- HumanEdge Travel Nursing and Allied Health (Hartford, CT)
- HumanEdge Travel Nursing and Allied Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Hartford, Connecticut.Job ... for occassional meetings. Bachelor's or master's degree in nursing Registered Nurse ( RN ) license Clinical...tax-free stipend amount to be determined. Posted job title: RN Utilization Review .About HumanEdge Travel… more
- The University of Vermont Health Network (Plattsburgh, NY)
- Unit Description: The Utilization Review Team monitors, collects and analyzes data and evaluates variances of resource utilization , complications and overall ... and promotes the efficient and effective use of patient services. The Utilization Review Team's role in data collection, analysis and summarization supports the… more
- UNC Health (Chapel Hill, NC)
- UNC Health is seeking a Registered Nurse ( RN ) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly… more
- Saint Francis Health System (Tulsa, OK)
- Saint Francis Health System is seeking a Registered Nurse ( RN ) Virtual Care for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: ... location (not a remote position)Will perform admit, discharge chart review and other patient care duties from an office...Healthcare System Tulsa Job ID #JR13153. Posted job title: Rn , Registered Nurse - Med/Surg… more
- Duke Health (Durham, NC)
- …regulations, including JCAHO and DFS standards, ICD-9 Coding. Knowledge of scope of the registered nurse , licensed practical nurse and NCA Knowledge of and ... of specialty nursing certification. Duke University Health System has 6000 + registered nurses Qualityof Life: Living in the Triangle! Relocation Assistance (based… more
- Wilson Medical Center (Wilson, NC)
- …internal and external resources for optimal discharge planning Required Licenses Registered Nurse - Current/active North Carolina or compact RN license - BLS ... 7. The Case Manager independently performs clinical reviews based on the Utilization Review Plan with follow-up actions identified for medical necessity… more
- ChristianaCare (Wilmington, DE)
- RN Case Manager Weekend Incentive Program (WIP) - Day ShiftSaturday & Sunday (Hours: 8a-8:30p plus one rotating Friday shift (4p-8p). Wilmington, DEChristiana Care - ... Wilmington Hospital currently recruiting a Weekend RN Case Manager with experience in Transitional Care or Discharge Planning in an Acute Care Hospital SettingAs… more
- CHRISTUS Health (Alamogordo, NM)
- …status and assists him/her in ensuring proper placement of patient. Conducts utilization review using nationally recognized medical necessity criteria and ... documents the review . Refers cases for second level reviews when medical...reporting individual cases and/or trends to the infection control nurse . Performs utilization management functions as required… more
- The Grove At Valhalla Rehabilitation And Nursing Center (Valhalla, NY)
- …information to MDS Coordinator for Medicare and HMO information for weekly Utilization Review as per policy.Participating in daily PDPM meetings and ... are seeking qualified candidates who have experience as an RN and are committed to help our patients and...in annual competency reviewsEducation and Experiences:Must hold a current Registered Nurse License/Licensed Practical Nurse … more
- Willowbrook Manor (Flint, MI)
- …current with American Association of Nursing Assessment Coordinators (AANAC) requirements. Qualifications Registered Nurse ( RN ) AANC certification a plus. ... $10,000 Sign On Bonus Are you an experienced MDS nurse interested in the next step? The MDS Coordinator...team Assesses resident through physical assessment, interview and chart review . Discusses resident care needs with care givers, including… more
- Pathways Vermont (Burlington, VT)
- …Supervise three Shift Supervisors, a Services Team Lead, and an Advanced Practice Registered Nurse (APRN). Meet weekly for individual supervision, to review ... and regularly update program policies and procedures; and participate in review , creation, and updating of agency policiesWork with the Intake Team… 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
- 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 the Utilization ... requiring clinical review prior to payment. The Utilization Review Nurse will use...License(s) and/or Certification(s): + Unrestricted state license as a Registered Nurse + Certification in managed care… more
- R1 RCM (Detroit, MI)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Utilization Review Nurse ** , you will help our ... position. **Here's what you will experience working as a Utilization Review Nurse :** + Perform...ten-hour shifts Friday to Monday. **Required Skills:** + Active Registered Nurse license For this US-based position,… 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 ... Minimum of 1 year Nurse Case Management experience Minimum of 1 year Utilization Review Nurse Experience including solid working knowledge with InterQual… more
- Glens Falls Hospital (Glens Falls, NY)
- …**Job:** **Nursing - Case Management* **Title:** * Registered Nurse - Utilization Review Nurse - Care Management (Sign-On Bonus for Full-Time ... utilization management, or payer experience preferred. *Licenses, Certifications, Registrations:* * Registered Nurse ( RN ) in New York State *Skills and… more
- CDPHP (Albany, NY)
- …who share these values and invites you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the clinical review ... constituents on CDPHP guidelines, policies, and procedures. QUALIFICATIONS + Registered Nurse or Licensed Practical Nurse...acute care experience is required as a Licensed Practical Nurse . + Minimum of two (2) years Utilization… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …The Role BHPS provides Utilization Management services to its clients. The Utilization Review Appeals Nurse performs daily appeal reviews and clinical ... and Complex Care Needs. Essential Qualifications + Current licensed Registered Nurse ( RN ) with state...a high pace and changing environment. + Proficient in Utilization Review process including benefit interpretation, contract… 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)
- …**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
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