, families, physicians and residents of the communities we serve. Responsibilities The Utilization Review Nurse is responsible... and reimbursement issues, preferred - Utilization review, Case Management, appeals, denials, managed care contracting experience...
, families, physicians and residents of the communities we serve. Responsibilities The Utilization Review Nurse is responsible... and reimbursement issues, preferred - Utilization review, Case Management, appeals, denials, managed care contracting experience...
, families, physicians and residents of the communities we serve. Responsibilities The Utilization Review Nurse is responsible... and reimbursement issues, preferred - Utilization review, Case Management, appeals, denials, managed care contracting experience...
Utilization Review Nurse for Workers' Comp Office Location - Montgomery County Area Job Purpose: Review Workers.... Duties: Perform an evaluation of the medical data for utilization review requests. Confirm accurate completion of data...
as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of a team responsible..., and performs medical necessity reviews for retrospective authorization requests as well as claims disputes. The Utilization Review...
Range $77,100.00 - $127,200.00 Target Openings 1 What Is the Opportunity? This position is responsible for conducting in-house utilization review... and for adhering to multi-jurisdictional Utilization Review criteria. What Will You Do? Interpret routine, complex or unique...
Functions - Chart Review Reviews the medical record by applying utilization review criteria, to assess clinical, financial...Summary Position Summary: Conducts concurrent and retrospective chart review for clinical, financial and resource...
Job Description: JOB PURPOSE The Utilization Review Nurse is responsible for utilization review, utilization... with regard to utilization review management. The Utilization Review Nurse will work collaboratively and proactively with the...
Utilization Review Nurse for Workers' Comp Job Purpose: Review Workers Compensation requests submitted by the... and evidence-based treatment guidelines. Duties: Perform an evaluation of the medical data for utilization review requests...
Utilization Review Nurse for Workers' Comp Job Purpose: Review Workers Compensation requests submitted by the... and evidence-based treatment guidelines. Duties: Perform an evaluation of the medical data for utilization review requests...
Vocational Nurse (LVN) license. Minimum two years of experience in acute hospital case management or equivalent. Utilization...
Required qualifications: * Possess an active CA Licensed Vocational Nurse (LVN) license. Minimum two years of experience in acute hospital... case management or equivalent. Utilization Management experience required. Excellent interpersonal relationship skills...
, providers (direct and indirect) community resources, and payers. Conducts medically necessary utilization, manages home... and intervention. Strives to promote patient wellness, improve care outcomes, efficient utilization of health services and minimize...
Employment Type: Part time Shift: Description: POSITION PORPOSE The Utilization Review Specialist..., age specific, developmental, cultural and spiritual needs. Facilitates utilization management documentation and appropriate...
Responsible for utilization review work for emergency admissions and continued stay reviews. Responsibilities... Review electronic medical records of emergency department admissions and screen for medical necessity, using InterQual or MCG...
Responsible for utilization review work for emergency admissions and continued stay reviews. Responsibilities... Review electronic medical records of emergency department admissions and screen for medical necessity, using InterQual or MCG...
. 2 years of utilization review (UR) experience Must live within one hour of the BJC Learning Institute in St. Louis... and quality care. Evaluate the cost and quality of medical services provided by the medical team. Ensure appropriate utilization...
as required at Quality and MEC meetings for any Utilization Management needs Write, review, update departmental Policies and Procedures... Nursing. Current state RN licensure 5 years Utilization Review experience preferred Experience in a fast paced environment...
on age, culture, and willingness to learn. Performs job duties in accordance with the Nurse Practice Act. Qualifications... required within 5 years of employment in this position No experience required RN - Licensed as a Registered Nurse. Eligible...
on age, culture, and willingness to learn. Performs job duties in accordance with the Nurse Practice Act. Qualifications... required within 5 years of employment in this position No experience required RN - Licensed as a Registered Nurse. Eligible...