* Conducts admission and continued stay reviews per the Care Coordination Utilization Review guidelines to ensure that the... discharge for appropriate status determination. Ensures compliance with principles of utilization review, hospital policies...
supervision of the Utilization Management Director, provides initial review for elective, urgent and emergent admissions including... · Bachelor’s degree preferred Licensure/Certification/Registration o Registered Nurse (RN) with current Florida license...
, Quality, Compliance Management, and Utilization Management (QM/UM). Who are you? Registered Nurse who is committed...Utilization Review Discharge Planner Announcement #293653 Jefferson Healthcare is currently seeking a part time...
and continued stay reviews per the Care Coordination Utilization Review guidelines to ensure that the hospitalization is warranted... for appropriate status determination. Ensures compliance with principles of utilization review, hospital policies and external...
and community of our patients as a whole. We are pleased to announce the following available position: FT Utilization Review... skills with treatment team members, physician’s and co-workers throughout the hospital. Qualifications Registered Nurse...
and community of our patients as a whole. We are pleased to announce the following available position: FT Utilization Review... skills with treatment team members, physician’s and co-workers throughout the hospital. Qualifications Registered Nurse...
for review and determination. Gathers clinical information to conduct continued stay utilization review activities with payers... preferred. Experience: Three years of clinical nursing or two years quality management, utilization review or discharge...
Registered Nurse Bachelor's degree, masters degree preferred Extensive knowledge of Workers Compensation Utilization Review... of Utilization Review in our Dallas, TX location. The Director will lead the UR operation and own all responsibilities related...
Duties Description New York City Children's Center - Bronx Campus is recruiting for a Utilization Review Coordinator... diagnosed with mental illness. Candidates from outside or within State Service can apply. As a Utilization Review Coordinator...
planning and utilization review. Review admissions and service requests within assigned unit for prospective, concurrent... statistical analysis and utilization review reports as necessary. Oversee and coordinate compliance to federally mandated...
of Case Manager and Utilization Review Nurse Job Description: The Inpatient Registered Nurse (RN) Case Manager... for Hospital at Home Care Transitions coordinates utilization review, discharge planning and monitors quality assurance for Lahey...
. Qualifications Registered Nurse, Master’s Degree in Social Work or Psychology or equivalent education and experience... in Utilization Review/Management. Has knowledge of regulatory and reimbursement requirements. Able to monitor and evaluate records...
. Qualifications Registered Nurse, Master’s Degree in Social Work or Psychology or equivalent education and experience... in Utilization Review/Management. Has knowledge of regulatory and reimbursement requirements. Able to monitor and evaluate records...
of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and Medical Center in Burlington Hospital at Home... Nurse (RN) Case Manager for Hospital at Home Care Transitions coordinates utilization review, discharge planning...
Registered Nurse - Utilization Review | Santa Rosa, CA Healthcare Jobs Registered Nurse - Utilization Review... Join our healthcare team as a Registered Nurse specializing in Utilization Review. This 13-week travel assignment in Santa Rosa, CA...
JOB SUMMARY The Utilization Review (UR) Nurse is a registered nurse who provides clinical review against nationally... Experience One (1) year recent Utilization Review (UR) experience in an acute care/hospital setting OR One (1) year recent...
from an accredited NLN/CCNE institution Required Experience 3 years Registered Nurse in an acute care setting. Required 1 year... experience in UR/UM or Case Management Required Licenses and Certifications Registered Nurse (RN) State And/Or Compact State...
Job Description: Under general supervision of the Director of Case Management, the Utilization Review Nurse provides... outpatients) or type of service. Alerts and collaborates with appropriate Utilization Review, Physician leadership...
Position Highlights: Position: Utilization Review Coord * Hourly Pay Range: $35.16-$54.50. The hourly pay rate... comprehensive orientation and on-going education to staff on topics of utilization review and utilization management. All duties...
Registered Nurse experience in a hospital setting required. Case Management, Utilization Review and/or Coding experience.... Certifications/Licensure Kentucky RN license (OR) RN license in a State recognized by the Kentucky Nurse Licensure Compact Act...