- Community Health Systems (Franklin, TN)
- …appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for ... appropriate additional documentation from the physician(s). + Escalates cases to the Utilization Review Manager and/or Physician Advisor if physicians are unable… more
- Munson Healthcare (Traverse City, MI)
- …as Registered Nurse in the State of Michigan. + Minimum of three years clinical experience required. Previous utilization review and/or case management in ... another. + Notifies insurers and third party administrators of clinical review information. + Maintains documentation on...payers and external case managers Why work as a Utilization Review Specialist at Munson Healthcare? +… 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 ... **Work hours:** PRN (As needed), Weekday and weekend shifts from 6:45am...care team. + Determine working DRG with each initial review via CareConnect1 or other Utilization Management… more
- HCA Healthcare (Dallas, TX)
- …we encourage you to apply for our Clinical Pharmacist Specialist BMT PRN opening. We promptly review all applications. Highly qualified candidates will be ... **Description** ** Clinical Pharmacist Specialist BMT** **BMT Experience required** ** PRN Position** **Introduction** Are you looking for a work environment where… more
- HCA Healthcare (Ocala, FL)
- …growth, we encourage you to apply for our Clinical Rehab Specialist PRN opening. We review all applications. Qualified candidates will be contacted for ... **Description** **Introduction** Do you have the PRN career opportunities as a(an) Clinical ...commitments to referral sources. Develops a call-plan to prioritize utilization of time. 12. Assists in developing the annual… more
- HCA Healthcare (Nashville, TN)
- …encourage you to apply for our Clinical Pharmacist Specialist BMT Oncology PRN opening. We review all applications. Qualified candidates will be contacted ... **Description** **Introduction** Do you have the PRN career opportunities as a(an) Clinical ...multidisciplinary and bedside rounds + You will complete drug utilization reviews to promote rational drug therapy and implement… more
- HCA Healthcare (Live Oak, TX)
- …that provides satisfaction and personal growth, we encourage you to apply for our Clinical Pharmacist PRN opening. We review all applications. Qualified ... **Description** **Introduction** Do you have the PRN career opportunities as a(an) Clinical ...will participate in activities targeted by the department including Clinical Pharmacy Reports, Medication Utilization Evaluation (MUE),… more
- HCA Healthcare (Davie, FL)
- …personal growth, we encourage you to apply for our Clinical Pharmacist PRN opening. We promptly review all applications. Highly qualified candidates will be ... We care like family! Jump-start your career as a(an) Clinical Pharmacist PRN today with HCA Florida...for the safe, effective, evidence-based, and cost-effective selection and utilization of medications for the patients you serve. You… more
- Community Health Systems (Franklin, TN)
- …necessity, both for admission to the hospital as well as continued stay. The Utilization Review Clinical Specialist supports and coordinates the various ... and extended hospital stays with portals, faxes and phone calls. The Utilization Review Clinical Specialist will monitor adherence to the hospital's … more
- AdventHealth (Palm Coast, FL)
- …team. All while understanding that **together** we are even better. **Schedule:** PRN **Shift** : Days **The community you'll be caring for:** AdventHealth Palm ... Coast, 60 Medical Memorial Pkwy, 32164 **The role you'll contribute:** The Clinical Staff Pharmacist supports the mission of the department, hospital, and… more
- Corewell Health (Grosse Pointe, MI)
- …with eligible inpatients and Partial program patients and also may perform utilization review for this patient population2. Provides discharge planning and ... PRN /Casual Scope of Work To work collaboratively with members of an... utilization approvals for post inpatient care. How we will care for you,… more
- Community Health Systems (Carlsbad, NM)
- …prescriptions, handling incoming physician calls, logging data into the computer, and Drug Utilization Review . + Relies on experience and judgment to plan and ... **Carlsbad Medical Center has an opening for a PRN Pharmacist** **MUST BE ABLE TO WORK WITHIN THE WEEK FROM 7am - 5pm** **As a Pharmacist at Carlsbad Medical Center,… more
- Baptist Memorial (Memphis, TN)
- Summary The Utilization Review Nurse is responsible for evaluating the medical necessity and appropriateness of healthcare services and treatment as prescribed ... by utilization review standards. The UR Nurse works...HS Case Mgmt Administration Corporate Category: Nurse RN Type: Clinical Work Type: PRN Work Schedule: Days… more
- Corewell Health (Wayne, MI)
- …with eligible inpatients and Partial program patients and also may perform utilization review for this patient population Provides discharge planning and ... utilization approvals for post inpatient care. QUALIFICATIONS + Master's degree in social work + Experience in individual, family assessment, crisis intervention,… more
- Corewell Health (Royal Oak, MI)
- …with eligible inpatients and Partial program patients and also may perform utilization review for this patient population Provides discharge planning and ... utilization approvals for post inpatient care. STANDARD QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty… more
- HCA Healthcare (Richmond, VA)
- …in an acute care setting preferred. + Previous case management or utilization review experience preferred. CJW Medical Center (http://www.cjwmedical.com/) is ... payers and maintain legible documentation as directed by the Utilization Management Plan. **What qualifications you will need:** +...to apply for our Social Worker SW Case Manager PRN opening. We review all applications. Qualified… more
- HCA Healthcare (Austin, TX)
- …and personal growth, we encourage you to apply for our Radiology Technologist PRN opening. We review all applications. Qualified candidates will be contacted ... **Description** **Introduction** Do you have the PRN career opportunities as a(an) Radiology Technologist PRN you want with your current employer? We have an… more
- HCA Healthcare (El Paso, TX)
- …case management philosophy/process/role, needs assessment, principles of utilization review /quality assurance, use of InterQual(R) or other clinical decision ... review of patient medical records for purposes of utilization review , compliance with requirements of external...you to apply for our Registered Nurse Case Manager PRN opening. Our team will promptly review … more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient ... efficient quality care and achievement of desired treatment outcomes. The CM PRN holds joint accountability with social worker for discharge planning and continuity… more
- HCA Healthcare (Houston, TX)
- …and personal growth, we encourage you to apply for our Medical Technologist PRN opening. We review all applications. Qualified candidates will be contacted ... **Description** **Introduction** Do you have the PRN career opportunities as a(an) Medical Technologist ...supervision of the Director of Laboratory or designee, provides clinical laboratory services and monitors point of care (POC)… more