UTILIZATION REVIEW NURSE- INTEGRATED CARE

Facility:Dayton Children's - Main CampusDepartment:Integrated CareSchedule:Full timeHours:40Job Details:The Care Management Coordinator functions as a member of a multidisciplinary health care team with guidance of the nurse case managers, utilization review, and social workers, assisting in facilitating patient post-acute placement needs; utilizes hospital...

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...

Taking 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...

As 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...

Per diem, 8a-4;30P as needed weekends + occ/ holidays About Us Milford Regional Medical Center is a full-service, community and regional teaching hospital located in Milford, Mass. and serves patients from more than 20 towns in Central Massachusetts. The 149-bed medical center is a nonprofit, acute-care facility, where more than 300 primary care and...

Job Summary:At Gritman, we pride ourselves on being the premier healthcare employer on the Palouse. We bring exceptional care that's close to home for the members of our community. We are seeking a Staff RN to join our Utilization Review/Case Management team. The Utilization Review Nurse (UR) has skills in areas of Utilization Management (UM), medical...

OverviewAs a Utilization Review Nurse, you will work under the direct supervision of the Supervisor, Utilization Review and Clinical Documentation Improvement, this role will be responsible for providing clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation and utilization of acute care services. This...

Per Diem1648 Huntingdon PikeNursing RN/LPNDaySUMMARY 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 as required by the payer. Work...

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...

The 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,...

PRN3245 Health DriveProfessionalDayReports to the Director, Managed Care and Medical Director of Community Health Alliance (CHA). Conducts effective utilization and quality review through the monitoring of care provided during hospitalization and certain out-patient procedures according to utilization management guidelines for workers compensation and group...

OverviewUtilization 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...

**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...

At 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...

***This position is remote with a clear and current CA LVN license.  The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale...

Essential Duties and Responsibilities:Interview patient and family members to obtain information about home environment, family relationships, health history, and patients personality traits.Assist patients and family to understand, accept, and follow medical recommendations.Perform a variety of services such as arranging for discharge, placement of patients...

Job DetailsJob LocationTexas Institute for Surgery LL SURG - Dallas, TXSalary Range$38.00 - $43.00 HourlyJob CategoryHealth CareDescriptionJob Summary:The Utilization Management Nurse will provide precertification of inpatient hospitalizations and all outpatient procedures and services requiring authorizations. This role performs telephonic and/or concurrent...

Job SummaryThe Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the UM program by developing and/or maintaining effective and efficient processes for determining the appropriate admission status based on the regulatory and...

Fortus Healthcare Resources is seeking a Travel Utilization Review RN, Care Manager Registered Nurse for an immediate opening in CLOVIS, NM . Registered Nurse, Care Manager, RN, Registered, Nurse, Manager, Healthcare, Staffing

Fortus Healthcare Resources is seeking a Travel Utilization Review RN, Care Manager Registered Nurse for an immediate opening in Kealakekua, HI . Registered Nurse, Care Manager, RN, Registered, Nurse, Manager, Healthcare, Staffing