Utilization Review RN
20 hours ago
Overview: The Utilization Review team is comprised of highly skilled Registered Nurses who ensure Norman Regional Health System follows a compliant review process to determine appropriateness of admission. Responsibilities: Utilization Review, Utilization Management, Advocacy and Education Clinical Analysis and Data Management Clinical Care Management/Coordination Resource Management Transition Management and Denial Prevention Utilization Management Psychosocial Management Assist with establishing and review of departmental metrics on annual basis or as needed to insure mission, vision and strategic plan of NRHS. Qualifications: Education Diploma or Associates degree (ADN) required, Bachelor of Science in Nursing (BSN), or Master's of Science in Nursing (MSN) preferred. Experience 3 years of acute RN experience required. Prior Utilization Review experience preferred. Current knowledge of medical necessity guidelines for hospitalization status preferred. (Above requirements can be met by equivalent combination of education and experience) Licensure/Certification Current, RN license in the state of Oklahoma, Basic Life Support (BLS) training or retraining is required and must be maintained for the duration of employment. Compensation/Benefits $17.39-$28.40/hr depending on previous work experience. Benefits include medical, dental, vision, short-term disability, long-term disability, life insurance, paid time off (PTO), paid holidays, tuition reimbursement, scholarship opportunities, retirement plans, free parking, and opportunities for advancement. Utilization Review RN - Nights at Norman Regional Health System summary: The Utilization Review RN - Nights at Norman Regional Health System is responsible for ensuring compliance in the review process for hospital admissions. This role involves clinical analysis, resource management, and care coordination to prevent denials and improve patient outcomes. A qualified candidate will possess an ADN, BSN, or MSN, along with experience in acute care and utilization review. Keywords: Utilization Review, Registered Nurse, Healthcare, Clinical Management, Patient Advocacy, Care Coordination, Oklahoma RN License, Medical Necessity, BLS Certification, Healthcare Compliance
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Senior Utilization Review Technician
4 weeks ago
Lexington, Kentucky, United States University Of Kentucky Full timeJob SummaryThe Senior Utilization Review Technician is responsible for communicating with insurance companies, UR nurses, and hospital billing offices to ensure smooth patient care. This role involves answering phone calls, processing faxes, and managing reports and work lists.Key ResponsibilitiesNotifying insurance companies of patient...
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Market Director Utilization Management
4 weeks ago
Lexington, United States Unavailable Full timeOverview CHI Saint Joseph Health supports 5000 active employees 8 hospitals specialty clinics and a Medical Group with more than 200 locations across Central and Eastern KY. CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health in 2019. With our combined resources CommonSpirit is committed to building healthy...
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Market Director Utilization Management
4 weeks ago
Lexington, United States Chi Full timeOverview CHI Saint Joseph Health supports 5000 active employees 8 hospitals specialty clinics and a Medical Group with more than 200 locations across Central and Eastern KY. CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health in 2019. With our combined resources CommonSpirit is committed to building...
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Market Director Utilization Management
4 days ago
Lexington, United States Catholic Health Initiatives Full time**Overview** CHI Saint Joseph Health supports 5000 active employees 8 hospitals specialty clinics and a Medical Group with more than 200 locations across Central and Eastern KY. CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health in 2019. With our combined resources CommonSpirit is committed to building...
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Utilization Management Reviewer/UKHC
4 weeks ago
Lexington, United States The University of Kentucky Full timeThis position works as a member of the multidisciplinary team with social workers, case managers, financial counselors, and ancillary staff to actively manage and coordinate those functions associated with third party payer certification, appropriate Management, Education
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Project Manager
4 weeks ago
Lexington, Kentucky, United States Oldcastle Infrastructure Full timeJob SummaryThe Project Manager serves as the primary point of contact for customers and vendors on assigned sales orders, ensuring 100% customer satisfaction from point of sale to on-site delivery. This role coordinates with engineering, production, and transportation teams to drive all activities and monitor project costs and compliance with contract...
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Qual Assur/Utiliz Review Sr Tech/UKHC
1 month ago
Lexington, United States University Of Kentucky Full timeRequired License/Registration/Certification None Physical Requirements The physical requirements of this position include regularly sitting at a computer workstation for extended periods of time and performing tasks with repetitive motions (such as typing). Shift Monday – Friday; 8:00 a.m. – 4:30 p.m. Job Summary The Utilization Review Senior...
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RN Homecare
5 months ago
Lexington, United States Maxim Healthcare Service Full timeMaxim Healthcare in Needham is hiring for a Registered Nurse to work with Pediatric and/or Adult patients in their own homes. Why Join Maxim: Competitive Pay & Weekly Paychecks Health, Dental, Vision, HSA and Life Insurance Paid Time Off 401(k) Savings Plan Maxcares Awards Program Responsibilities: Utilizes the nursing process to plan, implement, and...
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RN Homecare
3 months ago
Lexington, United States Maxim Healthcare Full timeMaxim Healthcare in Lexington is hiring for a Registered Nurse to work with Pediatric and/or Adult patients in their own homes. Why Join Maxim: * Competitive Pay & Weekly Paychecks * Health, Dental, Vision, HSA and Life Insurance * Paid Time Off * 401(k) Savings Plan * Maxcares Awards Program Responsibilities: * Utilizes the nursing process to plan,...
