• Northeast Georgia Health System, Inc (Oakwood, GA)
    Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... to ensure appropriate feedback is received before product decisions are made. Utilization Review of necessity, quality, effectiveness and efficiency of medical… more
    JobGet (09/15/24)
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  • GHR Healthcare (Atlanta, GA)
    Are you a detail-oriented RN with a knack for navigating complex medical cases? Do you thrive on making critical decisions that impact patient care? Join us as a ... Care Management Coordinator and play a key role in evaluating and...-40.00 Hourly (paid weekly) What You'll Do: Clinical Analysis: Review medical records to determine the necessity of patient… more
    JobGet (09/15/24)
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  • Utilization Review

    New York State Civil Service (New York, NY)
    NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), Manhattan Psychiatric Center, P25480 Occupational Category ... Zip Code 10035 Minimum Qualifications Manhattan Psychiatric Institue is recruiting for a Utilization Review Coordinator to analyze and evaluate quality,… more
    New York State Civil Service (09/06/24)
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  • Utilization Review Nurse

    State of Connecticut, Department of Administrative Services (Middletown, CT)
    Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 240830-5613FP-001 Location Middletown, CT Date Opened 9/5/2024 12:00:00 AM ... Campus Hospital - is accepting applications for one (1) full-time Utilization Review Nurse Coordinator more
    State of Connecticut, Department of Administrative Services (09/06/24)
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  • RN Utilization Review

    Trinity Health (Athens, GA)
    …and concurrent chart reviews on Federal and self-payers for the purpose of utilization review as well as identifying patients requiring case management ... POSITIONS IS LOCATED IN LAVONIA, GEORGIA **Position Summary:** The Care Coordinator /UR, in collaboration with other healthcare professionals, is responsible for… more
    Trinity Health (08/09/24)
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  • UM Coordinator - Utilization

    Hackensack Meridian Health (Belle Mead, NJ)
    …resources and benefits on a case by case basis. Applies case management and utilization review principles in monitoring the delivery of care and promoting ... planners regarding transition to alternative levels of care. + Perform concurrent utilization review applying identified criteria at prescribed review more
    Hackensack Meridian Health (07/29/24)
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  • UR Coordinator

    San Antonio Behavioral Health (San Antonio, TX)
    The Utilization Review Coordinator conducts...needed. Essential Duties: + Collaborate and set standards with registered nurse ( RN ) case managers ... of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital… more
    San Antonio Behavioral Health (08/03/24)
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  • RN Utilization Review Full…

    Tenet Healthcare (Detroit, MI)
    RN Utilization Review Full Time...level of care Mentor and monitor work delegated to Utilization Review LVN/LPN and/or Authorization Coordinator ... to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right to… more
    Tenet Healthcare (08/30/24)
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  • Registered Nurse ( RN

    CommuniCare Health Services Corporate (Akron, OH)
    Registered Nurse ( RN ), Mobile MDS Coordinator CommuniCare Health Services is currently looking for a Registered Nurse to fill the key position of ... RN Mobile MDS Coordinator for its skilled nursing facilities throughout our Midwest...visits to facilities for intervention, audit and training + Review resident clinical records for coverage, utilization ,… more
    CommuniCare Health Services Corporate (08/12/24)
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  • Registered Nurse ( RN

    Geisinger (Danville, PA)
    …- Default Issuing Body; Valid Driver's License - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE & VALUES: ... Evaluates the quality of health care rendered by the System for the purpose of Peer Review pursuant of the Medicare Act, as directed by, and as a member of the… more
    Geisinger (09/01/24)
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  • Supervisor House Registered Nurse

    McLaren Health Care (Port Huron, MI)
    …morning report to Patient Care Services Manager of Nursing Support or Utilization Review /Patient Placement Coordinator . 9. Initiates continuous communication ... and evaluates bed availability in patient care departments by super census review and continuous rounding. 5. Communicates and coordinates with the managers,… more
    McLaren Health Care (07/11/24)
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  • Central Transfer Coord- RN Or LPN

