RN Utilization Review

## Job OverviewWe are seeking a dedicated Utilization Review Nurse to join our healthcare team. The ideal candidate will be responsible for reviewing medical records to ensure that patients receive necessary care and treatment while optimizing healthcare resources.-*Job Description**Initial and concurrent Status Reviews, MDR's, Denial work.*Requirements**RN...

Job SummaryWe are seeking a highly skilled RN Utilization Review Specialist to join our team at Confident Staff Solutions. As a key member of our Utilization Management team, you will play a critical role in ensuring the efficient use of healthcare resources.Key ResponsibilitiesConduct concurrent reviews of patients' clinical information to identify...

Job SummaryPlanet Healthcare is seeking a skilled Travel Nurse RN to fill a Utilization Review position in a dynamic healthcare setting.Key ResponsibilitiesConduct thorough reviews of patient cases to ensure optimal healthcare utilizationCollaborate with healthcare teams to develop and implement effective care plansAnalyze data to identify trends and areas...

Job DescriptionAbout CarolinaEast Medical Center CarolinaEast Health System is dedicated to quality and compassionate care across the Coastal Carolina region. The flagship of the health system is a 350 bed full service medical center housing a complete complement of inpatient and outpatient services with the latest technology. CarolinaEast Health System...

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at Manhattan Psychiatric Center. As a Utilization Review Coordinator, you will play a critical role in analyzing and evaluating the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Key...

Job SummaryManhattan Psychiatric Institute is seeking a highly skilled Utilization Review Coordinator to play a critical role in ensuring the delivery of high-quality services to our patients.Key Responsibilities:Review clinical records for completeness and accuracy to ensure compliance with established standards.Collect and analyze data related to the...

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at StateJobsNY. As a key member of our healthcare operations team, you will be responsible for analyzing and evaluating the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Key...

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at StateJobsNY. As a key member of our healthcare operations team, you will play a critical role in analyzing and evaluating the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Key...

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at StateJobsNY. As a key member of our healthcare operations team, you will play a critical role in analyzing and evaluating the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Key...

Job Description:Summary:This position is responsible for coordinating, integrating, and monitoring the utilization of physical health (PH) medical and healthcare services for members, ensuring compliance with internal and external standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review. Refer to and...

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at StateJobsNY. As a Utilization Review Coordinator, you will play a critical role in analyzing and evaluating the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Key...

About the JobVNS Health is seeking a skilled Nurse Care Coordinator to lead interdepartmental quality improvement activities, ensuring optimal patient care and compliance with regulatory requirements.Key ResponsibilitiesConduct Clinical Assessments: Perform medication reconciliations, post-discharge transitions of care assessment, and follow-up post...

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at StateJobsNY. As a Utilization Review Coordinator, you will play a critical role in analyzing and evaluating the quality, effectiveness, and efficiency of psychiatric and medical services provided to individuals diagnosed with mental illness.Key...

About the RoleCarolinaEast Health System is dedicated to delivering high-quality, patient-centered care across the Coastal Carolina region. As a Utilization Review Nurse, you will play a critical role in ensuring that our patients receive the most appropriate level of care, while also optimizing our resources and improving patient outcomes.Key...

About the RoleCarolinaEast Health System is a leading healthcare provider in the Coastal Carolina region, dedicated to delivering high-quality, compassionate care to our patients. As a Utilization Review Nurse, you will play a critical role in ensuring that our patients receive the most appropriate level of care, while also optimizing our resources and...

Job Summary:Harbor Oaks Hospital is seeking a skilled Utilization Review Manager to join our team. As a key member of our healthcare team, you will be responsible for optimizing reimbursement for the facility while maximizing use of patient benefits.Key Responsibilities:Provide consultation and guidance regarding admissions and patient length of stay to...

Job SummaryMetroPlus Health Plan Inc is seeking a skilled RN Care Manager to join our team. As a RN Care Manager, you will be responsible for developing, facilitating, and monitoring care plans for our members. You will work closely with members, their families, primary care physicians, and other healthcare providers to ensure that our members receive the...

About the JobVNS Health is seeking a skilled healthcare professional to lead interdepartmental quality improvement activities, focusing on clinical review, risk management, and patient satisfaction.Key ResponsibilitiesConduct thorough clinical assessments, including medication reconciliations, post-discharge transitions of care, and follow-up...

Job SummaryWe are seeking a highly skilled Utilization Insurance Specialist to join our team at Mount Sinai Health System. As a key member of our Utilization Management team, you will be responsible for reviewing medical admission records and continued stays to ensure that patients receive the necessary care and services.Key ResponsibilitiesConduct thorough...

Overview:Harbor Oaks Hospital is looking for a PRN - Utilization Review Manager to join our team!Harbor Oaks Hospital, New Baltimore's leading Mental Health and Addiction Treatment Center is seeking a passionate Utilization Review Manager to work at our facility in New Baltimore, MI.Non-Exempt PositionMonday - Friday - Day Shift (2 days per week)Rate of Pay:...