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Utility Worker with Midnight Availability
3 weeks ago
Lexington, United States Meijer, Inc. Full timeAs a family company, we serve people and communities. When you work at Meijer, you're provided with career and community opportunities centered around leadership, personal growth and development. Consider joining our family - take care of your career and your community! Meijer Rewards * Weekly pay * Scheduling flexibility * Paid parental leave * Paid...
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RN - Homecare Nurse
3 weeks ago
Lexington, United States Maxim Healthcare Services Full timeMaxim Healthcare is hiring in Lexington for a Registered Nurse to work with Pediatric and/or Adult patients in their own homes. Why Join Maxim: + Competitive Pay & Weekly Paychecks + Health, Dental, Vision, HSA and Life Insurance + Paid Time Off + 401(k) Savings Plan + Maxcares Awards Program Responsibilities: + Utilizes the nursing process...
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RN - Homecare Nurse
5 months ago
Lexington, United States Maxim Healthcare Service Full timeMaxim Healthcare is hiring in Lexington for a Registered Nurse to work with Pediatric and/or Adult patients in their own homes. Why Join Maxim: Competitive Pay & Weekly Paychecks Health, Dental, Vision, HSA and Life Insurance Paid Time Off 401(k) Savings Plan Maxcares Awards Program Responsibilities: Utilizes the nursing process to plan, implement,...
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RN in Home PDN
4 weeks ago
Lexington, United States Maxim Healthcare Services Full timeMaxim Healthcare in Lexington is hiring for a Registered Nurse to work with Pediatric and/or Adult patients in their own homes.Why Join Maxim:Competitive Pay & Weekly PaychecksHealth, Dental, Vision, HSA and Life InsurancePaid Time Off401(k) Savings PlanMaxcares Awards ProgramResponsibilities:Utilizes the nursing process to plan, implement, and evaluate...
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RN - Homecare Nurse
4 weeks ago
Lexington, United States Maxim Healthcare Services Full timeMaxim Healthcare is hiring in Lexington for a Registered Nurse to work with Pediatric and/or Adult patients in their own homes.Why Join Maxim:Competitive Pay & Weekly PaychecksHealth, Dental, Vision, HSA and Life InsurancePaid Time Off401(k) Savings PlanMaxcares Awards ProgramResponsibilities:Utilizes the nursing process to plan, implement, and evaluate...
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RN Homecare Opportunities Lexington, KY
4 weeks ago
Lexington, United States Maxim Healthcare Service Full timeMaxim Healthcare in Philadelphia, PA is hiring for a Registered Nurse to work with Pediatric and/or Adult patients in their own homes. City State Zip Modality Skills Available Days Shift Estimated Pay Range Lexington KY 40502 RN/LPN Peds, G tube, Trach, Vent Sun-Sat 9a-9p or 9a-7p $28-$32/hr Why Join Maxim? Competitive pay & weekly...
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RN Homecare Opportunities Lexington, KY
4 weeks ago
Lexington, United States Maxim Healthcare Services Full timeMaxim Healthcare in Philadelphia, PA is hiring for a Registered Nurse to work with Pediatric and/or Adult patients in their own homes. City State Zip Modality Skills Available Days Shift Estimated Pay Range Lexington KY 40502 RN/LPN Peds, G tube, Trach, Vent Sun-Sat 9a-9p or 9a-7p $28-$32/hr Why Join Maxim?Competitive pay & weekly...
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RN in Home PDN
1 month ago
Lexington, United States Maxim Healthcare Service Full timeMaxim Healthcare in Lexington is hiring for a Registered Nurse to work with Pediatric and/or Adult patients in their own homes. Why Join Maxim: Competitive Pay & Weekly Paychecks Health, Dental, Vision, HSA and Life Insurance Paid Time Off 401(k) Savings Plan Maxcares Awards Program Responsibilities: Utilizes the nursing process to plan,...
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Care Medical RN
2 weeks ago
Lexington, United States Baptist Health Full timeb>Job Description:Baptist Health is looking for a Home Health Registered Nurse to join our team in Lexington, KYThe Home Care RN utilizing critical thinking skills evaluates the patient's comprehensive health care needs in the home environment and implements an appropriate plan according to those needs utilizing physician, community resources and the...
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Lexington, United States Aureus Group Full timeOR RN / Perioperative RN - 13 weeks needed in MA for a travel assignment. Contact Aureus today to inquire and apply! Position: RN Specialty/Modality: RN-OR-Perioperative Licenses/Certifications: CPR/BLS (Basic Life Support), State License-RN-Massachusetts, ACLS (Advance Cardiac Life Support) Physical Abilities: From 50-100lbs Travel the country while you...
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Lexington, United States Aureus Group Full timeOR RN / Perioperative RN - 13 weeks needed in MA for a travel assignment. Contact Aureus today to inquire and apply!Position: RNSpecialty/Modality: RN-OR-PerioperativeLicenses/Certifications: CPR/BLS (Basic Life Support), State License-RN-Massachusetts, ACLS (Advance Cardiac Life Support)Physical Abilities: From 50-100lbsTravel the country while you enhance...