Utilization Review Nurse

Pyramid Consulting is currently in search of a Licensed Practical Nurse (LPN) specializing in Utilization Review for a local contract opportunity.Position OverviewSpecialty: Utilization ReviewDiscipline: LPNEmployment Type: Local ContractWeekly Hours: 40 hoursShift: 8-hour daysBenefitsOur employees enjoy a range of benefits, which may include:Health...

Job Description: The Nurse Case Manager utilizes clinical expertise and critical thinking skills to develop and implement a plan of care that provides cost effective, extraordinary care. This position works collaboratively with patients, patient families/significant others, healthcare providers, insurers, community resources, and other involved parties....

Position Overview:As a PAC Nurse specializing in Utilization Review, you will play a pivotal role in optimizing patient care through effective collaboration and clinical assessment.Key Responsibilities:Collaborate closely with the PAC Medical Director to develop care plans and set achievable goals, ensuring thorough review of discharge plans and monitoring...

Join Cleveland Clinic Tradition Hospital's team of caregivers that provide top-quality patient care to the communities in and around Port St. Lucie. Opening its doors in 2013 and expanding in 2017, this state-of-the-art acute care facility has 177 patient rooms and offers services in a wide variety of specialties to meet community needs. You'll be supported...

Our employee-owned and multi-disciplined team of engineering and design professionals is looking for a Professional Civil Engineer to manage Utilities Coordination! TKDA's roadway/utilities team optimizes utility planning, design, and construction activities to control costs and mitigate risks to the project and the public. As a member of our team, you will...

Overview M Health Fairview has an immediate opening for a Utilization Management Specialist RN. This position provides comprehensive assessment, planning, coordination, implementation, and reporting of complex clinical data. The utilization management specialist is responsible for the completion of admissions and continued stay reviews, obtaining...

Job DetailsLevelExperiencedJob LocationAdministration - OAKDALE, MNRemote TypeFully RemotePosition TypeFull TimeEducation Level4 Year DegreeSalary RangeUndisclosedTravel PercentageNoneJob ShiftDayJob CategoryNurseDescriptionThe Quality Assurance Nurse has accountabilities for the monitoring, implementation and evaluation of process and programs to meet...

The Peer Review Coordinator and Analyst is a member of the agency’s Quality Management Team and is responsible for the overall functioning of the agency’s Internal Peer Review process. Aspects of this position includes coordination, assigning, tracking, analysis, trending, reporting, and communication with peer review participants and directors.This is a...

Job DetailsLevel Experienced Job Location Administration - OAKDALE, MN Remote Type Fully Remote Position Type Full Time Education Level 4 Year Degree Salary Range Undisclosed Travel Percentage None Job Shift Day Job Category Nurse Description The Quality Assurance Nurse has accountabilities for the monitoring, implementation and evaluation of process and...

Overview M Health Fairview has an immediate opening for a Utilization Management Specialist RN. This position provides comprehensive assessment, planning, coordination, implementation, and reporting of complex clinical data. The utilization management specialist is responsible for the completion of admissions and continued stay reviews, obtaining...

Quality Assurance Nurse (RN) Job Details Level Experienced Job Location Administration - OAKDALE, MN Remote Type Fully Remote Position Type Full Time Education Level 4 Year Degree Salary Range Undisclosed Travel Percentage None Job Shift Day Job Category Nurse Description The Quality Assurance Nurse has accountabilities for the monitoring, implementation and...

The Bill Review Supervisor is responsible for the supervision of all operations within their designated department. This position functions as a member of the Bill Review Department leadership team, ensuring optimum team performance by providing exemplary support and assistance to achieve the organizational goals of excellent customer service of the bill...

Job DescriptionJob DescriptionThe Bill Review Supervisor is responsible for the supervision of all operations within their designated department. This position functions as a member of the Bill Review Department leadership team, ensuring optimum team performance by providing exemplary support and assistance to achieve the organizational goals of excellent...

Job Type Full-time Description Riverland Community Health is a Federally-Qualified Health Center in St. Paul, where patients receive community-based Family Practice medical care in addition to mental health, dentistry, social work and other integrated services. When joining RCH, you become part of a diverse, inclusive, and welcoming team who are dedicated to...

Job Type Full-time Description Riverland Community Health is a Federally-Qualified Health Center in St. Paul, where patients receive community-based Family Practice medical care in addition to mental health, dentistry, social work and other integrated services. When joining RCH, you become part of a diverse, inclusive, and welcoming team who are dedicated to...

Job DescriptionJob DescriptionAtlas Field Services is actively scouting for Consulting Utility Foresters/ Utility Arborists to join our team as full-time employees. We are looking to fill this role in the following areas: Minneapolis to Eau Claire area. Who are we?We’re dedicated to the growth of our employees. We truly believe in your development. For...

Job DescriptionJob DescriptionAtlas Field Services is actively scouting for Consulting Utility Foresters/ Utility Arborists to join our team as full-time employees. We are looking to fill this role in the following areas: Minneapolis to Eau Claire area. Who are we?We’re dedicated to the growth of our employees. We truly believe in your development. For...

Job SummaryFairview Health Services is seeking a skilled RN Utilization Management Specialist to join our team. As a key member of our clinical team, you will be responsible for providing comprehensive assessment, planning, coordination, implementation, and reporting of complex clinical data.Key ResponsibilitiesPerform utilization management in accordance...

Grow in your registry experience! We have an exciting opportunity to join our team with Regions Hospital as a Burn, Adult, and Pediatric Trauma Registrar. This position is a vital and integral part of the trauma team and collaborates closely with Trauma Center staff to maintain the efficient operations of hospital, state, and national trauma registry. This...

Position Overview : The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with...