- Northeast Georgia Health System, Inc (Gainesville, GA)
- …team members as needed to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia...patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the… more
- US Tech Solutions, Inc. (Columbia, SC)
- … practices. May provide any of the following in support of medical claims review and utilization review practices: Performs medical claim reviews and ... Job Title: Licensed Practical Nurse Location: Columbia SC 29229 Duration: 3+ Months...and their families/caregivers. Reviews first level appeal and ensures utilization or claim review provides thorough documentation… more
- UNC Health (Chapel Hill, NC)
- …care and cost effectiveness through the integrating and functions of case management, utilization review and discharge planning. The Care Manager must be highly ... UNC Health is seeking a Registered Nurse (RN) Care Manager for a nursing job...guidelines and policies.Responsibilities:1. Identify Cases & Prioritize Day - Review work list to prioritize patients and identify new… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health ... of our communities. About the Role:Job SummaryThe Nurse Manager (NM) functions as the first-line administrative nurse leader with primary responsibility for… more
- Saint Francis Health System (Tulsa, OK)
- Saint Francis Health System is seeking a Registered Nurse (RN) Virtual Care for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: Virtual ... click HERE to login and apply.Full Time7p - 7aVirtual Nurse works from an on-site office location (not a...location (not a remote position)Will perform admit, discharge chart review and other patient care duties from an office… more
- Northeast Georgia Health System, Inc (Demorest, GA)
- Job Category:Nursing - Registered Nurse Work Shift/Schedule:10 Hr Morning - EveningNortheast Georgia Health System is rooted in a foundation of improving the health ... surgeries for: General, Gynecology, Orthopedics, Podiatry and ENT. Job SummaryThe Nurse Manager (NM) functions as the first-line administrative nursing leader, with… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …of their caseloads, provides coverage to Intake department, and assists with Utilization Review , Quality Assurance, and Performance Improvement activities as ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:12 Hr Morning - EveningNortheast Georgia...admission, ensures smooth transition of new patients to primary nurse and other team members. Minimum Job QualificationsLicensure or… more
- Mindlance (Columbia, SC)
- …mental health/chemical dependency, orthopedic, general medicine/surgery. Or, 4 years' utilization review /case management/clinical/or combination; 2 of the 4 ... Columbia, SC Top 3/5 Skills: . RN / Registered Nurse License . Chronic condition care . Case Management...the state of hire OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact… more
- Signet Health (Clinton, MD)
- …agencies regarding Case management members Collaboration with Community Support Programs Utilization Review for Designated Hospitalized members Phone Coverage ... PTO. We are hiring for a Behavioral Health Registered Nurse - ED Evaluator. Full-time, three (3) 12-hour day...from an accredited nursing program with active compact Registered Nurse license for Maryland required One year Adult Psych,… more
- Signet Health (Clinton, MD)
- …agencies regarding Case management members. Collaboration with Community Support Programs. Utilization Review for Designated Hospitalized members. Phone Coverage ... Skills: Graduation from an accredited nursing program with active compact Registered Nurse license for Maryland required OR Licensed Clinical Social Worker (LCSW-C)… more
- Northeast Georgia Health System, Inc (Oakwood, GA)
- Job Category:Executive Leadership, Nursing - Registered Nurse Work Shift/Schedule:VariesNortheast Georgia Health System is rooted in a foundation of improving the ... and distribution of patient safety metrics and other key data, providing data review and analysis, and partnering with hospital leadership to align data with the… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-Site Recruitment # 240516-5613FP-001 Location Middletown, CT Date Opened 5/17/2024 12:00:00 AM ... we serve. THE POSITION: We are currently seeking a Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=undefined&R3=undefined)… 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
- State of Connecticut, Department of Administrative Services (New Haven, CT)
- Utilization Review Nurse (40 Hour) Office/On-site Recruitment # 240514-5612FP-001 Location New Haven, CT Date Opened 5/16/2024 12:00:00 AM Salary $76,565* - ... and Addiction Services ( DMHAS (https://portal.ct.gov/DMHAS/About-DMHAS/Agency/About-DMHAS) ) as a Utilization Review Nurse (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5612FP&R1=&R3=) !… 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 ... requests for services requiring clinical review prior to payment. The Utilization Review Nurse will use appropriate governmental policies as well as… more
- Albany Medical Center (Albany, NY)
- Department/Unit: Care Management/Social Work Work Shift: Day (United States of America) Utilization Review Nurse Salary Range: $31.28 - $51.61 per hour ... for assigned patients. Qualifications and Ideal Characteristics + Registered nurse with a New York State current license. +...Basic knowledge of computer systems with skills applicable to utilization review process. + Excellent written and… more
- R1 RCM (Pittsburgh, PA)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Utilization Review Nurse ** , you will help our ... excelling in this position. **Here's what you will experience working as a Utilization Review Nurse :** + Perform initial admission and continued stay reviews… more
- Milford Regional Medical Center (Milford, MA)
- …services to our community with dignity, compassion, and respect. Statement of Purpose: The Utilization Review Nurse is responsible for utilization ... 1 year Nurse Case Management experience Minimum of 1 year Utilization Review Nurse Experience including solid working knowledge with InterQual criteria more
- Glens Falls Hospital (Glens Falls, NY)
- …be foundhere. **Job:** **Nursing - Case Management* **Title:** *Registered Nurse - Utilization Review Nurse - Care Management (Sign-On Bonus for ... timely and accurate information to payers. The role integrates and coordinates utilization management and denial prevention by focusing on identifying and removing… more
- CDPHP (Albany, NY)
- …who share these values and invites you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the clinical review ... for acute and subacute rehabilitation, transportation and DME requests. Review of identified high-cost admissions and extended stays and...acute care experience is required as a Licensed Practical Nurse . + Minimum of two (2) years Utilization… more
