Utilization Management Nurse

Utilization Management NurseWhy Choose Jefferson Health Plans? We are an award-winning, not-for-profit health maintenance organization offering Medicaid, Medicare, and Children's Health Insurance Program (CHIP) plans that include special benefits to improve the health and wellness of our members. We are committed to creating a community where everyone...

Utilization Management NurseWhy Choose Jefferson Health Plans? We are an award-winning, not-for-profit health maintenance organization offering Medicaid, Medicare, and Children's Health Insurance Program (CHIP) plans that include special benefits to improve the health and wellness of our members. We are committed to creating a community where everyone...

Senior Utilization Management Nurse Coordinator*Shift: 8:00a – 4:30p, exempt positionPOSITION SUMMARY:Under the direction of the Administrative Director of Revenue Cycle, the Senior Utilization Management Nurse Coordinator will monitor adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital services and...

Utilization 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...

Utilization 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...

Job Description:This position will be remote role for Nurses in MichiganShould have a valid MI RN LicenseShould Have utilization management experience.Should have experience completing post-acute reviews for the inpatient rehab, skilled nursing facility settings previously.The candidate should be well versed in coordination of care activities along with...

Utilization Management RN ReviewerJoin Cleveland Clinic's Martin North Hospital where research and surgery are advanced, technology is leading-edge, patient care is world-class, and caregivers are family. This downtown Stuart hospital provides top-quality patient care to the communities in and around Martin County on the beautiful Indian River. The...

Utilization Management RNResponsibilities Join the mission of Improving Lives as a Utilization Management RN at Jefferson Health. With more than 42,000 employees, we're the second largest employer in Philadelphia and the largest health system in the Philadelphia region. And our work to improve lives is never done. Utilization Management RNs are responsible...

Utilization Management RN, "title" : "Utilization Management RN", "description" : " Description Location: UCHealth UCHlth 2450 Peoria Admin Services, US:CO:Aurora Department: UCHlth Patient Line Referrals FTE: Full Time, 0.8, 64.00 hours per pay period (2 weeks) Shift: Days Pay: \$38.91 - \$60.31 / hour. Pay is dependent on applicant's relevant...

Registered Nurse - Utilization Management - Full Time* Graduate of an accredited school of nursing required. * Current licensure as a Registered Nurse in the State of New Jersey POSITION SUMMARY The RN Utilization Management Days is responsible for the overall Utilization Management process for assigned patient population. This includes reviewing clinical...

Registered Nurse - Utilization Management - Full Time* Graduate of an accredited school of nursing required. * Current licensure as a Registered Nurse in the State of New Jersey POSITION SUMMARY The RN Utilization Management Days is responsible for the overall Utilization Management process for assigned patient population. This includes reviewing clinical...

Travel Nurse Across America is seeking a travel nurse RN Case Management for a travel nursing job in Henderson, North Carolina.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNStart Date: 06/26/2024Duration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelPerks: $10,000 Bonus Potential! Day #1 Medical Coverage, 40...

Under general supervision of the Director of Case Management, the Utilization Review Nurse provides a clinical review of cases using medical necessity criteria to determine the medical appropriateness of inpatient and outpatient services. Provides feedback and assistance to other members of the healthcare team regarding the appropriate use of resources and...

Utilization Management RNApply now Save job Saved Description Location: UCHealth UCHlth 2450 Peoria Admin Services, US:CO:Aurora Department: UCHlth Patient Line Referrals FTE: Full Time, 0.8, 64.00 hours per pay period (2 weeks) Shift: Days Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's relevant experience Summary: Ensures that...

Trusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. This unique approach provides more transparency, eliminates pesky calls from recruiters, and puts more money in your pocket. Join the...

At Liberty Hospice we understand the unique needs of our patients and families facing terminal illness. That is why Liberty Hospice provides our hospice patients with state-of-the-art care and pain management services, delivered by our specially trained staff with emphasis on strength, dignity and compassion. HOSPICE CLINICAL MANAGER - RN Full Time...

Utilization Management Clinical Registered Nurse (RN)Job Summary We are searching for a Utilization Management Clinical RN -- someone who works well in a fast-paced setting. In this position, you will provide precertification of inpatient hospitalizations and all outpatient procedures and services requiring authorization. This role performs telephonic...

Utilization Management Clinical Registered Nurse (RN)Job Summary We are searching for a Utilization Management Clinical RN -- someone who works well in a fast-paced setting. In this position, you will provide precertification of inpatient hospitalizations and all outpatient procedures and services requiring authorization. This role performs telephonic...

Liberty Medical Care Services is currently seeking an experienced: Full Time, Days Providing care for assigned patients. * Conducts assessments for assigned patients based on the model of care requirements. * Completes assessment on members within 72 hours of discharge from ED, Hospital, SNF, or Home Health episode to ensure stability and continuity of...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an...