RN - Utilization Review

Description The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing and maintaining effective, efficient processes for determining the appropriate admission...

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 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...

Health 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...

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...

Please 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...

Please 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...

UTILIZATION REVIEW NURSE (RN)Randallstown, MDNORTHWEST HOSPITALNW CARE MANAGEMENTFull-time - Day shift - 8:00am-4:30pmRN Other81988Posted:March 21, 2024Apply NowSave JobSavedSummaryPosition Summary:Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination to...

Education & Qualifications: Graduate from an accredited school of nursing (RN) required, bachelors preferred. Knowledge and skills necessary to provide care appropriate to the population served in the CM Department. Two (2) or more year’s clinical experience preferred. Acute care or community social agency case management experience preferred. Utilization...

Education & Qualifications: Graduate from an accredited school of nursing (RN) required, bachelors preferred. Knowledge and skills necessary to provide care appropriate to the population served in the CM Department. Two (2) or more year’s clinical experience preferred. Acute care or community social agency case management experience preferred. Utilization...

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...

RN Case Manager/UR ReviewerJOIN OUR TEAM!!! Are you looking to be one of the team? To be part of the family and not just another number? Are you looking for a positive work environment where teamwork and diversity are key? We value your contributions. Every role in our hospital has an impact on each of our patients. We work hard to make sure our employees...

RN Case Manager/UR ReviewerJOIN OUR TEAM!!! Are you looking to be one of the team? To be part of the family and not just another number? Are you looking for a positive work environment where teamwork and diversity are key? We value your contributions. Every role in our hospital has an impact on each of our patients. We work hard to make sure our employees...

Education & Qualifications : Graduate from an accredited school of nursing (RN) required, bachelors preferred. Knowledge and skills necessary to provide care appropriate to the population served in the CM Department. Two (2) or more year’s clinical experience preferred. Acute care or community social agency case management experience preferred. Utilization...

UTILIZATION REVIEW NURSE (RN) - PRNBaltimore, MDSINAI HOSPITALUTILIZATION REVIEWPRN - As Needed - 8:00am-4:30pmRN Other82413Posted:March 21, 2024Apply NowSave JobSavedSummaryPosition Summary:Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination to decrease...

Education & Qualifications : Graduate from an accredited school of nursing (RN) required, bachelors preferred. Knowledge and skills necessary to provide care appropriate to the population served in the CM Department. Two (2) or more year’s clinical experience preferred. Acute care or community social agency case management experience preferred. ...

Description ****Average hourly rate is $22.60 (including wage, incentives, bonuses, overtime, shift differential, etc.)****      Utilization ReviewerPathway Family Services, LLC. provides resources for youth and families through their Independent Living Program, TRAIL (Teens Reaching Adult Independent Living), Psychiatric Residential Treatment Facility,...

DetailsDepartment: Case ManagementSchedule: Full-Time, DaysHospital: St Thomas MidtownLocation: Nashville, TNBenefitsPaid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee assistance programs (EAP)Parental leave & adoption assistanceTuition...

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...