Utilization Review Nurse, FT Days

To monitor adherence to the hospital’s utilization review plan to ensure the effective and efficient use of hospital services. Responsible for ensuring the appropriateness of hospital admissions and extended hospital stays. An understanding of the severity of an array of illnesses, intensity of service, and care coordination needs are the key, as the nurse...

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...

RN Pediatrics, FT Days (4307-029) Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation. Responsible for directing and coordinating all nursing care for patients based on established clinical nursing practice standards. Collaborates with other professional disciplines to...

RN OR, FT Days (4230-029) Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation. Responsible for directing and coordinating all nursing care for patients based on established clinical nursing practice standards. Collaborates with other professional disciplines to ensure...

RN Pediatrics, FT Days (4306-029) Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation. Responsible for directing and coordinating all nursing care for patients based on established clinical nursing practice standards. Collaborates with other professional disciplines to...

RN Pediatrics, FT Days (4278-029) Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation. Responsible for directing and coordinating all nursing care for patients based on established clinical nursing practice standards. Collaborates with other professional disciplines to...

Case Manager RN, FT Days Rotating (4103-029) Comprehensively plans for case management services for a targeted patient population. Carries out activities related to utilization management, discharge planning, care coordination and referral to other levels of care. The Case Manager works with Physicians, Social Services and interdisciplinary team to...

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...

RN Pediatrics, FT Days (4278-029)Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation. Responsible for directing and coordinating all nursing care for patients based on established clinical nursing practice standards. Collaborates with other professional disciplines to...

RN OR, FT Days (4230-029)Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation. Responsible for directing and coordinating all nursing care for patients based on established clinical nursing practice standards. Collaborates with other professional disciplines to ensure...

RN Pediatrics, FT Days (4307-029)Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation. Responsible for directing and coordinating all nursing care for patients based on established clinical nursing practice standards. Collaborates with other professional disciplines to...

RN Pediatrics, FT Days (4306-029)Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation. Responsible for directing and coordinating all nursing care for patients based on established clinical nursing practice standards. Collaborates with other professional disciplines to...

RN OR, FT Days (4230-029)Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation. Responsible for directing and coordinating all nursing care for patients based on established clinical nursing practice standards. Collaborates with other professional disciplines to ensure...

RN Pediatrics, FT Days (4307-029)Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation. Responsible for directing and coordinating all nursing care for patients based on established clinical nursing practice standards. Collaborates with other professional disciplines to...

Case Manager RN, FT Days Rotating (4103-029)Comprehensively plans for case management services for a targeted patient population. Carries out activities related to utilization management, discharge planning, care coordination and referral to other levels of care. The Case Manager works with Physicians, Social Services and interdisciplinary team to facilitate...

Case Manager RN, FT Days Rotating (4103-029)Comprehensively plans for case management services for a targeted patient population. Carries out activities related to utilization management, discharge planning, care coordination and referral to other levels of care. The Case Manager works with Physicians, Social Services and interdisciplinary team to facilitate...

RN Infusion Clinic, FT Days (4255-029) Provides care and support for the patient with pediatric oncology/hematology/infusion care needs. Responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation. Responsible for directing and coordinating all nursing care for patients based on...

Utilization Review RNOverview Baylor St. Luke's Medical Center is an 881-bed quaternary care academic medical center that is a joint venture between Baylor College of Medicine and CHI St. Luke's Health. Located in the Texas Medical Center, the hospital is the home of the Texas Heart Institute, a cardiovascular research and education institution founded in...

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in El Paso, Texas. Shift: 8 hours, days ~ Employment Type: Travel We’re seeking talented healthcare professionals whose adventure game is as strong as their clinical game. Some of the industry-leading benefits enjoyed by Medical Solutions travel...