- The University of Vermont Health Network (Plattsburgh, NY)
- Unit Description: The Utilization Review Team monitors, collects and analyzes data and evaluates variances of resource utilization , complications and overall ... and promotes the efficient and effective use of patient services. The Utilization Review Team's role in data collection, analysis and summarization supports the… more
- UNC Health (Chapel Hill, NC)
- UNC Health is seeking a Registered Nurse ( RN ) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly… more
- UNC Health (Chapel Hill, NC)
- UNC Health is seeking a Registered Nurse ( RN ) Care Manager for a nursing job in Chapel Hill, North Carolina.Job Description & RequirementsSpecialty: Care ... the health and well-being of the unique communities we serve. RN Utilization Manager position specifically for a...of employment date.Licensure/Certification Requirements:* Licensed to practice as a Registered Nurse in the state of North… more
- CHRISTUS Health (Alamogordo, NM)
- …status and assists him/her in ensuring proper placement of patient. Conducts utilization review using nationally recognized medical necessity criteria and ... documents the review . Refers cases for second level reviews when medical...reporting individual cases and/or trends to the infection control nurse . Performs utilization management functions as required… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR...CERTIFICATE(S) REQUIRED: A current license to practice as a Registered Nurse issued by the California Board ... II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE SUPERVISOR II Salary $113,309.04 -… more
- Beth Israel Lahey Health (Burlington, MA)
- …**Job Description:** **Job Description:** In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the ... up to a $3,500 in signing bonuses for our Utilization Review positions. Important Details: * Signing...as required and directed. **Qualifications:** Required Licensure as a Registered Nurse ( RN ), Massachusetts Three… more
- The Arora Group (Bethesda, MD)
- …+ The Contractor shall frequently collaborate with managers of the UBO, Utilization Review Registered Nurse ( RN ) and pre-certification clerk. + The ... Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently...or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as… more
- Beth Israel Lahey Health (Burlington, MA)
- …40 **Work Shift:** Day (United States of America) Joint role of Case Manager and Utilization Review Nurse Hospital at Home Full Time Days 8:00am-4:30pm ... weekend and holiday rotations required **Job Description:** The Inpatient Registered Nurse ( RN ) Case Manager...Leads the multidisciplinary team to ensure a timely process. Registered Nurses (RNs) with utilization review… more
- Baptist Memorial (Memphis, TN)
- …Minimum- RN with 5 years of clinical experience at least 2 of which involve Utilization Review or Case Management Preferred- RN with 7 years of clinical ... Summary Responsible for the Utilization Review Program across the system....and computer skills. Problem solving; and governmental regulations. Licensure: Minimum- RN Preferred-CCM; ACM About Baptist Memorial Health Care At… more
- Martin's Point Health Care (Portland, ME)
- …Point has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of the Utilization ... requiring clinical review prior to payment. The Utilization Review Nurse will use...License(s) and/or Certification(s): + Unrestricted state license as a Registered Nurse + Certification in managed care… more
- Catholic Health Initiatives (Omaha, NE)
- **Overview** Utilization Review RN is responsible for the review of medical records for appropriate admission status and continued hospitalization. Works ... admission and continued stay reviews per the Care Coordination Utilization Review guidelines to ensure that the...with physicians, payers, Care Coordinators and other stakeholders regarding review outcomes. 5. Collaborates with facility RN … more
- BayCare Health System (Cotton Plant, AR)
- …Critical Care or Emergency Nursing RN . **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + Preferred ... clinical excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our...2 years in Case Management + Preferred 3 years Registered Nurse in Critical Care or Emergency… more
- State of Indiana (Indianapolis, IN)
- Utilization Review Coordinator Date Posted: May 31,...accredited college or university. * Current licensure as a Registered Nurse ( RN ) in the State ... to the treatment team. * Development of the annual utilization review plan. * Serve as the...practice nursing in the State of Indiana as a Registered Nurse . + Must hold and maintain… more
- Universal Health Services (Gulfport, MS)
- …visit us at www.gulfportbehavioral.com/ Position Summary: Join a team where the Utilization Review Manager assumes responsibility for the functioning of the ... Utilization Review Department. Provides ...reviews. Previous continuum of care experience highly preferred. Licensure: RN preferred WHAT DO OUR CURRENT EMPLOYEES VALUE AT… more
- Martin's Point Health Care (Portland, ME)
- …been certified as a "Great Place to Work" since 2015. Position Summary Job Description The Utilization Review Nurse works as a member of a team responsible ... retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use...offerings. + Education/Experience: + Unrestricted state license as a Registered Nurse required; BSN preferred. + 3+… more
- Universal Health Services (Harahan, LA)
- …(Nursing, Counseling, Psychology or Social Work). Masters preferred. + Licensure/Certification: Registered Nurse ( RN ), Licensed Therapist or Social ... intensive outpatient). River Oaks Hospital is seeking a dynamic and talented UTILIZATION REVIEW DIRECTOR to direct and serve within the Utilization … more
- Universal Health Services (Pembroke, MA)
- …Lives we Touch. We are currently seeking a Part Time, 24 hour per week, Utilization Review Coordinator to function as a primary liaison between all third party ... approval for payment in the inpatient and partial levels of hospitalization. The Utilization Review Coordinator works collaboratively with all payers as well as… more
- Universal Health Services (Panama City, FL)
- Responsibilities Utilization Review Manager Opportunity Emerald Coast Behavioral Hospital provides inpatient treatment services to children, adolescents and ... therapy for chronic depression. Visit us on-line at: https://emeraldcoastbehavioral.com/ The Utilization Review Manager is responsible for oversight of… 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 ... with Triad Team and health care team. Minimum Qualifications:* Registered nurse with a New York State...Basic knowledge of computer systems with skills applicable to utilization review process.* Excellent written and verbal… 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 ...+ Employee referral program Job Summary: Position: 19738 - RN - Utilization Review Facility: BMHCC Corporate… more
