- Medina Center for Rehabilitation (Valley City, OH)
- …- Cooperates with operations to monitor activities for contractor programs, ie therapies, utilization review . - Reviews and maintains Medicare, Managed Care and ... - Educates Administrator and facility staff on innovative procedures to maximize utilization and reimbursement through the completion of the MDS, care plan and… more
- Kaiser Permanente (Fontana, CA)
- …general and specialized principles, practices, techniques and methods of Utilization review /management, discharge planning or case management.Working knowledge ... Kaiser Permanente is seeking a Registered Nurse (RN) Case Management for a nursing job...risk and/or patient safety which are identified during case review or other activities.Reviews, analyses and identifies utilization… 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: Virtual ... click HERE to login and apply.Full Time7p - 7aVirtual Nurse works from an on-site office location (not a...location (not a remote position)Will perform admit, discharge chart review and other patient care duties from an office… more
- Saint Francis Health System (Tulsa, OK)
- Saint Francis Health System is seeking a Registered Nurse (RN) Endoscopy for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: ... 6:30 AM - 5:00 PMMinimal call required.#RNSINDJob Summary: The Clinical Nurse I assesses, plans, implements and evaluates nursing care, utilizing the… more
- UT Health Tyler (Tyler, TX)
- …to $20,000 Join our team as a full-time, day shift, Case Manager Registered Nurse in Tyler, TX. Fulfilling your purpose begins here: People First, Always. Here's how ... hospital includes a 24-hour ER with Level 1 trauma center , a comprehensive stroke center , more than...of patients across the continuum promoting quality care, effective utilization of resources and assuming a leadership role with… more
- ChristianaCare (Wilmington, DE)
- …Social Worker resolve psycho-social barriers and support discharge needs. Utilization Management reviews patient status for appropriateness and anticipated payer ... for patients with post-acute care needs, collaborating with the physician, nurse , and other health care providers, the patient, their family/primary caregiver(s),… 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** + ... Req #: 234791 Department: UW MEDICAL CENTER - NORTHWEST - CARE MANAGEMENT Posting Date:...POSITION QUALIFICATIONS** + 3 years of work experience in utilization management + 5 years of nursing work experience… 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 ... weekends + occ/ holidays About Us Milford Regional Medical Center is a full-service, community and regional teaching hospital...Nurse Case Management experience Minimum of 1 year Utilization Review Nurse Experience including… 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
- The Arora Group (Bethesda, MD)
- Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/LVN) - Utilization Review in ... families, and retirees at Walter Reed National Military Medical Center . Scheduled hours are from 0700AM - 3:30PM...required on Federal holidays. DUTIES OF THE LICENSED PRACTICAL NURSE (LPN/LVN) - UTILIZATION REVIEW :… 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 ... Work Work Shift: Day (United States of America) Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients. Salary… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II...over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center , ... Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR II Salary $113,309.04 - $169,609.20… more
- Beth Israel Lahey Health (Burlington, MA)
- … 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 ... 12-months. * If you leave Lahey Hospital & Medical Center before your first anniversary you will pay back...**Job Description:** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the… more
- University of Washington (Seattle, WA)
- Req #: 228720 Department: HARBORVIEW - UTILIZATION MANAGEMENT Posting Date: 05/03/2024 Closing Info: Open Until Filled Salary: $7375 - $13,396 per month Shift: ... for this position, click here (https://hr.uw.edu/benefits/wp-content/uploads/sites/3/2018/02/benefits-summary-classified-staff-greater-than-half-time-20220908\_a11y.pdf) . RN2, Utilization Management Specialist. This is a hybrid position… more
- Immigration and Customs Enforcement (IN)
- …Director for Healthcare Compliance, Office of Health Plan Management. The Senior Utilization Review Consultant will report directly to the IHSC Regional ... DUTIES AND RESPONSIBILITIES: Serves in the capacity of Senior Utilization Review Consultant and subject matter expert...preferred. Meet the minimum education requirements for either a nurse , nurse practitioner, or physician assistant … more
- University of Virginia (Charlottesville, VA)
- Under general direction: The Utilization Management RN serves as a leader resource in the Utilization Management process. They collaborate with physicians and ... RN conducts initial concurrent and retrospective medical necessity reviews. All Utilization Management activities are performed in accordance with the mission vision… more
- AdventHealth (Tampa, FL)
- …Primary Stroke Center . **The role** **you'll** **contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise ... order or a status conflict is indicated, the UM nurse is responsible for escalation to the Physician Advisor...to the Physician Advisor or designated leader for additional review as determined by department standards. Additionally, the UM… more
- CVS Health (Raleigh, NC)
- …3 months. Following training, position is remote with occasional in office requirement. Utilization Review - Precertification Nurse is responsible for ... Anchored in our brand - with heart at its center - our purpose sends a personal message that...innovators. Fundamentals:Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit… more
- Billings Clinic (Billings, MT)
- …(https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! RN - Utilization Review (Full-time/Billings) CARE MANAGEMENT ... loan reimbursement Under the direction of department leadership, the Utilization Review / Management RN. This position is...At hire * Current Montana license as a Registered Nurse At hire * Current working knowledge of payer… 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) ... 101 Truman Medical Center **Job Location** University Health Truman Medical ...coaching and consulting to outside organizations. **Job Description** The Utilization Management Nurse (UM RN) collaborates with… more
