- 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
- Mayo Clinic (Jacksonville, FL)
- …care by ensuring appropriate utilization management, care coordination, resource utilization , and clinical documentation. The RN Case Manager will function ... within the Mayo Clinical Nursing Professional Practice Model, which includes accountability for assessing, planning, implementing, evaluating, and communicating the… 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 (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
- Trinity Health (Baker City, OR)
- …As a Clinical Resource Manager you will provide hospital case management/ utilization review and discharge planning to determine care needs beyond acute ... regarding requirements to meet regulatory standards. + Promotes effective and efficient utilization of clinical resources from admission to discharge. +… more
- HCA Healthcare (Tamarac, 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
- 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
- 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
- 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
- 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 (San Antonio, TX)
- …of Science in Nursing Prefer at least one year experience in utilization review , resource management, discharge planning or case management. Methodist ... and self-care abilities; 2) facilitate system access and appropriate utilization of services; 3) facilitate communication and coordination of...encourage you to apply for our RN 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 (The Woodlands, 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 (Bowling Green, KY)
- …supervision and training of pharmacy technician personnel. . Participates in Drug Utilization Review . . Assists with quality improvement initiatives, inventory ... Works with DOP or designee as needed in formulary clinical review process . Provides a safe...growth, we encourage you to apply for our Pharmacist PRN opening. We promptly review all applications.… more