- Children's Mercy Kansas City (Kansas City, MO)
- …in Nursing, is required within 4 years of hire + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon hire. RNs ... the walls of our hospital. Overview The Manager of Utilization Review will provide leadership to integrated...Required Upon Hire + One of the following: Licensed RN - Kansas, Registered Nurse … more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR...CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board ... II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR II Salary $113,309.04 -… more
- Beth Israel Lahey Health (Burlington, MA)
- …**Job Description:** **Job Description:** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the ... up to a $3,500 in signing bonuses for our Utilization Review positions. Important Details: * Signing...as required and directed. **Qualifications:** Required Licensure as a Registered Nurse ( RN ), Massachusetts Three… more
- Beth Israel Lahey Health (Boston, MA)
- …States of America) Position Summary: 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
- 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 ... Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently...or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as… more
- Beth Israel Lahey Health (Burlington, MA)
- …40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days 8:00am-4:30pm ... evenings and varying other shifts **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager...Leads the multidisciplinary team to ensure a timely process. Registered Nurses (RNs) with utilization review… more
- Ventura County (Ventura, CA)
- … Nurse III - Hospital Case Management/ Utilization Review Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4396275) Apply Per ... Registered Nurse III - Hospital Case Management/ Utilization Review Salary $119,061.54 - $151,803.47 Annually...supervision commensurate with their experience. APPROXIMATE SALARY: Per Diem Registered Nurse III (PD RN … more
- Billings Clinic (Billings, MT)
- …to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Utilization Review RN CARE ... loan reimbursement Under the direction of department leadership, the Utilization Review / Management RN . This...Certification At hire * Current Montana license as a Registered Nurse At hire * Current working… 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
- Tenet Healthcare (Detroit, MI)
- RN Utilization Review FT Days - 2305004256 Description : The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients ... level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator as...Conditions of Participation and Tenet policies Operates within the RN scope of practice as defined by state licensing… more
- HCA Healthcare (Largo, FL)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Utilization Review RN with HCA Florida Largo West Hospital ... in our organization. We are looking for an enthusiastic Utilization Review RN to help...related health care experience . Licensure as a Florida Registered Nurse in accordance with state regulations… more
- R1 RCM (Chicago, IL)
- …and cash flows while reducing operating costs and enhancing the patient experience. The Utilization Review Author will be part of our Physician Advisory Team ... level initial admission and continued stay case reviews. The Utilization Review Author will determine the appropriate...service delivery **Required Qualifications:** + Must have a current Registered Nurse license in your state of… more
- Munson Healthcare (Traverse City, MI)
- …interdisciplinary team members, payers and external case managers Why work as a Utilization Review Specialist at Munson Healthcare? + Our dynamic work ... 5 years of start date. + Current licensure as Registered Nurse in the State of Michigan....+ Minimum of three years clinical experience required. Previous utilization review and/or case management in a… more
- Actalent (San Bernardino, CA)
- Description: As a part of the Utilization Management team the Utilization Review RN is a member of the Care Coordination team. The goal of care ... to acute inpatient stay and post-acute facility stay. The Utilization Review RN Coordinates continuing...working with health plan auditors preferred. - Current CA Registered Nurse ( RN ) license. -… more
- Cedars-Sinai (Los Angeles, CA)
- …Coordination **Req ID** : 1262 **Working Title** : Registered Nurse - Utilization Management Utilization Review - Per Diem 8 Hour Days **Department** ... **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most appropriate… 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 ... Management for assigned patients. Qualifications and Ideal Characteristics + Registered nurse with a New York State...Basic knowledge of computer systems with skills applicable to utilization review process. + Excellent written and… more
- Catholic Health Initiatives (Omaha, NE)
- **Overview** Utilization Review RN is responsible for the review of medical records for appropriate admission status and continued hospitalization. Works ... admission and continued stay reviews per the Care Coordination Utilization Review guidelines to ensure that the...with physicians, payers, Care Coordinators and other stakeholders regarding review outcomes. 5. Collaborates with facility RN … more
- BayCare Health System (Cotton Plant, AR)
- …Critical Care or Emergency Nursing RN . **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + Preferred ... clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our...2 years in Case Management + Preferred 3 years Registered Nurse in Critical Care or Emergency… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** **Job Summary: Key Job Responsibilities** The Utilization Review Case Manager validates the patient's placement to be at the most appropriate ... Manager follows the UR process as defined in the Utilization Review Plan in accordance with the...of an accredited nursing program Bachelor's Degree Nursing **Licenses:** RN State License Basic Life Support (BLS) **Experience:** 3… 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 ... retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use...and offerings. Education/Experience: + Unrestricted state license as a Registered Nurse required; BSN preferred. + 3+… more