RN- UTILIZATION REVIEW
3 weeks ago
As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.
UC Health is committed to providing an inclusive, equitable and diverse place of employment.
The RN-Utilization Review nurse will use established criteria and policy/procedures to perform pre-admission, admission, and continued stay reviews on inpatient and observation cases in a timely manner. UR Nurse will work with hospital Care Management staff, Social Work, and Revenue Cycle team members, as well as with managed care agencies to assure certification of the patient's entire stay so that hospital receives maximum reimbursement.
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RN Utilization Review
2 days ago
Dayton, OH, United States Sedgwick Full timeTaking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your...
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UTILIZATION REVIEW RN
2 weeks ago
Richmond, VA, United States Virginia Commonwealth University Health System Full timeThe Utilization Review RN is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review.This position functions as a part of a multidisciplinary team, including physicians, social workers, discharge planning assistants and payers. The Utilization Review RN performs reviews of current inpatient services,...
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Utilization Review RN
4 days ago
Richmond, VA, United States Virginia Commonwealth University Health System Full timeThe Utilization Review RN is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review. This position functions as a part of a multidisciplinary team, including physicians, social workers, discharge planning assistants and payers. The Utilization Review RN performs reviews of current inpatient...
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Utilization Review RN
4 days ago
Omaha, NE, United States Common Spirit Full timeOverview Utilization Review RN is responsible for the review of medical records for appropriate admission status and continued hospitalization. Works in collaboration with the attending physician, consultants, second level physician reviewer and the Care Coordination staff utilizing evidence-based guidelines and critical thinking. Collaborates with the...
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Utilization Review RN
4 days ago
Omaha, NE, United States Catholic Health Initiatives Full time**Overview** Utilization Review RN is responsible for the review of medical records for appropriate admission status and continued hospitalization. Works in collaboration with the attending physician, consultants, second level physician reviewer and the Care Coordination staff utilizing evidence-based guidelines and critical thinking. Collaborates with the...
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RN - Utilization Review
2 days ago
Medford, OR, United States Health Advocates Network Full timeHealth Advocates Network is urgently hiring Utilization Review Registered Nurses (RNs) in the Medford, OR area. Must have 2 years of Discharge Planning and Utilization Review experience. + Pay Rate: $2,760 weekly + Specialty: Utilization Review Registered Nurse (RN) + Shift Info: Day + 13 Week Contracts and more available! RN Qualification and...
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UTILIZATION REVIEW RN
3 weeks ago
, CA, United States Marshall Medical Center Full timeDepartment:Utilization ReviewShift:Primarily Days (United States of America)Employee Type:RegularPer Diem Type (if applicable):Minimum Pay Range:$55.77 - $69.71Job Description:POSITION SUMMARYThe Utilization Review Nurse (UR RN) uses a collaborative process, which provides professional accountability for the utilization of the health care resources to the...
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RN UTILIZATION REVIEW
3 weeks ago
, NC, United States Cone Health Full timeOverviewPerforms admission and continued stay utilization reviews and discharge screening to assure the medical necessity of hospital admission, appropriate level of care, continued stay and supportive services, and to examine delays in the provision of services. Coordinates care transitions from inpatient to the next level of care. Collaborates with...
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Utilization Review RN
4 days ago
Placerville, CA, United States Marshall Medical Center Full timeDepartment: Utilization Review Shift: Primarily Days (United States of America) Employee Type: Regular Per Diem Type (if applicable): Minimum Pay Range: $55.77 - $69.71 Job Description: POSITION SUMMARY The Utilization Review Nurse (UR RN) uses a collaborative process, which provides professional accountability for the utilization of the health...
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RN UTILIZATION REVIEW COORDINATOR
3 weeks ago
, AZ, United States Maricopa Integrated Health System Full timeAs a Valleywise Utilization Review RN Coordinator, you are part of a multidisciplinary team providing exceptional care to our patients. As a Utilization Review RN Coordinator, you work under the direction of the Manager of Care Management as part of the inpatient Care Management Team. You are responsible for determining the appropriateness of patient status...
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UTILIZATION REVIEW RN PRN
3 weeks ago
, VA, United States Virginia Commonwealth University Health System Full timeThe Utilization Review RN PRN is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review.This job functions as a part of a multidisciplinary team, including physicians, social workers, discharge planning assistants and payers, performs reviews of current inpatient services, and determines medical...
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RN Utilization Review
4 days ago
Greensboro, NC, United States Cone Health Full timeOverview Performs admission and continued stay utilization reviews and discharge screening to assure the medical necessity of hospital admission, appropriate level of care, continued stay and supportive services, and to examine delays in the provision of services. Coordinates care transitions from inpatient to the next level of care. Collaborates with...
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UTILIZATION REVIEW RN PRN
3 weeks ago
, VA, United States VCU Health Full timeThe Utilization Review RN PRN is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review. This job functions as a part of a multidisciplinary team, including physicians, social workers, discharge planning assistants and payers, performs reviews of current inpatient services, and determines medical...
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Utilization Review RN- Onsite
3 weeks ago
Plattsburgh, NY, United States The University of Vermont Health Network Full timePlease Note: This is an onsite position supporting the Emergency Department at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY.GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data and evaluates variances of resource utilization, complications and overall quality of care based on benchmarked criteria or established...
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Utilization Review RN- Onsite
4 weeks ago
Plattsburgh, NY, United States The University of Vermont Health Network Full timePlease Note: This is an onsite position supporting the Emergency Department at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY.GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data and evaluates variances of resource utilization, complications and overall quality of care based on benchmarked criteria or established...
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RN Utilization Review Coordinator
4 days ago
Phoenix, AZ, United States Maricopa Integrated Health System Full timeAs a Valleywise Utilization Review RN Coordinator, you are part of a multidisciplinary team providing exceptional care to our patients. As a Utilization Review RN Coordinator, you work under the direction of the Manager of Care Management as part of the inpatient Care Management Team. You are responsible for determining the appropriateness of patient status...
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RN Utilization Review Coordinator
4 days ago
Phoenix, AZ, United States Maricopa Integrated Health System Full timeAs a Valleywise Utilization Review RN Coordinator, you are part of a multidisciplinary team providing exceptional care to our patients. As a Utilization Review RN Coordinator, you work under the direction of the Manager of Care Management as part of the inpatient Care Management Team. You are responsible for determining the appropriateness of patient status...
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RN Utilization Review Coordinator
3 days ago
Phoenix, AZ, United States Maricopa Integrated Health System Full timeAs a Valleywise Utilization Review RN Coordinator, you are part of a multidisciplinary team providing exceptional care to our patients. As a Utilization Review RN Coordinator, you work under the direction of the Manager of Care Management as part of the inpatient Care Management Team. You are responsible for determining the appropriateness of patient status...
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Utilization Review RN PRN
4 days ago
Richmond, VA, United States Virginia Commonwealth University Health System Full timeThe Utilization Review RN PRN is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review. This job functions as a part of a multidisciplinary team, including physicians, social workers, discharge planning assistants and payers, performs reviews of current inpatient services, and determines medical...
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Utilization Review Nurse
4 weeks ago
Meadowbrook, PA, United States Holy Redeemer Hospital and Medical Center Full timeUtilization Review NursePer Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of care...