- TRS Healthcare (Olney, MD)
- TRS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Olney, Maryland.Job Description & RequirementsSpecialty: ... confirmation) with tax-free stipend amount to be determined. Posted job title: Utilization Review Registered NurseAbout TRS HealthcareTRS Healthcare has been a… more
- Medical Solutions (Glendale, CA)
- Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Glendale, California.Job Description & ... travelers. Hospital in California is seeking a travel ER nurse . Qualified candidates must have at least 2 years...amount to be determined. Posted job title: Case Management ( Utilization Review )About Medical SolutionsAt Medical Solutions, we're… more
- The University of Vermont Health Network (Colchester, VT)
- POSITION SUMMARYThe Utilization Review Nurse is responsible for ensuring the medical necessity and appropriate level of care of all hospital admissions and ... stays, including psychiatry; affirming compliance with CMS' Conditions of Participation regarding Utilization Management with annual review of the UM Plan and… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …team members as needed to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia...patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the… more
- Novo Nordisk Inc. (Milwaukee, WI)
- …include key opinion leaders (KOL's), academic institutions, physicians, nurse practitioners, diabetes educators, pharmacists, blood bank staff, organized ... providers and IHNs; c) develops appropriate use of NNI products and greater utilization of its services d) supports and assists representatives and managers in… more
- The University of Vermont Health Network (Plattsburgh, NY)
- …Current New York State Registered Nurse license required.2. CCM Preferred. Utilization review and discharge planning experience preferred.3. Three years of ... Department at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY.GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data and… more
- TulaRay (Frackville, PA)
- …shift. Charge nurses make assessments and decisions in regard to staff utilization and supplies and equipment needs. Charge nurse supervises paraprofessional ... of professional nursing practices. Work is reviewed and evaluated by a Registered Nurse Supervisor, physician or dentist through observation, review of reports… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health ... of our communities. About the Role:Job SummaryThe Nurse Manager (NM) is responsible for leading inpatient wound care services across 5 medical centers and outpatient… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …of their caseloads, provides coverage to Intake department, and assists with Utilization Review , Quality Assurance, and Performance Improvement activities as ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:12 Hr Morning - EveningNortheast Georgia...admission, ensures smooth transition of new patients to primary nurse and other team members. Minimum Job QualificationsLicensure or… more
- Adventist Health (Glendale, CA)
- Adventist Health is seeking a Registered Nurse (RN) Care Manager for a nursing job in Glendale, California.Job Description & RequirementsSpecialty: Care ... management program. Acts as a liaison between the patient, family, nurse , physicians, multidisciplinary team and patient's healthcare benefactor to optimize… more
- ResCare Community Living (Canton, OH)
- …and submit to State Health Services Director and Assigned Director, Clinical Practice* Review utilization report at least monthly to ensure adequate hours on ... meetings* Chairs committees as applicable (eg safety, infection control, incident/accident review , human rights, etc.).* Participates in the development of the… more
- Eagle's Trace by Erickson Senior Living (Houston, TX)
- …leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S) ... indicators/benchmarking such as Falls, Pressure Ulcers, Medication Errors, Restraint Utilization , Re-hospitalization, Anti-psychotic utilization , ADL splits/documentation, etc.… more
- RestoraCare Staffing (Houston, TX)
- RestoraCare Staffing is seeking a Registered Nurse (RN) Case Management for a nursing job in Houston, Texas.Job Description & RequirementsSpecialty: Case ... Current and valid license to practice as a Registered Nurse in the state of Texas or Current and...(FQHC), skilled nursing facility, or wound clinic). Experience in utilization management, case management, discharge planning or other cost/quality… more
- Integrated Resources, Inc (New York, NY)
- …Coordinate with Utilization Management (UM) department on concurrent and retrospective review . . Follow up with assigned nurses for clinical updates to care ... Using the assessments and interview done by the Assessment Nurse , the Care Manager identifies the risk factors, strengths,...community setting. . Product of Role & Responsibilities: . Review and evaluate the assessment and UAS information for… more
- Integrity Trade Services (Indianapolis, IN)
- …for appropriate admissions into Withdrawal Management based on written policies and the Utilization Review manual Record in the client records information and ... of physical or psychological problems, and report to the Licensed Practical Nurse , Clinical Director, and/or Physician Chart thoroughly all pertinent data, including… more
- Atlas Search (Bronx, NY)
- …will have a background in nursing, experience in insurance, and expertise in utilization review .Scroll down the page to see all associated job requirements, ... working in healthcare, with a focus on denials management, appeals, or utilization review .* Strong understanding of insurance billing, reimbursement, and claims… more
- Signet Health (Clinton, MD)
- …agencies regarding Case management members Collaboration with Community Support Programs Utilization Review for Designated Hospitalized members Phone Coverage ... PTO. We are hiring for a Behavioral Health Registered Nurse - ED Evaluator. Full-time, three (3) 12-hour day...from an accredited nursing program with active compact Registered Nurse license for Maryland required One year Adult Psych,… more
- Hired by Matrix (Charleston, SC)
- …for specific procedures and obtains x-rays and medical records for the physician's review . Ensure the work environment is free of unsafe conditions, clutter and ... patients to the operating room with the assistance of the circulating nurse or the anesthesiologist. Perform surgical preps including draping patient as appropriate… more
- Signet Health (Clinton, MD)
- …agencies regarding Case management members. Collaboration with Community Support Programs. Utilization Review for Designated Hospitalized members. Phone Coverage ... Skills: Graduation from an accredited nursing program with active compact Registered Nurse license for Maryland required OR Licensed Clinical Social Worker (LCSW-C)… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- Job Category:Executive Leadership, Nursing - Registered Nurse Work Shift/Schedule:VariesNortheast Georgia Health System is rooted in a foundation of improving the ... and distribution of patient safety metrics and other key data, providing data review and analysis, and partnering with hospital leadership to align data with the… more
