- R1 RCM (Salt Lake City, UT)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Utilization Review Nurse ** , you will help our ... in this remote position. **Here's what you will experience working as a Utilization Review Nurse :** + Perform initial admission and continued stay reviews… 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
- Intermountain Health (Murray, UT)
- …discharge planning efforts, coordination of transition of care and manage utilization through appropriate review of authorization requests. Job Essentials ... **Job Description:** Proactively manage inpatient and outpatient utilization to assure that medical care is appropriate, efficient, and medically necessary. Support… 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
- CVS Health (Salt Lake City, UT)
- …setting such as ambulatory care or outpatient program- Managed care and utilization review experience preferred.- Crisis intervention skills preferred. Education ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable in… more
- HCA Healthcare (West Valley City, UT)
- …Center have the opportunity to make a real impact. As an Operating Room Registered Nurse you can be a part of change. **Benefits** Utah Surgical Center, offers a ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- HCA Healthcare (Bountiful, UT)
- …satisfaction and personal growth, we encourage you to apply for our OR Registered Nurse PRN opening. We review all applications. Qualified candidates will be ... have the PRN career opportunities as an OR Registered Nurse PRN you want with your current employer? We...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 12/21/2023 **Requisition Number** PRN37263B **Job Title** PS Nurse Manager **Working Title** Complex Epilepsy Nurse Manager **Job Grade** G ... Summary** **Job Summary** Under minimal supervision, the Complex Epilepsy Nurse Manager ( CENM ) will be responsible for...to the processes described above, will include: optimizing EEG utilization ; refining specialty clinics ( ESC , VNS /… more
- HCA Healthcare (Bountiful, UT)
- …passionate about delivering patient-centered care?** Submit your application for OR Registered Nurse position and spend more time at the bedside with the patient. ... Summary and Qualifications** We are seeking an Operating Room Nurse for our ambulatory surgery center who demonstrates the...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- University of Utah Health (Salt Lake City, UT)
- …+ Negotiates with third party payers relative to benefit levels, eligibility, utilization review , and reimbursement. + Identifies actual and potential delays ... **Licenses Required** + **One of the following** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 days of hire under… more
- Fresenius Medical Center (West Valley City, UT)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- Marriott (Salt Lake City, UT)
- …workers' compensation losses. The NCM is responsible for conducting first level Utilization Review and coordinates subsequent levels if necessary, as required ... **Additional Information** Nurse CARE Manager (CARE - Coordinated Action and...that may include multiple states. + Conducts first level utilization review per jurisdictional requirements. + Coordinates… more
- University of Utah Health (Salt Lake City, UT)
- …education in healthcare or a related field. + One year of experience in a utilization review or case management environment. + Basic Life Support Health Care ... of care activities under the direction of a registered nurse and/or social worker. + The incumbent interacts with...+ Documents activities and progress in medical charts, computer billing/ utilization systems, or in other ways as directed. +… more
- HCA Healthcare (Salt Lake City, UT)
- …Course (BLS or BCLS) and Certification. + Certification in case management or utilization review preferred. + InterQual experience preferred. For 150 years, St. ... one another. Your acute care background as a registered nurse will give you the experience you need to...supporting a balance of optimal care and appropriate resource utilization . + Direct activities to identify and provide for… more
- Lincoln Financial Group (Salt Lake City, UT)
- …setting including 1 year in claims, disability management (STD/LTD), worker's compensation, utilization review , and or behavioral health case management . ... You will collaborate with Independent Consulting Physicians, Claims Specialists, and Nurse Disability Consultants to assist with reviewing and assessing mental… more
- University of Utah Health (Salt Lake City, UT)
- …thorough on-site or telephonic assessment of potential patients including chart review , clinical assessment and interaction with physicians, nurses and therapists ... process inclusive of completion of the pre-admission assessment tool and appropriate review by the rehab physician with signature. + Educates patients, family… more
- Vyaire Medical (Salt Lake City, UT)
- …of new products and services; make recommendations to drive client acceptance and utilization of new medical devices. Facilitate UPE's for new products. + Develop, ... Minimum 5 years clinical experience as a respiratory therapist or critical care nurse required + Ability to meet requirements in vendor credentialing services, eg… more