- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Utilization Review Nurse ( 40 Hour) Office/On-Site Recruitment # 240604-5612FP-002 Location Hartford, CT Date Opened 6/5/2024 12:00:00 AM Salary $76,565 - ... is seeking a highly motivated and compassionate U tilization Review Nurse (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5612FP&R1=&R3=) to join our team!… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II...on the basis of age for any individual age 40 or older. c. Experience is evaluated on the basis ... Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR II Salary $113,309.04 -...of a verifiable 40 - hour week, unless specified otherwise. Prorated part-time experience… 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 ... Signing Bonus is determined on a full-time status of 40 hours. Hours less than 40 hours...**Job Description:** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the… 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 ... environment.* Basic knowledge of computer systems with skills applicable to utilization review process.* Excellent written and verbal communication skills.*… more
- Ascension Health (Manhattan, KS)
- …Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests ... **Details** + **Department:** Utilization Management + **Schedule:** Full Time, 40...healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee… more
- Ascension Health (Saginaw, 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
- University of Washington (Seattle, WA)
- …) **UW Medical Center - Northwest** has an outstanding opportunity for an **experienced Utilization Review Nurse ** to join our team. **WORK SCHEDULE** + ... to work day shifts during Pacific Standard Time + 40 hours per week + Occasional weekend work required...POSITION QUALIFICATIONS** + 3 years of work experience in utilization management + 5 years of nursing work experience… more
- Humana (Richmond, VA)
- …of action. The Utilization Management Nurse 2/Home Health Utilization Management: + Review cases using clinical knowledge, communication skills, and ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...+ This is a remote position **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a… more
- McLaren Health Care (Detroit, MI)
- …accordance with established SOP procedures. 4. Maintains current knowledge of hospital utilization review processes and participates in the resolution of ... **Department: Utilization Management** **Daily Work Times: 7:00am-3:30pm** **Shift: Days** **Scheduled Bi-Weekly Hours: 40 ** **Position Summary:** Responsible… more
- Texas Health Resources (Arlington, TX)
- **RN/Registered Nurse - Utilization Management, Clinical Reviews** **Work location:** 100% remote but must live in Texas, preferably in the Dallas-Fort Worth ... years preferred **Licenses and Certifications** + RN - Registered Nurse Current license to practice professional nursing in the...care team. + Determine working DRG with each initial review via CareConnect1 or other Utilization Management… more
- Beth Israel Lahey Health (Burlington, MA)
- … **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 weekend ... Nurse (RN) Case Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality assurance for Lahey… more
- Truman Medical Centers (Kansas City, MO)
- …into myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Utilization Review RN - Care Continuity (8:00AM-4:30PM M-F) ... time **Work Schedule** 8:00AM - 4:30PM **Hours Per Week** 40 If you want to work where the action...coaching and consulting to outside organizations. **Job Description** The Utilization Management Nurse (UM RN) collaborates with… more
- Dignity Health (Bakersfield, CA)
- …is remote with a clear and current CA LVN license.** **Position Summary:** The Utilization Review LVN uses clinical judgement in providing utilization ... to reach determination. - Preps case thoroughly concisely and clearly for physician review . Researches EMR criteria medical policy and past history of member to… more
- Hackensack Meridian Health (Hackensack, NJ)
- …and regulatory/payor requirements. The role integrates and coordinates utilization management, care coordination, discharge planning functions and performance ... needs, manage the length of stay, and promote efficient utilization of resources; specific functions within this role include:...c. Ensures that staff have MCG training modules to review as needed. + Growth + Uses MCG Guidelines… more
- Immigration and Customs Enforcement (IN)
- …matter expert in the oversight of program activities and policies related to utilization review and management. Duties include day to day managing, assessing, ... of explanation and tact (eg, support for budget). Supervises utilization review consultants (URC), in the conduct...preferred. Meet the minimum education requirements for either a nurse , nurse practitioner, or physician assistant. … more
- Universal Health Services (Conway, SC)
- …Job Posting Lighthouse Behavioral Health Hospital is hiring for a Part Time RN Utilization Review Coordinator. Utilization Review / Risk Management ... UHS and its 300+ Subsidiaries! Flexible Schedule Qualifications Job Requirements The Utilization Review Coordinator position will consist of Four 8-hour Daylight… more
- UNC Health Care (Chapel Hill, NC)
- …communities we serve. RN Utilization Manager position specifically for a Utilization Manager/Clinical Appeals Nurse . This person is based at the Hedrick ... **Description** Become part of an inclusive organization with over 40 ,000 diverse employees, whose mission is to improve the health and well-being of the unique… more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …performance and facilitates educational training for medical staff on issues related to utilization management. 1. Implements utilization review policies and ... coaching, mentoring, training and development. Educates and trains staff on utilization review processes and guidelines. 3. Promotes collaborative practice… more
- Lancaster General Health (Lancaster, PA)
- …**Job Description** Job Description **LOCATION** : Lancaster, PA **HOURS** : Full-Time ( 40 hours per week). Rotating Shifts (Day, Evening and Night Shifts). Weekly ... as defined by the American Nurses Association standards of nursing practice. The Clinical Nurse 1 New to Practice/Apprentice is a newly licensed new to practice RN… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient ... to provide requested clinical and psychosocial information to assure reimbursement. UTILIZATION REVIEW + Reviews prospectively, concurrently and retrospectively… more