Utilization Review Nurse

Job OverviewMercy Medical Center, a leading provider of healthcare services in Western Massachusetts, seeks an experienced Registered Nurse for a part-time Utilization Review/Appeals & Denials RN position. This role involves performing utilization review with payers, assisting physicians with level of care determinations, and collaborating with the care team...

Job TitleClinical Utilization Review SpecialistAbout UsMercy Medical Center is a leading healthcare provider in Western Massachusetts, offering a range of services including acute care, rehabilitation, and outpatient programs.Salary and BenefitsThe estimated annual salary for this position is $80,000 - $110,000 depending on experience, with opportunities for...

Job OverviewAt Trinity Health, we are committed to providing exceptional patient care and service. As a Utilization Review Registered Nurse, you will play a critical role in ensuring that our patients receive the most appropriate and effective care.ResponsibilitiesPerform utilization review and payer notificationEstablish partnerships with site BPCI RN to...

Employment Type:Part timeShift:Rotating ShiftDescription:Requires BSNAt Mercy Medical Center the Utilization Review/Appeals & Denials RN performs utilization review with payers, assists the physician with level of care determinations using screening criteria, and assists the physician, bedside Registered Nurse, ICC and Social Worker with utilization...

Job Description: Employment TypePart timeShiftRotating ShiftDescriptionRequires BSNAt Mercy Medical Center the Utilization Review/Appeals & Denials RN performs utilization review with payers, assists the physician with level of care determinations using screening criteria, and assists the physician, bedside Registered Nurse, ICC and Social Worker with...

Job Description: Employment TypePart timeShiftRotating ShiftDescriptionRequires BSNAt Mercy Medical Center the Utilization Review/Appeals & Denials RN performs utilization review with payers, assists the physician with level of care determinations using screening criteria, and assists the physician, bedside Registered Nurse, ICC and Social Worker with...

Job Description: Employment TypePart timeShiftRotating ShiftDescriptionRequires BSNAt Mercy Medical Center the Utilization Review/Appeals & Denials RN performs utilization review with payers, assists the physician with level of care determinations using screening criteria, and assists the physician, bedside Registered Nurse, ICC and Social Worker with...

Job Description: Employment TypePart timeShiftRotating ShiftDescriptionRequires BSNAt Mercy Medical Center the Utilization Review/Appeals & Denials RN performs utilization review with payers, assists the physician with level of care determinations using screening criteria, and assists the physician, bedside Registered Nurse, ICC and Social Worker with...

Employment Type: Part time Shift: Rotating Shift Description: Requires BSN At Mercy Medical Center the Utilization Review/Appeals & Denials RN performs utilization review with payers, assists the physician with level of care determinations using screening criteria, and assists the physician, bedside Registered Nurse, ICC and Social Worker with...

**Employment Type:** Part time **Shift:** Rotating Shift **Description:** Requires BSN At **Mercy Medical Center** the **Utilization Review/Appeals & Denials** **RN** performs utilization review with payers, assists the physician with level of care determinations using screening criteria, and assists the physician, bedside Registered Nurse, ICC...

Employment Type: Part timeShift: Rotating Shift Description: Requires BSN At Mercy Medical Center the Utilization Review/Appeals & Denials RN performs utilization review with payers, assists the physician with level of care determinations using screening criteria, and assists the physician, bedside Registered Nurse, ICC and Social Worker with utilization...

Job DescriptionEmployment TypePart timeShiftRotating ShiftDescriptionRequires BSNAt Mercy Medical Center the Utilization Review/Appeals & Denials RN performs utilization review with payers, assists the physician with level of care determinations using screening criteria, and assists the physician, bedside Registered Nurse, ICC and Social Worker with...

Job DescriptionEmployment TypePart timeShiftRotating ShiftDescriptionRequires BSNAt Mercy Medical Center the Utilization Review/Appeals & Denials RN performs utilization review with payers, assists the physician with level of care determinations using screening criteria, and assists the physician, bedside Registered Nurse, ICC and Social Worker with...

Job DescriptionEmployment TypePart timeShiftRotating ShiftDescriptionRequires BSNAt Mercy Medical Center the Utilization Review/Appeals & Denials RN performs utilization review with payers, assists the physician with level of care determinations using screening criteria, and assists the physician, bedside Registered Nurse, ICC and Social Worker with...

Employment Type: Part time Shift: Rotating Shift Description: Requires BSN At Mercy Medical Center the Utilization Review/Appeals & Denials RN performs utilization review with payers, assists the physician with level of care determinations using screening criteria, and assists the physician, bedside Registered Nurse, ICC and Social Worker with utilization...

Job DescriptionThe role of the UM Outpatient Clinical Review Nurse is a key position within the Utilization Management department at Health New England.

Are you passionate about delivering high-quality patient care? Do you have expertise in utilization management and case coordination? If so, we encourage you to apply for the Inpatient Review Coordinator position at Molina Healthcare Services (HCS).As an Inpatient Review Coordinator, you will work closely with multidisciplinary teams to promote Molina Care...

Job Summary:PacificSource is seeking a skilled Healthcare Utilization Coordinator to join our healthcare services department. As a key member of our team, you will play a vital role in ensuring our members receive high-quality, cost-effective care.About the Role:In this role, you will work closely with physicians, nurses, social workers, and other medical...

Job DescriptionEmployment TypePart timeShiftRotating ShiftDescriptionRequires BSNAt Mercy Medical Center the Utilization Review/Appeals & Denials RN performs utilization review with payers, assists the physician with level of care determinations using screening criteria, and assists the physician, bedside Registered Nurse, ICC and Social Worker with...

Job DescriptionEmployment TypePart timeShiftRotating ShiftDescriptionRequires BSNAt Mercy Medical Center the Utilization Review/Appeals & Denials RN performs utilization review with payers, assists the physician with level of care determinations using screening criteria, and assists the physician, bedside Registered Nurse, ICC and Social Worker with...