- 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
- Emory Healthcare/Emory University (Duluth, GA)
- …+ This role requires a professional with a strong background in healthcare, either as a Registered Nurse ( RN ) or a Master of Social Work (MSW) with ... _development,_ and leadership programs + And more **Description** The Utilization Review (UR) Specialist is responsible for...risk. + The UR Specialist will initiate and facilitate RN to RN discussion and/or Physician to… 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)
- …**Introduction** Do you have the career opportunities as a Behavioral Health Utilization Review Specialist you want with your current employer? We ... Do you want to work as a Behavioral Health Utilization Review Specialist where your passion for...+ Demonstrate knowledge and effective use of multiple applications, systems and resources including, but not limited to: Call… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- * Remote in Hampton Roads* Summary The Utilization Review Nurse combines clinical expertise with knowledge of medical appropriateness criteria, and applies ... and consultant to the multidisciplinary patient care team. The Utilization Review Nurse is responsible...(UR and other areas as assigned) in data collections system as per policy/established process. + Participates in clinical… more
- Kaleida Health (Buffalo, NY)
- ** Utilization Review Coordinator** Department: BGMC Utilization Review **Location:** Buffalo General Medical Center Location of Job: US:NY:Buffalo Work ... 2 years of experience in any combination of: case management, home care and utilization review . Working knowledge of Microsoft Office Suite and Outlook. Use of… 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
- 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
- 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