- HCA HealthONE Rose (Denver, CO)
- …resources on unit. Communicates directly with the director/manager on unit and staff performance issues needing attention. Maintains effective utilization and ... patients between various units. The CNC delegates duties to staff members within their scope of practice, and acts...growth, we encourage you to apply for our Clinical Nurse Coordinator Inpatient Surgery opening. We promptly review… more
- Luminis Health (Lanham, MD)
- …effective coaching and developmentally experience/opportunities. . Demonstrates the ability to optimize utilization of staff , matching staff talents and ... : Clinical Director - Nursing Position Objective The Clinical Supervisor directly supervises staff and is a clinical expert practitioner specific to the unit at… more
- Luminis Health (Lanham, MD)
- …effective coaching and developmentally experience/opportunities. .Demonstrates the ability to optimize utilization of staff , matching staff talents and ... : Clinical Director - Nursing Position Objective The Clinical Supervisor directly supervises staff and is a clinical expert practitioner specific to the unit at… more
- NHS Management (Huntsville, AL)
- …facility policies and procedures Support quality assurance, infection control, and utilization review activities during night operations Receive, communicate, ... compliance, and a positive experience for residents, families, and staff - 24 hours a day. Position Overview:...for the RN Night Supervisor: Current and active Registered Nurse (RN) license in the state of employment Minimum… more
- NHS Management (Madison, AL)
- …maintaining resident care standards related to quality assurance, infection control, and utilization review Receive and communicate physician orders and ensure ... a dependable and personable liaison between residents, families, and staff Qualifications: Current and active Registered Nurse ...and staff Qualifications: Current and active Registered Nurse (RN) license in the state of employment Minimum… more
- NHS Management (Athens, AL)
- …care standards through oversight of quality assurance, infection control, and utilization review activities Receive and communicate physician instructions ... This role provides leadership, supervision, and guidance to nursing staff while partnering with the Director of Nursing to...the LPN Weekend Supervisor: Current and active Licensed Practical Nurse (LPN) license in the state of employment Minimum… more
- NHS Management (Birmingham, AL)
- …responsible for overseeing day to day patient care, supervising, directing and developing nurse staff , and reporting to the Director of Nursing to ensure ... of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding resident… more
- NHS Management (Fayetteville, AR)
- …responsible for overseeing day to day patient care, supervising, directing and developing nurse staff , and reporting to the Director of Nursing to ensure ... of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding resident… more
- NHS Management (Madison, AL)
- …responsible for overseeing day to day patient care, supervising, directing and developing nurse staff , and reporting to the Director of Nursing to ensure ... of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding resident… more
- NHS Management (Athens, AL)
- …responsible for overseeing day to day patient care, supervising, directing and developing nurse staff , and reporting to the Director of Nursing to ensure ... of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding resident… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …Nurse issued by the State of Minnesota. **Title:** * Staff Nurse - Utilization Review (ED)* **Location:** *MN-Minneapolis-Downtown Campus* ... **12/2/2025 - REVISED FTE *_SUMMARY:_* We are currently seeking a* Staff Nurse *to join our Utilization ...may require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse … more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW ... information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to...new or revised procedures. + Works with Professional Standards Review Organization representative to orient new staff … more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW ... medical direction, administrative and technical supervision over the nursing staff engaged in utilization review ...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
- George C. Grape Community Hospital (Hamburg, IA)
- Quality/ Utilization Review Nurse Position Summary: The Quality/ Utilization Review Nurse is responsible for evaluating the medical necessity, ... to infection prevention protocols and regulatory compliance. Key Responsibilities: * Utilization Review : o Conduct concurrent and retrospective reviews of… more
- Huron Consulting Group (Chicago, IL)
- …located in Annapolis, MD + Staff Acquisition and Support: Leads and manages the utilization review staff and function for the system, reporting to the ... Management is responsible for planning, organizing, developing, and directing implementation of the Utilization Review Plan and the overall operation of the … more
- University of Utah Health (Salt Lake City, UT)
- …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** + ... excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion,...Criteria, knowledge of ICD-9, DRG's and CPT Codes. + Utilization Review Certification designation. + Knowledge of… more
- US Tech Solutions (Chicago, IL)
- …+ Do you have experience with Prior Authorization? + Do you have experience with Utilization Review ? + Do you have an Active Registered Nurse License? ... Data gathering requires navigation through multiple system applications. + Staff may be required to contact the providers of...and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review . + MUST HAVE 1… 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 ... criteria and issues and a case-by-case basis with clinical staff and follows up to resolve problems with payors...Basic knowledge of computer systems with skills applicable to utilization review process.* Excellent written and verbal… more
- Beth Israel Lahey Health (Burlington, MA)
- …the medical necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue integrity, these specialized ... necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue...level of care.. 5. Collaborates with case managers, nursing staff , coding team , the physicians and finance… more
- US Tech Solutions (May, OK)
- …HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. . MUST HAVE UM experience, inpatient utilization management review . . MUST HAVE 1 YEAR OF UTILIZATION ... or recommendation. . Data gathering requires navigation through multiple system applications. . Staff may be required to contact the providers of record, vendors, or… more
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