Registered Nurse – Utilization Review & Case Manager Qualifications: Active RN license with a background in case... management or utilization review. At least 2 years of experience in healthcare case management. Familiarity with Medicare...
Registered Nurse – Inpatient Utilization Review Analyst Qualifications: Valid RN license with experience.... Document findings in electronic health records and utilization review platforms. Provide guidance to physicians...
Registered Nurse, Utilization Review PRN Why UT Southwestern? With over 75 years of excellence in Dallas-Fort Worth... of clinical experience and minimum of 3 years of recent Utilization Review experience. · Current experience with utilizing...
Registered Nurse, Utilization Review About , City of Hope's mission is to make hope a reality for all touched... and /or Utilization Review RN or similar role ADN in Nursing Arizona Registered Nurse License or a Registered Nurse License form...
: Registered Nurse – Utilization Management Current POP ends 11/30/25. TO POP ends 11/30/27. This assignment is a year-long... of Quality Assurance and Utilization Review Physicians (ABQARP), Certified Informatics Nursing, Ambulatory Care Nursing, Medical...
, review agencies and healthcare team, Identify delays in treatment or inappropriate utilization and serves as a resource...The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical, financial...
. Registered Nurse - Utilization Review Job Description Utilization Review RN conducts medical certification review for medical... to review resource utilization data and trends to identify outliers who may benefit from real-time coaching to improve outcomes...
The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical financial... resource utilization. Coordinates with healthcare team for optimal/efficient patient outcomes, while decreasing length of stay...
Registered Nurse, Utilization Review PRN Why UT Southwestern? With over 75 years of excellence in Dallas-Fort Worth... of clinical experience and minimum of 3 years of recent Utilization Review experience. · Current experience with utilizing...
Registered Nurse license Bachelor of Science in Nursing (BSN) Certification in Utilization Management and/or Care Management... appropriate status determinations through the utilization review process supporting quality, cost-effective patient outcomes...
Aurora, CO Location: Colorado Military Health System – Buckley AFB and Peterson AFB. Labor Category: Registered Nurse...; Certification in Health Care Quality and Management (HCQM) through American Board of Quality Assurance and Utilization Review...
plans. Utilization Review nurses at Select Health proactively oversee inpatient and outpatient utilization to assure... appropriate benefit utilization, Uses in-depth knowledge of medical procedures, treatments, and diagnosis to apply evidence-based...
) years experience working in a case management or utilization review role preferred. LICENSURE OR CERTIFICATION: Active...Demonstrates fiscal responsibility related to patient needs, resource utilization, payer requirements...
Job Description: Live the Mission An Equal Opportunity Employer...
Live the Mission: An Equal Opportunity Employer...
Utilization Management Manager acts as a patient advocate/Case Manager to SSH. Provides Utilization Review (UR) RNs guidance... of authorization, resource utilization, and denial prevention. The UR Nurse is expected to use best clinical judgment as priorities may...
schedule? If so, please consider the Utilization Review Nurse Consultant position located at Julian F. Keith Alcohol and Drug... primary responsibility of the Utilization Review Nurse Consultant (UR Nurse) is to ensure that clinically appropriate care...
more at: Job Summary: The Utilization Review (UR) Nurse (initial clinical reviewer) is a registered nurse (RN) or health professional... to practice in the State of Nevada, Florida, and/or Texas as a registered nurse Practice as a health professional in a state...
more at: Job Summary: The Utilization Review (UR) Nurse (initial clinical reviewer) is a registered nurse (RN) or health professional... to practice in the State of Nevada, Florida, and/or Texas as a registered nurse Practice as a health professional in a state...
Job Description: 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 hospitalâs Utilization Review Plan...