needs of participants, provides nursing and healthcare...
to apply: Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and mid shift Job types... position: Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly encouraged...
to apply: Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and mid shift Job types... following position: Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly encouraged...
to apply: Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and mid shift Job types... following position: Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly encouraged...
to apply: Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and mid shift Job types... following position: Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly encouraged...
including utilization review and case management functions. Ensure compliance of MPN with our business partner, design, develop... of the position will be to differentiate the PRIME program in the marketplace; manage bill review and the nurse case managers...
Overview: Responsible for coordinating utilization review (UR), case management and NCQA/quality initiative... in Rock, Walworth and McHenry Counties an ADN only is required. Certification and Licensure Licensed as an RN in state...
each and every day. Job Description: The Utilization Review RN performs activities which support the Utilization Management... timely admission and concurrent utilization review for all patients of designated medical services; certifies medical...
health patient care experience with at least 1 year utilization review in an acute hospital or commercial/managed care payer... to facilitate effective resource coordination to help patients achieve optimal health, access to care, and appropriate utilization...
Job Description: Overview Responsible for coordinating utilization review (UR), case management and NCQA/quality... in Rock, Walworth and McHenry Counties an ADN only is required. Certification and Licensure Licensed as an RN in state...
, please review this . The purpose of the Utilization Case Manager RN is to conduct initial chart reviews for medical necessity... and identify the need for authorization. The Utilization Case Manager RN coordinates with the healthcare team for optimal...
Description RN Utilization Review at Irvine, CA. This position is Per Diem and will work Remote 8-hour, Day shifts... status determination. The Utilization Management RN must effectively and efficiently manage a diverse workload in a fast...
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...
Job Category: Health Information Management Job Description: RN Utilization Review at Irvine, CA. This position... in Utilization Management, medical necessity, and patient status determination. The Utilization Management RN must effectively...
. Minimum 3 years RN Utilization Manager working for a Health Plan. At least 3 years of experience in utilization review... and insure the achievement of quality, clinical and cost-effective outcomes and to perform a holistic and comprehensive review...
About this Job: *** Must have acute care Utilization Review experience to be considered for the position... of State and Federal regulatory requirements as it pertains to the utilization review process. Identifies dynamics of neglect...
-92584 #Indeed Talroo - Nursing Utilization Review Nurse, RN, BSN, InterQual, Milliman, NCQA, Remote, Virginia, Case...Sentara Health is currently hiring for a Utilization Review Nurse- Remote in VA! Status: Full-time, permanent...