- St. Peters Health (Helena, MT)
- The Utilization Management Nurse reports directly to Utilization Review RN Coordinator . The UR Nurse supports the UR RN Coordinator in ... utilization functions for the organization and is responsible for ensuring complaint utilization and cost-effective care delivery. The UR Nurse is responsible… more
- Trinity Health (Syracuse, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent and ... achieved, and high-quality professional practice is realized. **Position Purpose:** Registered Nurse Coordinator is a dynamic leadership role that contributes… 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 ... and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General...REQUIRED: A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
- Hackensack Meridian Health (North Bergen, NJ)
- …**Hackensack Meridian** **_Health_** includes: + Follows departmental workflows for utilization review activities including admission reviews, admission denials, ... serve as a leader of positive change. The **Care Coordinator , Utilization Management** is a member of...as required by payer agencies and initiates physician advisor's review as necessary for unwarranted admissions. + Performs chart… more
- University of Utah Health (South Salt Lake, UT)
- …and as a team member. **Qualifications** **Qualifications** **Required** + One year Utilization Review or Case Management experience. **Licenses Required** + ... Current license to practice as a Registered Nurse in the State of Utah, or obtain one...Criteria, knowledge of ICD-9, DRG's and CPT Codes. + Utilization Review Certification designation. + Knowledge of… more
- WMCHealth (Valhalla, NY)
- Asst Utilization Coordinator Company: Westchester Medical Center City/State: Valhalla, NY Category: Nursing/Nursing Management Department: Clinical Care ... Internal Applicant link Job Details: Internal Posting: 01/21/25 to 02/03/25 Assistant Utilization Coordinator Summary: Under general supervision, an incumbent of… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …of healthcare services provided to all admitted patients. Using a value-based approach the Utilization Review Nurse ensures that care is administered via ... in the state of California **Purpose Statement/Position Summary:** The Utilization Nurse is responsible for utilization review including medical… more
- Veterans Affairs, Veterans Health Administration (Lebanon, PA)
- Summary The Registered Nurse - Community Care Coordinator , is located at the Lebanon, PA VA Medical Center and serves to support delivery of high quality, timely ... improvement process and initiatives as well as customer service programs. The Registered Nurse (RN) Community Care (CC) Coordinator is responsible for executing… more
- Veterans Affairs, Veterans Health Administration (St. Louis, MO)
- …to patients. Participates in interdisciplinary care rounds and/or conferences to review treatment goals, optimize resource utilization , and recommends alternate ... Summary The RN - Patient Flow Coordinator is located at John Cochran Medical Center...establish appropriateness of admission and provider coverage based on review of medical information. Assists with travel arrangements as… more
- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- Summary The Registered Nurse - Community Care Coordinator position in Community Care Service is located at the Puget Sound VA Healthcare Center. The RN utilizes ... and administering medications and treatments. Responsibilities The Community Care (CC) Coordinator Registered Nurse (RN) is responsible for executing a… more
- Veterans Affairs, Veterans Health Administration (Biloxi, MS)
- …intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements, ... intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements,… more
- Beth Israel Lahey Health (Burlington, MA)
- …you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered ... Case Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality...patient discharge. 14) Works with the Post Acute Care Coordinator to facilitate timely patient access to post acute… more
- UPMC (Pittsburgh, PA)
- UPMC Your Care is hiring Nurse (RN) Clinical Care Coordinator . Your territory will be in the various locations for Pittsburgh and Monroeville areas. You will be ... The office is located at Harbor Gardens, 1650 Metropolitan Street, 15233. The Nurse Clinical Care Coordinator is responsible for delivery of nursing assessment… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- …Nursing degree (BSN) At least 5 Years RN Experience Case Management/Care Coordination/ Utilization Review experience Knowledge of Veteran driven care, patient ... collaborating with members of the interdisciplinary team. Responsibilities Transfer Office Coordinator (TOC) Registered Nurse (RN) is responsible to facilitate… more
- HCA Healthcare (Arlington, TX)
- …we encourage you to apply for our Coordinator Service Line Registered Nurse opening. We promptly review all applications. Highly qualified candidates will be ... **Description** **Medical City Arlington** ** Coordinator Service Line Registered Nurse ** **Robotics/Colorectal/GYN or Plastics/Breast/ENT/Urology** **Full Time,… more
- CommuniCare Health Services Corporate (Cincinnati, 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
- Veterans Affairs, Veterans Health Administration (Anchorage, AK)
- Summary The Registered Nurse (RN) Community Care Coordinator delivers fundamental knowledge-based care to assigned clients while developing technical skills. ... planning, and critical thinking skills. Possess knowledge regarding clinical review criteria, utilization management standards and clinical documentation… more
- WellSpan Health (Mount Gretna, PA)
- Care Nurse Coordinator RN - Extended Acute...with Case Management as indicated. + Participates in the review of policy and procedures on an ongoing basis ... care and treatment progress. + Participates in daily communication with primary nurse , communicating any clinical concerns and assist in developing an action plan… more
- Baptist Memorial (Jackson, MS)
- 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 ...in the electronic medical record + Communicates with authorization coordinator + Communicates in-house high dollar case information Completes… more
- Community Health Systems (Franklin, TN)
- …nursing experiencePreferred Experience: 3 plus years Utilization review experience + Required License/Registration/Certification: Licensed Practical Nurse ... appropriateness, and efficiency of medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for… more