- Milford Regional Medical Center (Milford, MA)
- …Review Nurse is responsible for utilization management at MRMC. The UR nurse performs reviews of current inpatient services and determines medical ... following evaluation of medical guidelines and benefit determination. In addition, the UR Nurse will also manage the denial and appeal process under the guidance… more
- CDPHP (Albany, NY)
- …Review of identified high-cost admissions and extended stays and inpatient readmissions. The UR Nurse is also responsible for providing education to both ... invites you to be a part of that experience. The Utilization Review ( UR ) Nurse is responsible for the clinical review and documentation for services requiring… more
- University of Rochester (Rochester, NY)
- …of 6-12 months of RN experience. This position assumes the charge nurse role, actively participates in unit/service activities, supports co-workers, and assesses ... unit needs. **How To Apply** Current University of Rochester employees need only submit a resume to ###@urmc.rochester.edu. All other interested applicants should apply online or submit a resume to Nursing Recruitment, 601 Elmwood Avenue, Box 619-19,… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …and surgical procedures, services and admissions for HMO, PPO and POS products. The UR LVN nurse will serve as facilitator of communication with clinic, payor ... **Responsibilities** The Utilization Review LVN nurse will perform documentation review for medical necessity and benefit correlation of requested medical… more
- Pipeline Health System, LLC (Toast, NC)
- …Registered Nurse - Behavioral Health Unit/FT/Days Job Summary: This Utilization Review ( UR ) Registered Nurse (RN) position supports the Mission of Pipeline ... Health through the provision of distinctive and compassionate care to our patients. This position is responsible for utilization review, assessment of discharge planning needs and coordination of effective discharge plan. Actively and consistently contributes… more
- University of Rochester (Rochester, NY)
- …of 6-12 months of RN experience. This position assumes the charge nurse role, actively participates in unit/service activities, supports co-workers, and assesses ... unit needs. **How To Apply** Current University of Rochester employees need only submit a resume to ###@urmc.rochester.edu. All other interested applicants should apply online or submit a resume to Nursing Recruitment, 601 Elmwood Avenue, Box 619-19,… more
- University of Rochester (Rochester, NY)
- …of 6-12 months of RN experience. This position assumes the charge nurse role, actively participates in unit/service activities, supports co-workers, and assesses ... unit needs. **How To Apply** Current University of Rochester employees need only submit a resume to ###@urmc.rochester.edu. All other interested applicants should apply online or submit a resume to Nursing Recruitment, 601 Elmwood Avenue, Box 619-19,… more
- University of Rochester (Rochester, NY)
- …practice, and nursing learners and are committed to the academic mission of UR Medicine. **Qualifications** Nurse Practitioner Require a Master's degree (or ... pending) as a Nurse Practitioner, an active New York State Registered Nurse license in good standing, an active/pending New York State Nurse Practitioner… more
- University of Rochester (Rochester, NY)
- …and experienced RNs to become part of the exciting opportunities for nursing at UR Medicine. The nurse residency program is designed to assist the graduate ... nurse to transition to a competent professional nurse within two years. This new unit will provide specialized multidisciplinary care to a range of adult… more
- Randstad US (Sacramento, CA)
- …of receipt + Prints referral information when required + Gives information packet to UR Nurse for assignment + Uploads documentation into appropriate system + ... box and reviews referrals for validity + Indexes referrals for duplicates in UR tracking software + Indexes referrals for pertinent information when required +… more
- Baptist Memorial (Jonesboro, AR)
- …of healthcare services and treatment as prescribed by utilization review standards. The UR Nurse works with providers, insurance companies and patients to ensure ... Summary The Utilization Review Nurse is responsible for evaluating the medical necessity...Department: JO Case Mgmt Administration NEA Baptist Jonesboro Category: Nurse RN Type: Clinical Work Type: Full Time Work… more
- UR Medicine Home Care (Rochester, NY)
- UR Medicine Homecare is hiring LPNs Are you...LPN. 2. Minimum of one-year experience as a clinical nurse in a hospital, home care, or skilled nursing ... interested in working 1:1 with patients in their home? UR Medicine Home Care is growing! $5,000 SIGN ON...interviewing, assessment and communication skills. Pay Range: $24.14 to $27.76 UR Medicine Home Care is an Equal Opportunity… more
- UR Medicine Home Care (Geneva, NY)
- Join our UR Medicine Finger Lakes Homecare Team! Assessment Nurse Needed! $10,000 SIGN ON BONUS ELIGIBLE RESPONSIBILITIES INCLUDE but not limited to: + Develops ... plans appropriate to the patient's health care needs in conjunction with the UR Medicine Home Care (URMHC) Quality team, patient, family, physician, and third party… more
- University of Rochester (Rochester, NY)
- …of 6-12 months of RN experience. This position assumes the charge nurse role, actively participates in office/service activities, supports co-workers, and assesses ... of 6-12 months of RN experience. This position assumes the charge nurse role, actively participates in unit/service activities, supports co-workers, and assesses… more
- University of Rochester (Rochester, NY)
- …of leadership experience; or equivalent combination of education and experience. The Nurse Manager directs all aspects of patient care, which includes managing ... nursing personnel and material resources in a cost-effective manner, unit planning and the initiation of innovative clinical and management practices with emphasis on retention strategies. **How To Apply** Current University of Rochester employees need only… more
- UR Medicine Home Care (Rochester, NY)
- Wound and Ostomy Care Nurses! Come join the UR Medicine Homecare Team! $10,000 Sign on Bonus Eligible! You will be responsible for Wound, Ostomy and Continence ... Program development, including ensuring fiscal, quality and customer service outcomes for the wound, ostomy and continence patient population. Your duties will include: + Community and provider marketing + Staff, provider and patient education as well as… more
- San Antonio Behavioral Health (San Antonio, TX)
- …staff as needed. Essential Duties: + Collaborate and set standards with registered nurse (RN) case managers (CMs) and outcome managers to ensure that all ... of appeal letters. + Tracks denial information for reporting to Quarterly UR Committee. + Maintains liaison with the Social Services department to facilitate… more
- Magellan Health Services (Boise, ID)
- …that directly influence quality of care. General Job Information Title Care Manager (UM/ UR ) - Remote, Idaho Licensed Grade 24 Work Experience - Required Clinical ... - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care Mgmt License and Certifications - Preferred… more
- UR Medicine Home Care (Rochester, NY)
- …experience in a CHHA and looking to have a positive effect on our community, UR Medicine Home Care currently has the ideal opportunity for you! Benefits offered: A ... pay is $45.00 an hour! Advantages to working at UR Medicine Home Care: + Day Shift, Monday -...will vary based on patient coverage needs. The registered nurse makes the initial evaluation visit, regularly reevaluates the… more
- UR Medicine Home Care (Rochester, NY)
- Join the UR Medicine Homecare Team, RN positions AVAILABLE $10,000 SIGN ON BONUS ELIGIBLE Advantages to working at UR Medicine Home Care: + Eligible for a ... + Revises plan of treatments and discharge plan in conjunction with registered nurse case manager, patient, family, physician, care delivery team, and third party… more