- Emory Healthcare/Emory University (Atlanta, GA)
- …mentorship, _development,_ and leadership programs + And more **Description** We're seeking an ** Inpatient Registry Utilization Review Nurse (PRN)** who is ... physician and/or physician advisor. This individual will: + Perform utilization review by completing a timely and... review by completing a timely and comprehensive review of all new observation and inpatient … more
- Beth Israel Lahey Health (Boston, MA)
- …lives.** Position Summary: In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission ... billed. Conducts concurrent reviews as directed in the hospital's Utilization Review Plan and review ...health care team to determine the appropriate hospital setting ( inpatient vs. outpatient) based on medical necessity. 3. Actively… more
- Beth Israel Lahey Health (Burlington, MA)
- …the medical necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue integrity, these specialized ... the medical necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue integrity, these specialized… more
- Ventura County (Ventura, CA)
- …Under direction, scheduled as needed to assist with patient care coordination and utilization review . The incumbent will be responsible to assist with evaluation ... Per Diem Registered Nurse II/III - Utilization Management...the patient does not meet the medical necessity for Inpatient hospitalization; interacts with the family, patient and other… more
- Ventura County (Ventura, CA)
- …the general and specialized principles, practices, techniques and methods of utilization review /management, discharge planning or case management. + utilize ... Senior Registered Nurse - Hospital Management Utilization ...the patient does not meet the medical necessity for inpatient hospitalization. They interact with the family, patients, and… more
- Bassett Healthcare (Cooperstown, NY)
- …the care team plays a pivotal role in our success on the units. The Inpatient Pediatric unit is consistently hiring for Registered Nurses with various shift and ... you'll do The Registered Professional Nurse (RN), Acute Care in the Inpatient Pediatrics unit is accountable for the delivery of safe patient care utilizing the… more
- Crouse Hospital (Syracuse, NY)
- …while maintaining the quality of care. + Demonstrates proficiency with standard Utilization Review processes. + Responsible for concurrent and continued stay ... offers a full range of general and specialty care, inpatient and outpatient services, as well as community health...programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track… more
- Beth Israel Lahey Health (Plymouth, MA)
- …using Interqual criteria. + Integrates clinical knowledge with billing knowledge to review , evaluate, and appeal clinical denials related to the care provided to ... years recent, broad clinical experience in the hospital setting + Experience with utilization management within the last 3 years required + An understanding of the… more
- Bassett Healthcare (Cobleskill, NY)
- …healthcare. Founded in 1956, Cobleskill Regional Hospital is a 25-bed acute inpatient , not-for-profit hospital accredited by The Joint Commission. CRH provides ... inpatient care for general medical conditions, an ...County and the surrounding region" What you'll do The Registered Professional Nurse I, Acute Care is accountable for… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print...OPTION II: Two (2) years of experience as a registered nurse, of which one year must be in ... (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE SUPERVISOR I Salary $111,656.88 - $167,136.48 Annually… more
- Saint Francis Health System (Muskogee, OK)
- …**to login and apply.** Full Time Days ** Registered Nurse Full-time Inpatient Rehabilitation** **Not ... New Grad RNs with less than 6 months RN experience** Inpatient Rehabilitation unit provides patients with a multi-disciplinary treatment approach. Experience… more
- VNA Health (Santa Barbara, CA)
- …+ Shift Differentials + Schedule: 3 days/week, 12 hours/day Job Description: The Inpatient Registered Nurse provides hospice care and is skilled at assessing ... nursing staff meetings. + Participate in Quality Management and Utilization Review Activities. + Maintain necessary records...audio acuity. Apply today to be considered for our Inpatient Registered Nurse role or email ###@vna.health… more
- Fresenius Medical Center (Coon Rapids, MN)
- …schedules for the next day (Excel skills needed). **PURPOSE AND SCOPE:** The Inpatient Services Charge Nurse is an additional "responsibility" assigned to the ... Inpatient Services RN, for a limited period of time,...contracted hospitals/facilities and ensure efficient patient scheduling and staff utilization in accordance with the TAP scheduling tool. +… more
- AdventHealth (Daytona Beach, FL)
- …reviews within 24 hours of admission; and when warranted by length of stay, utilization review plan, and/or best practice guidelines, on a continuing basis. + ... 32117 **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is...to the Physician Advisor or designated leader for additional review as determined by department standards. Additionally, the UM… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a* Utilization Review Manager* to join ourTransitional Care Team.This is a full-time role and will be required to work ... this position: *Manages the design, development, implementation, and monitoring of utilization review functions. Oversees daily operations, which include… more
- Saint Francis Health System (Muskogee, OK)
- …per month as needed by the department; limited benefit offerings. Nights ** Registered Nurse ECB Inpatient Rehabilitation** **6 shifts per schedule** **Including ... **A 12-hour shift on each of two designated holidays** Job Summary: The Registered Nurse I assesses, plans, implements and evaluates nursing care, utilizing the… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …needs and may require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse is responsible for ... evidence-based practice *Quality of Practice*: * Promotes quality through evidence-based utilization review processes and actively contributes to performance… more
- Henry Ford Health System (Detroit, MI)
- …Proficiency with computers, electronic health records (EHR), database systems, and utilization review /case management documentation systems. + Knowledge of CMS, ... resources to optimize patient outcomes and promote efficient resource utilization . Key Responsibilities: Clinical Care Coordination: + Conduct comprehensive patient… more
- Bassett Healthcare (Cooperstown, NY)
- …health and enjoy the best quality of life possible. What you'll do The Registered Professional Nurse II, Acute Care is accountable for the delivery of safe patient ... no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. + Analyzes assessment data… more
- Martin's Point Health Care (Portland, ME)
- …has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of a team responsible for ensuring ... reviews for retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use appropriate governmental policies as well… more