RN-Utilization Review

Summary The Utilization Review Nurse is responsible for evaluating the medical necessity and appropriateness of healthcare services and treatment as prescribed by utilization review standards. The UR Nurse works with providers, insurance companies and patients to ensure cost-effective and appropriate care. Areas of work include status management, medical...

Summary The Utilization Review Nurse is responsible for evaluating the medical necessity and appropriateness of healthcare services and treatment as prescribed by utilization review standards. The UR Nurse works with providers, insurance companies and patients to ensure cost-effective and appropriate care. Areas of work include status management, medical...

About the JobWe are seeking a skilled Nurse Case Manager to join our team in Memphis, Tennessee. This 13-week assignment will provide you with an opportunity to work as a travel nurse RN Case Manager, specializing in Utilization Review.Job RequirementsSpecialty: Utilization ReviewDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment...

**Job Summary:**We are seeking a highly skilled Senior Manager to lead our utilization review and case management efforts. The successful candidate will be responsible for managing resources, supervising personnel, and implementing cost-effective solutions to achieve organizational goals.About the Role:The System Director-Case Management will oversee the...

Summary Manages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional needs identified during their hospitalization, illness, and/or life...

OverviewSaint Francis Healthcare is a 510-bed acute care hospital dedicated to providing high-quality, compassionate care to the Mid-South community.Estimated Salary:$62,900 per yearJob DescriptionThe RN Care Manager is responsible for facilitating care along a continuum through effective resource coordination to help patients achieve optimal health, access...

Maxim Healthcare in Memphis, TN 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,...

Maxim Healthcare in Memphis, TN 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...

Maxim Healthcare in 38017 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...

Maxim Healthcare in Memphis, TN 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...

Summary Manages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional needs identified during their hospitalization, illness, and/or life...

Summary Manages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional needs identified during their hospitalization, illness, and/or life...

Summary Manages the care for a specific population; facilitates the safe transition of patients throughout the continuum of care for appropriate utilization of resources, service delivery and compliance with federal and other payer requirements. Provides early assessment of transitional needs identified during their hospitalization, illness, and/or life...

Registered Nurse, Weekender A Brief Overview Provides professional nursing care to patients within assigned areas utilizing the nursing process to assess, plan, implement and evaluate patients. Perform assigned duties on the weekend shift. What you will do Provides nursing care according to medical regimen and the nursing interventions appropriate for the...

A Brief Overview Provides professional nursing care to patients within assigned areas utilizing the nursing process to assess, plan, implement and evaluate patients. Perform assigned duties on the weekend shift. What you will do Provides nursing care according to medical regimen and the nursing interventions appropriate for the patients# conditions and...

# Registered Nurse, Weekender Labor # Delivery A Brief Overview Provides professional nursing care to patients within assigned areas utilizing the nursing process to assess, plan, implement and evaluate patients. Perform assigned duties on the weekend shift. What you will do Provides nursing care according to medical regimen and the nursing interventions...

At Saint Francis Healthcare, we are dedicated to providing high-quality care to the Mid-South community. As a comprehensive medical center, we feature a broad spectrum of tertiary and acute care services, including Women's Services, Surgical Services, Bariatric Center of Excellence, and Behavioral Health.We are seeking a skilled RN Case Manager to join our...

About the RoleAs a RN-Case Manager Lead at Baptist Memorial Health Care, you will play a vital role in managing the care for a specific population. Your primary responsibility will be to facilitate the safe transition of patients throughout the continuum of care, ensuring appropriate utilization of resources, service delivery, and compliance with federal and...

Job Summary: We are seeking a skilled RN-Case Manager PRN to join our team at Baptist Memorial Health Care. This is a part-time position with a flexible schedule, working weekend days. The ideal candidate will have experience in case management and be knowledgeable about payer requirements and regulations.About the Role:The RN-Case Manager PRN will be...

Anticipated End Date:2025-03-31Position Title:LTSS Service Coordinator-RN ClinicianJob Description:LTSS Service Coordinator - RN ClinicianLocation: Shelby, Fayette, and Tipton CountiesSign-on Bonus:$2500This is a field position 4-5 days per weekThe LTSS Service Coordinator - RN Clinician is responsible for overall management of member's case within the scope...