- Community Health Systems (Birmingham, AL)
- …with minimal risk of denials. To provide leadership and oversight of the UR team. Coordinates insurance specific duties including CURP protocol. LPN or RN degree ... is required. Three years of previous nursing experience is required. **Benefits:** + Major medical, dental, vision, etc. + 401(k) + Paid time off + Tuition Reimbursement Grandview Medical Center, a 434-bed regional referral center and tertiary-care facility,… more
- Community Health Systems (Franklin, TN)
- …for medical necessity, discharge, and payer requirements. These discussions aim to help the UR Clinical Specialist understand the reason for admission and ... admission to the hospital as well as continued stay. The Utilization Review Clinical Specialist supports and coordinates the various aspects of the hospital's… more
- Community Health Systems (Franklin, TN)
- …discharge needs, or fulfill other payer requirements. These discussions are to help the UR Clinical Specialist understand the reason for admission, and ... on hospital and/or corporate policies/procedures. + In the event of concurrent denials, the UR Clinical Specialist reviews the denial and works with the… more
- University of Rochester (Rochester, NY)
- …medical record reviews, and supporting dissemination of results. The Pediatric Nurse will have appropriate clinical knowledge, excellent communication and ... Weekly Hours: 40 Department: 400081 General Pediatrics Work Shift: UR - Day (United States of America) Range: ...POSSIBLE RENEWAL PENDING GRANT POSITION SUMMARY: The Pediatric Registered Nurse (RN) will work daily to implement interventions aimed… more
- HonorHealth (Scottsdale, AZ)
- …Required 1 year experience in UR /UM or Case Management Required Licenses and Certifications Registered Nurse (RN) State And/Or Compact State Licensure Required ... urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization,… more
- University of Rochester (Rochester, NY)
- …a minimum of 18 months of progressively responsible professional work experience as an IR specialist in a clinical or hospital environment with at least 6 months ... Weekly Hours: 40 Department: 500252 Imaging Sciences-Angio Work Shift: UR - Day (United States of America) Range: ...of progressively responsible professional work experience as an IR specialist in a clinical or hospital environment… more
- University of Rochester (Rochester, NY)
- …a minimum of 18 months of progressively responsible professional work experience as an IR specialist in a clinical or hospital environment with at least 6 months ... Weekly Hours: 40 Department: 500252 Imaging Sciences-Angio Work Shift: UR - Day (United States of America) Range: ...of progressively responsible professional work experience as an IR specialist in a clinical or hospital environment… more
- University of Rochester (Rochester, NY)
- …Per Diem Scheduled Weekly Hours: As Scheduled Department: 910053 CVSL Regional Cardiology Work Shift: UR - Day (United States of America) Range: UR URCD 204 H ... and administrative duties in a fast-paced environment in support of clinical , educational, and academic programs. Responsible for all clinic preparations, including… more
- Nuvance Health (Norwalk, CT)
- …Accurate hand off of pertinent information to Care Coordination colleagues. 14. Collaborates with UR Specialist to complete the process for transfers in to the ... ON BONUS - FOR ELIGIBLE EXTERNAL CANDIDATES* Summary: The Clinical Care Coordinator - ED acts as principal liaison...Nursing and minimum of three years job-related experience. Registered Nurse license State of CT with minimum of one… more
- University of Rochester (Rochester, NY)
- …time Scheduled Weekly Hours: 40 Department: 500055 SMH Hematology/Oncology Work Shift: Range: UR URCD 204 H Compensation Range: $19.47 - $25.77 _The referenced pay ... **Responsibilities:** Using independent judgment and initiative, the Physician Support Specialist at the Wilmot Cancer Institute performs routine and non-… more