UTILITY COORDINATOR

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...

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...

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...

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...

Hybrid opportunity, must be local to Exeter, NH# Exeter Hospital, Core Physicians, and Rockingham VNA # Hospice, part of Beth Israel Lahey Health, proudly serve the beautiful NH seacoast region. Our principal mission is to work together to create healthier communities. What makes us unique is the spirit of our staff who are team-oriented and focused on...

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...

Utilization Management Coordinator (RN)Under the general supervision of the Director of Health Services, the position is responsible for appropriately and successfully executing clinical and administrative health plan denials in accordance with regulatory guidelines and plan policies. ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Is responsible for managing all...

**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...

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...

The 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...

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...

About UsBakersfield Behavioral Healthcare Hospital, located in Bakersfield, California, is an acute psychiatric and behavioral 90 bed facility situated on 8.8 acres.We offer inpatient and outpatient services for children, adolescents and adults needing mental/behavioral health, chemical dependency; and co-occurring disorders treatment through our medically...

Building Name: HHH - In-State Hybrid/Remote Regular Department: CVMC - Care Management Full Time Standard Hours: 40 Biweekly Scheduled Hours: Shift: Day Primary Shift: 7:30 AM - 4:00 AM Weekend Needs: None Recruiter: Kate Davies POSITION SUMMARY The Utilization Review Nurse is responsible for ensuring the medical necessity and appropriate level 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...

The 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...

Join our growing Team! We are currently seeking experienced Pipe Foremen, Superintendents, and Project Managers. We also have other positions available. Experience with:Dewatering systemsShoring systems with various depthsSewer pipe of various depthsStorm sewer pipe of various depthsWater and force mains of various depthsRequirements:Read and interpret...

Overview 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...

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...

Functions under the direction of the Utilization Documentation Manager and Director of Case Management. Demonstrates fiscal responsibility related to patient needs, resource utilization, payer requirements and organizational goals; also acts as a model of outcomes for quality, value and efficiency. Screens medical records for admission and concurrent...

About The RoleBHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs daily medical necessity reviews while working remotely.Primary Responsibilities Perform prospective, concurrent, and retrospective utilization reviews and first level determination approvals for members using evidenced based guidelines,...