- Tenet Healthcare (Detroit, MI)
- …care options May, if licensed RN , oversee work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator. (10% daily, essential) Compliance ... preferred. Multi-site leadership experience preferred. Experience successfully implementing centralized Utilization Review teams for multi-hospital system … more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II...Review organization requirements for an effective and timely utilization review system . + Directs the ... Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR II Salary $118,457.04 - $177,314.88… more
- The Arora Group (Bethesda, MD)
- …+ The Contractor shall frequently collaborate with managers of the UBO, Utilization Review Registered Nurse ( RN ) and pre-certification clerk. + The ... or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as...systems ) COMPENSATION & BENEFITS FOR THE LICENSED PRACTICAL NURSE (LPN/LVN) - UTILIZATION REVIEW :… more
- Alameda Health System (Oakland, CA)
- System Utilization Management SUM Utilization Review RN + Oakland, CA + Highland General Hospital + SYS Utilization Management + Services As ... The System Utilization Management [SUM] Utilization Review RN is responsible...IRR) Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California… more
- Beth Israel Lahey Health (Burlington, MA)
- …a difference in people's lives.** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate ... billed. Conducts concurrent reviews as directed in the hospital's Utilization Review Plan and review ...required and directed. **Qualifications:** _Required_ + Licensure as a Registered Nurse ( RN ), Massachusetts +… more
- Matrix Providers (Aurora, CO)
- Utilization Review Nurse ( RN ) Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... and fair, reliable schedules. Matrix Providers is hiring a Utilization Review Nurse ( RN...Holidays (Outlined in Handbook) + 401(k) Plan Minimum Requirements Registered Nurse ( RN ) Utilization… more
- Ascension Health (Indianapolis, IN)
- …required. **Additional Preferences** We are seeking a dedicated, detail-oriented, and self-motivated Utilization Review Nurse to join our healthcare team. ... to ensuring the appropriate, efficient, and cost-effective use of healthcare resources. The Utilization Review Nurse will be responsible for reviewing… more
- University of Utah Health (Salt Lake City, UT)
- …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** + ... Current license to practice as a Registered Nurse in the State of Utah,...Criteria, knowledge of ICD-9, DRG's and CPT Codes. + Utilization Review Certification designation. + Knowledge of… more
- Alameda Health System (Oakland, CA)
- System Educator Care Coordination/ Utilization Review + Oakland, CA + Highland General Hospital + SYS Care Coordination + Full Time - Day + Care Management + ... The System Educator of Care Coordination and Utilization Review is responsible for developing, implementing,...care setting + Required Licenses/Certifications: Active licensure as a Registered Nurse in the State of California,… more
- Trinity Health (Des Moines, IA)
- …Iowa (IA), MercyOne Des Moines Join the MercyOne Family! We are looking to hire a Utilization Review RN ! Responsible for the review of inpatient and ... admitting system . ESSENTIAL FUNCTIONS: + Conducts admission review per the Utilization Management Plan to...SKILLS AND ABILITIES REQUIRED:** + Current licensure as a registered nurse in the State of Iowa.… more
- HCA Healthcare (Nashville, TN)
- …nursing experience required + 1 - 3 years of relevant case management/ utilization review experience preferred + Registered Nurse - Currently licensed as ... Do you have the PRN career opportunities as a Utilization Review Services RN PRN...a registered professional nurse in the state in which he or she… more
- Catholic Health Initiatives (Omaha, NE)
- … Review experience.** Medical Coding experience is a plus! As our Utilization Review RN , you will be responsible for conducting comprehensive ... **Responsibilities** Are you a skilled and experienced Utilization Review Specialist looking for a...creating a more just, equitable, and innovative healthcare delivery system . **Pay Range** $33.51 - $48.58 /hour We are… more
- Adecco US, Inc. (Houston, TX)
- Adecco Healthcare & Life Sciences is assisting a client hire a Utilization Review Nurse in Houston, TX! This role is in person / on site. Please read below ... 5pm **Pay:** $85,00 to $110,000 yearly **Responsibilities of the Utilization Review Nurse :** . **...* Bachelors' degree in nursing preferred * Current, unrestricted RN License in Texas . 2 to 3 years… more
- St. Peters Health (Helena, MT)
- The Utilization Management Nurse reports directly to Utilization Review RN Coordinator. The UR Nurse supports the UR RN Coordinator in ... for the organization and is responsible for ensuring complaint utilization and cost-effective care delivery. The UR Nurse...the patient/family, physicians, and the interdisciplinary team, the UR Nurse ensures the care delivery systems in… more
- Ascension Health (Tulsa, OK)
- …OR Required professional licensure at time of hire. **Additional Preferences** + 5+ years RN experience + Utilization Review experience preferred **Why Join ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
- Albany Medical Center (Albany, NY)
- …Basic knowledge of computer systems with skills applicable to utilization review process.* Excellent written and verbal communication skills.* Working ... stays, and documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and… more
- Ascension Health (Baltimore, MD)
- …specialist for staff in the areas of utilization criteria, appeal and review process, and case management system documentation. + Conduct hiring, training, ... salary range at the time of the offer._ **Responsibilities** Manage effective utilization review processes, including management of patient statusing processes… more
- Ascension Health (Baltimore, MD)
- …Provide health care services regarding admissions, case management, discharge planning and utilization review . Responsibilities: + Review admissions and ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
- US Tech Solutions (Chicago, IL)
- …and implementation of QM Work Plan Activities **Experience:** + 3+ years of experience as an RN + Registered Nurse in state of residence + Must have prior ... Authorization? + Do you have experience with Utilization Review ? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech… more
- HonorHealth (Scottsdale, AZ)
- …of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors ... together. HonorHealth is one of Arizona's largest nonprofit healthcare systems , serving a population of five million people in...in UR/UM or Case Management Required Licenses and Certifications Registered Nurse ( RN ) State And/Or… more