- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Utilization Review Services Registered Nurse? At Parallon, you come ... 3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off...make a difference. We are looking for a dedicated Utilization Review Services Registered… more
- BJC HealthCare (St. Louis, MO)
- …of RN experience providing care for hospitalized patients - 2 years of Utilization Review experience reviewing hospital admissions for medical necessity - Must ... of medical services provided by the medical team. Ensure appropriate utilization , which includes the evaluation of potential under and over- utilization … more
- Community Health Systems (Naples, FL)
- …improvement programs + Addresses facility and departmental communication through daily review of all correspondence, including incoming email messages. + Performs ... products required. + Demonstrates a patient-focused attitude. Committed to providing excellent service to all patients. + Willingness to assist with genuine interest… more
- LifePoint Health (Louisburg, NC)
- Registered Nurse (RN) Utilization Review Job Type: Full Time | Day Your experience matters At Maria Parham Hospital, we are driven by a profound commitment ... select a valid job field* **Organization:** **Maria Parham Franklin* **Title:** * Registered Nurse Utilization Review Coordinator* **Location:**… more
- The Arora Group (Bethesda, MD)
- …guidelines. + The Contractor shall frequently collaborate with managers of the UBO, Utilization Review Registered Nurse (RN) and pre-certification clerk. + ... Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a...not exceed 80 hours within a 2-week pay period. Services will be required on Federal holidays. DUTIES OF… more
- Ascension Health (Baltimore, MD)
- …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
- Ascension Health (Tulsa, OK)
- …planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance ... range at the time of the offer._ **Responsibilities** + Review admissions and service requests within assigned...hire. **Additional Preferences** + 5+ years RN experience + Utilization Review experience preferred **Why Join Our… 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 ... clinical experience in the hospital setting + Experience with utilization management within the last 3 years required +...of the severity of an array illnesses, intensity of service , and care coordination needs + Ability to identify… more
- Ochsner Health (New Orleans, LA)
- …hospital-based experience in discharge planning, case management or utilization review . **Certifications** Required - Current registered nurse license in ... and implement discharge plans based on patient's individualized needs. Registered Nurse (RN) Case Manager - Case Management OMC...of the conditions of participation as it relates to utilization review and discharge planning. + Maintains… more
- Beth Israel Lahey Health (Burlington, MA)
- …difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered Nurse (RN) Case Manager ... Leads the multidisciplinary team to ensure a timely process. Registered Nurses (RNs) with utilization review...holiday and beeper rotation as needed. 10) Supports all service line activities related to utilization and… more
- Houston Methodist (Houston, TX)
- …determinations + Recent work experience in a hospital or insurance company providing utilization review services + Knowledge of Medicare, Medicaid, and ... At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and… more
- US Tech Solutions (Chicago, IL)
- …have experience with Prior Authorization? + Do you have experience with Utilization Review ? + Do you have an Active Registered Nurse License? **About US Tech ... QM Work Plan activities. + Improve quality products and services , by using measurement and analysis to process, evaluate...and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review . + MUST HAVE 1… more
- Albany Medical Center (Albany, NY)
- …+ Basic knowledge of computer systems with skills applicable to utilization review process. + RN - Registered Nurse - State Licensure and/or Compact ... team to plan, coordinate, implement and evaluate patient care for assigned service line across the continuum of care. The Case Manager works proactively… more
- Crouse Hospital (Syracuse, NY)
- …and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track and manage data and client ... care as it relates to the utilization of services . Pay Range: $80,000.00/year+ ...the quality of care. + Demonstrates proficiency with standard Utilization Review processes. + Responsible for concurrent… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- Summary The Western New York Healthcare System is seeking a Utilization Management (UM) Registered Nurse (RN) to work at its Buffalo Location. The Nurse ... Utilization Management (UM) Registered Nurse (RN) executes...application of UM methods and expertise in medical necessity review criteria. This position requires strong analytical skills and… more
- Aspen Medical (Aurora, CO)
- …and Management (HCQM) through American Board of Quality Assurance and Utilization Review Physicians (ABQARP), Certified Informatics Nursing, Ambulatory Care ... JOB AD: Registered Nurse- Utilization Management Introduction : Aspen...in a direct patient care clinical setting. Must have utilization management, utilization review or… more
- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- Summary The VA Puget Sound Healthcare System is recruiting for one Registered Nurse to perform patient flow utilization management duties at the VA hospital in ... direct patient care Bachelor of Science in Nursing Case Management Experience Utilization Management/ Review experience Reference: For more information on this… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... Job Type Full time Job Number Y5126D Department HEALTH SERVICES Opening Date 06/08/2020 + Description + Benefits +...and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General… more
- Trinity Health (Syracuse, NY)
- …Coordinator is responsible for both concurrent and retrospective inpatient and outpatient services , in accordance with the utilization requirements and 3rd party ... responsible for LOS and Level of Care to provide effective and efficient health care services that best serve the needs of the patient. Nurses in this position work… more
- McLaren Health Care (Pontiac, MI)
- **Position Summary:** Responsible for Utilization and Care Management services to the Emergency Center. Advises providers to determine initial medical necessity ... and transition planning. Coordinates services to patient/family to prevent unnecessary admissions. Engages in...on all patients reviewed in the ED. Conducts initial review using InterQual, MCG and other tools, assists provider… more