UTILIZATION REVIEW RN
2 weeks ago
The position is a contract for about 6 months.
RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan.
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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
1 day 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
1 day 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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Utilization Review RN
1 day 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
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
1 day 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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UTILIZATION REVIEW RN PRN
2 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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RN Utilization Review
1 day 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- Onsite
2 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
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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REGISTERED NURSE UTILIZATION REVIEW \ 1366
2 weeks ago
, TX, United States TalentBurst, Inc. Full timeJob Title: Registered Nurse Utilization ReviewLocation: Irving, TX, 75038Duration: 13 WeeksShift: Monday - Friday 8 am - 5 pmPay Rate: $30/hr. - $35/hr.Notes: Temp to Perm - Local Candidates only. Current RN Compact license requiredSummary: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to...
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RN Utilization Review Coordinator
1 day 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
3 weeks ago
, OH, United States UC Health Full timeAt UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.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...
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RN Utilization Review Coordinator
1 day 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
1 day 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
3 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...
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Irving, TX, United States TalentBurst, Inc. Full timeJob Title: Registered Nurse Utilization Review Location: Irving, TX, 75038 Duration: 13 Weeks Shift: Monday - Friday 8 am - 5 pm Pay Rate: $30/hr. - $35/hr. Notes: Temp to Perm - Local Candidates only. Current RN Compact license required Summary: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided...