- The Arora Group (Bethesda, MD)
- Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in ... required on Federal holidays. DUTIES OF THE LICENSED PRACTICAL NURSE (LPN/LVN) - UTILIZATION REVIEW :...process. + The Contractor performing as the License Practical Nurse (LPN) Utilization Reviewer (UR)… more
- Cedars-Sinai (Los Angeles, CA)
- …Eye/Hand/Foot Coordination **Req ID** : 1262 **Working Title** : Registered Nurse - Utilization Management Utilization Review - Per Diem 8 Hour Days ... **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most appropriate… 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 ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
- Albany Medical Center (Albany, NY)
- Department/Unit: Care Management/Social Work Work Shift: Day (United States of America) Utilization Review Nurse Salary Range: $31.28 - $51.61 per hour ... for assigned patients. Qualifications and Ideal Characteristics + Registered nurse with a New York State current license. +...Basic knowledge of computer systems with skills applicable to utilization review process. + Excellent written and… more
- Martin's Point Health Care (Portland, ME)
- …Point 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 ... reviews for retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use appropriate governmental policies as well… more
- Milford Regional Medical Center (Milford, MA)
- …services to our community with dignity, compassion, and respect. Statement of Purpose: The Utilization Review Nurse is responsible for utilization ... 1 year Nurse Case Management experience Minimum of 1 year Utilization Review Nurse Experience including solid working knowledge with InterQual criteria more
- Dayton Children's Hospital (Dayton, OH)
- …benefits and communicates information to payers in accordance with contractual obligations. The utilization review nurse serves as a resource to the ... timeHours:40Job Details:Under the supervision of the Integrated Care Manager, the Utilization Review RN conducts concurrent medical record review… more
- Ascension Health (Wichita, KS)
- **Details** + **Department:** Utilization Review - Behavior Health + **Schedule:** PRN, Day Shift, 8 hr shift, Rotating Weekends and Holidays + **Hospital:** ... Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests… more
- Ascension Health (Southfield, MI)
- …Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
- Ventura County (Ventura, CA)
- …Registered Nurse III - Hospital Case Management/ Utilization Review Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4396275) Apply Per ... Diem Registered Nurse III - Hospital Case Management/ Utilization Review Salary $119,061.54 - $151,803.47 Annually Location Ventura, CA Job Type Per-Diem Job… more
- Ascension Health (Pensacola, FL)
- …Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
- Trinity Health (Fresno, CA)
- …Type:** Full time **Shift:** **Description:** **Are you an experience RN Manager, Utilization Review of Acute Care seeking your next adventure?** **Duration:** ... Manager of Utilization Management will ensure the timely delivery of utilization review , discharge planning and support case management and the psychosocial… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …communication with clinic, payor and other customers. **Job Title: Licensed Vocational Nurse Utilization Review -** ** Utilization Management** **Location: ... **Responsibilities** The Utilization Review LVN nurse will perform documentation review for medical necessity and benefit correlation of requested… more
- CommonSpirit Health Mountain Region (West Jordan, UT)
- …you flourish and leaders who care about your success. As a Registered Nurse , RN Case Manager you'll advocate for patients while collaborating closely with ... discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management, and patient advocacy. + Assure medical appropriateness… more
- Beth Israel Lahey Health (Burlington, MA)
- …Medical Center is now offering up to a $3,500 in signing bonuses for our Utilization Review positions. Important Details: * Signing Bonuses are paid out in three ... Description:** **Job Description:** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate… 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, or obtain one...Criteria, knowledge of ICD-9, DRG's and CPT Codes. + Utilization Review Certification designation. + Knowledge of… more
- Commonwealth of Pennsylvania (PA)
- …I have professional experience performing this Work Behavior as a charge nurse , head nurse , utilization review nurse , quality assurance nurse , or ... I have experience performing this Work Behavior as a charge nurse , head nurse , utilization review nurse , quality assurance nurse , or an… more
- Universal Health Services (Temecula, CA)
- …Healthcare Regional office in Temecula, CA is seeking Two (2) LVN Full-Time Central Utilization Review Nurses who will be responsible for carrying out ... correct payer source for hospitalization and communication. + Ensures compliance of utilization review practices as required by payers, external regulatory… more
- Albany Medical Center (Albany, NY)
- …stays, and documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and ... Work Work Shift: Day (United States of America) Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients. Salary… more
- Albany Medical Center (Albany, NY)
- …stays, and documents findings based on Departmental standards. * While performing utilization review identifies areas for clinical documentation improvement and ... Work Work Shift: Day (United States of America) Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients. Salary:… more