REGISTERED NURSE UTILIZATION REVIEW

Job Title: Registered Nurse Utilization Review Location: Irving, TX, 75038 Duration: 13 Weeks Shift: Monday - Friday 8 am - 5 pm Pay Rate: $30/hr. - $35/hr.Notes: Temp to Perm - Local Candidates only. Current RN Compact license required Summary: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to...

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...

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...

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 Title: Registered Nurse Utilization ReviewLocation: Irving, TX, 75038Duration: 13 WeeksShift: Monday - Friday 8 am - 5 pmPay Rate: $30/hr. - $35/hr.Notes: Temp to Perm - Local Candidates only. Current RN Compact license requiredSummary: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to...

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...

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...

Title: RN Utilization Review II Description: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This RN is responsible for performing a variety of pre-admission, concurrent, and retrospective UM related reviews and functions....

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

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

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...

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,...

Details* Department: Utilization Mgt* Schedule: M-F 8 hr days, ONSITE, exempt* Hospital: Ascension Sacred Heart Pensacola* Location: Pensacola, FloridaBenefitsPaid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee assistance programs (EAP)Parental leave &...

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...

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...

**Details**+ **Department: Utilization Mgt**+ **Schedule: M-F 8 hr days, ONSITE, exempt**+ **Hospital: Ascension Sacred Heart Pensacola**+ **Location: Pensacola, Florida****Benefits**Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee assistance...

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...

Provides utilization management review of worker's compensation claims . Accesses medical documentation and information provided by medical providers to determine the appropriateness of treatment, setting and length of treatment required. Essential D Nurse, Consultant, Insurance, Healthcare, Treatment, Medical

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...

Registered Nurse Concurrent Utilization Review - 3rd ShiftJob CategoryNursingSchedulePart timeShift3 - Night ShiftDemonstrates fiscal responsibility related to patient needs, resource utilization, payer requirements and organizational goals. Screens patients for admission criteria (medical necessity/patient status/level of care) utilizing InterQual criteria...