RN Utilization Manager Needed in Flordia

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...

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,...

Welcome to RNstaff, where compassion connects careers. We're not just a recruiting company; we're people who care about people. Join us in shaping the future of healthcare together. Category: RN International/Permanent Department: Home Dialysis SCHEDULE: FULL TIME DAYS Procedural RN Home Dialysis Home Dialysis RN Full time Monday-Friday 8am...

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...

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...

Administer nursing care to patients in an efficient, safe, and courteous manner using proper nursing procedures. Supports the patient and family in the dying process. Performs an admission assessment and subsequent assessments. Completes required documentation. Addresses the patient s learning ability and needs. Develops a care plan. Enters orders by...

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...

OverviewPerforms 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...

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...

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...

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...

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...

MUST HAVE ALL COVID VACCINATION SERIES AND FLU VACCINATIONMUST HAVE ACTIVE ALASKA LICENSE AT TIME OF SUBMISSIONAccountabilities1. Provide clinical services, including working with providers, clinic staff and management to ensure excellent quality of care and services, efficient utilization of resources and the compliance with SEARHC standards. 2. ...

Welcome to RNstaff, where compassion connects careers. We're not just a recruiting company; we're people who care about people. Join us in shaping the future of healthcare together.Category: TRAVELLocation: Bronx, NYPosition: RN ICUShift: NightsDuration: 13 weeksWeekly Gross: $ 2,740 (based on 36 hours)Misc. and I E : $ 500 (non-tax...

The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical, financial and resource utilization. Coordinates with healthcare Team for optimal efficient patient outcomes, while decreasing length of stay and avoid delays and denied days. They are accountable for a designated patient caseload and provides intervention...

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...

Welcome to RNstaff, where compassion connects careers. We're not just a recruiting company; we're people who care about people. Join us in shaping the future of healthcare together. Category: RN International/Permanent Department: Emergency Days Location: Brenham, TX Shift: Full time Days Whether you are interested in full-time, part-time, PRN, day, night...

Traveler s permanent residence must be 100 miles or > from the hospital s service area.General orientation will begin on Sundays. Sunday will be online CBLs. I can start the traveler any Sunday that you can complete the compliance documents by the deadline. Please include in the confirmation: 16 hours of nonbillable orientation. Hospital can cancel/call off...

Utilization Management Clinical Registered Nurse (RN)Job Summary We are searching for a Utilization Management Clinical RN -- someone who works well in a fast-paced setting. In this position, you will provide precertification of inpatient hospitalizations and all outpatient procedures and services requiring authorization. This role performs telephonic...