with our patients and teammates. Job Summary The RN-Case Manager is responsible for assessing, planning, coordinating..., decisions, communications, and patient education in the EMR Participates in performance improvement initiatives, utilization...
Responsible for utilization review work for emergency admissions and continued stay reviews. Responsibilities... Review, analyze, and identify utilization patterns and trends, problems, or inappropriate utilization of resources...
Job Summary You will review patient cases for medical necessity and establish service suitability. You'll educate the healthcare...'s health plan and the provider's care coordination departments. Your expertise is needed to review medical necessity. Working...
Responsibilities: Utilization Management Utilizes Payer specific screening tools as a resource to assist in the determination.... Documentation Appropriate and complete documentation of clinical review and denial management in the case management...
and compassionate utilization review? What We're Looking For: Strong leadership and advocacy abilities with a track record of team... support and development Minimum 3 years of hospital utilization review experience preferred At least 1 year of supervisory...
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...
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...
relief. Shift Times: 5 day, 8 hour shifts POSITION SUMMARY The Utilization Review (UR) nurse performs medical necessity...Job Requirements The Centralized UR RN will be remote after a minimum of 6 weeks of onsite orientation at the HF...
in utilization chart review and discharge planning. Managed care experience preferred. Knowledge of InterQual Criteria... to fair and ethical treatment for all. To learn more visit Job Requirements: Ensures appropriate utilization of hospital...
in utilization chart review and discharge planning. Managed care experience preferred. Knowledge of InterQual Criteria... to fair and ethical treatment for all. To learn more visit Job Requirements: Ensures appropriate utilization of hospital...
and Attending) based upon thorough medical record review and knowledge of federal and evidence-based guidelines, including CMS.... Communicates effectively and professionally regarding modality. Provides education regarding utilization management to patients...
impact on the communities that need you most. Let your next adventure start with us! Position: RN-Utilization Review... (Travel/Contract) We're hiring experienced RN-Utilization Review for a 13-week contract in Arcata, California — earn up...
Regional office in Temecula, CA is seeking a Full-Time 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...
Regional office in Temecula, CA is seeking a Full-Time 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...
Come work at the best place to give and receive care! Job Description: RN Utilization Review Previous RN... Utilization Review RN (UR RN) is responsible for ensuring the effective and efficient use of hospital services in alignment...
Utilization Review RN - Per Diem* *IMPORTANT NOTE: In lieu of benefits due to "per diem" status, 15% will be added...; OR an equivalent combination of education and experience AND (2) two years’ experience Utilization Review. Certificate Preferred...
. Promotes patient wellness through evidenced based practice, improved care outcomes, efficient utilization of health services... experience preferred. Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing...
on a candidate's years of relevant experience, level of education and internal equity. EvergreenHealth is seeking an experienced RN... for new and innovative ways to improve. Job Summary: The RN in our Care Management department specializes in assessing...
to conduct continued stay utilization review activities with payers on a daily basis. Performs concurrent and retrospective... of clinical nursing or two years quality management, utilization review or discharge planning experience. Other Credentials...
, to the UR physician advisor for review and determination. Gathers clinical information to conduct continued stay utilization... of clinical nursing or two years quality management, utilization review or discharge planning experience. Other Credentials...