    St. Bernard's Medical Center (Jonesboro, AR)
    …appropriateness by collaborating with MD, Patient Placement Coordinator , and Utilization Review Coordinator . Complies with guidelines, institutional ... + JOB REQUIREMENTS + Education + RN required. Must possess a degree in nursing, with preference given to a bachelor's degree. + Experience + Minimum of two years of… more
    St. Bernard's Medical Center (06/26/24)
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  • Registered Nurse Home Care…

    HCA Healthcare (Asheville, NC)
    …work environment where diversity and inclusion thrive? Submit your application for our Registered Nurse Home Health Clinical Coordinator CarePartners opening ... License: . Must have and maintain current licensure as registered nurse with the North Carolina Board...encourage you to apply for our Home Health Clinical Coordinator CarePartners opening. We promptly review all… more
    HCA Healthcare (08/14/24)
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  • Registered Nurse Clinical…

    HCA Healthcare (El Paso, TX)
    …nurses set us apart from any other healthcare provider. We are seeking a(an) Registered Nurse ** **Clinical Informatics Coordinator ** **to join our healthcare ... - and empowers their passion for patient care. Apply today for our** ** Registered Nurse Clinical Informatics Coordinator ** **opportunity.** **Del Sol Medical… more
    HCA Healthcare (07/06/24)
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  • Registered Nurse -Maternity Care…

    Veterans Affairs, Veterans Health Administration (Jacksonville, NC)
    …of Assigned Duties: The Nurse II Maternity Care Coordinator (MCC) Registered Nurse ( RN ) is responsible for providing competent, evidence-based care ... VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities VA offers a...Nurse III Maternity Care Coordinator (MCC) Registered Nurse ( RN ) executes position… more
    Veterans Affairs, Veterans Health Administration (09/02/24)
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  • Registered Nurse RN Case…

    HCA Healthcare (Richmond, VA)
    …every year, nurses at Chippenham Hospital have the opportunity to make a real impact. As a Registered Nurse RN Case Manager you can be a part of change. ... benefits may vary by location._ We are seeking a Registered Nurse RN Case Manager...a hospital setting preferred.** + **Previous case management or utilization review experience preferred.** CJW Medical Center… more
    HCA Healthcare (08/22/24)
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  • QA/PI Registered Nurse

    AdventHealth (Orlando, FL)
    …you'll need to succeed:** + Associate's Degree and 3 years of experience + Registered Nurse License + Minimum 3 years home health experience overseeing QAPI ... functions include but are not limited to performance of medical record review , utilization management, patient safety, compliance program, orientation program,… more
    AdventHealth (09/06/24)
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  • Registered Nurse ( RN )DC-…

    Health Advocates Network (Selinsgrove, PA)
    Registered Nurse ( RN )DC- Short-Term **Pay Rate:** $62 / hour *W2 Minimum Qualifications Possession of a current license to practice as a registered ... Resource performs as a charge nurse , staff nurse or an assessment coordinator providing nursing...is reviewed and evaluated by a Registered Nurse Supervisor, physician or dentist through observation, review more
    Health Advocates Network (09/13/24)
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  • Registered Nurse

    Henry Ford Health System (Detroit, MI)
    …Two (2) years of Access Transfer Management Office and/or Utilization Review experience. + Previous charge nurse and/or leadership experience preferred. ... Would you like to speak with a Nurse Recruiter? (https://outlook.office365.com/owa/calendar/###@henryfordhealthsystem.onmicrosoft.com/bookings/) At Henry Ford Hospital, all… more
    Henry Ford Health System (08/09/24)
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  • RN Utilization Management…

    Dignity Health (Northridge, CA)
    …nursing experience in an acute hospital setting required. + Current CA Registered Nurse ( RN ) license + Prior Utilization Management experience in a ... 400 care centers. Visit dignityhealth.org/northridgehospital for more information. The RN Utilization Management Coordinator (UMC)...and in compliance of the Behavioral Health Dignity Health Utilization Review Policy. + The UMC will… more
    Dignity Health (08/29/24)
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