RN Utilization Management: Optimize Care
24 hours ago
An established industry player is seeking a dedicated RN for Utilization Management, responsible for overseeing the care assignment process for patients. This role involves analyzing clinical data to ensure appropriate insurance authorization, maximizing reimbursement, and preventing denials. The ideal candidate will possess strong nursing skills, particularly in case management, and will have a Bachelor's in Nursing. Join a collaborative environment focused on performance improvement and patient care excellence, where your contributions will have a meaningful impact on healthcare delivery and patient outcomes. #J-18808-Ljbffr
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Registered Nurse
20 hours ago
Egg Harbor Twp, United States IntelyCare Full timeRN Utilization Management The RN Utilization Management is responsible for the overall Utilization Management process for assigned patient population. This includes reviewing clinical information to determine the appropriate level of care assignment, along with the completion and submission of reviews to insurance payers with appropriate follow-up. The RN...
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Registered Nurse
2 weeks ago
Egg Harbor Twp, United States Ohioleaguefornursing Full timeAtlantiCare Regional Medical Center All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. Description POSITION SUMMARY The RN Utilization Management is responsible for the overall Utilization Management...
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RN Utilization Management: Care Coordination
3 weeks ago
Egg Harbor Township, United States Ohioleaguefornursing Full timeA healthcare facility in Egg Harbor Township is seeking an RN for Utilization Management. The RN is responsible for reviewing clinical information to determine the appropriate level of care and submitting reviews to insurance payers. Candidates must have a Bachelor's in Nursing and a current New Jersey RN license. Experience in utilization and insurance case...
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Registered Nurse
6 days ago
Egg Harbor Twp, NJ, United States Ohioleaguefornursing Full timeAtlantiCare Regional Medical Center All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. Description POSITION SUMMARY The RN Utilization Management is responsible for the overall Utilization Management...
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Registered Nurse
1 week ago
Egg Harbor Twp, NJ, United States Ohioleaguefornursing Full timeAtlantiCare Regional Medical Center All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. Description POSITION SUMMARY The RN Utilization Management is responsible for the overall Utilization Management...
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Registered Nurse
2 days ago
Egg Harbor Twp, NJ, United States Ohioleaguefornursing Full timeAtlantiCare Regional Medical Center All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. Description POSITION SUMMARY The RN Utilization Management is responsible for the overall Utilization Management...
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Registered Nurse
2 days ago
Egg Harbor Twp, NJ, United States Ohioleaguefornursing Full timeAtlantiCare Regional Medical Center All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. Description POSITION SUMMARY The RN Utilization Management is responsible for the overall Utilization Management...
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Egg Harbor Township, United States AtlantiCare Full timeJob Description Position: Physician Advisor, Clinical Documentation Improvement & Utilization Management PRIMARY SCOPE OF SERVICE: The Physician Advisor CDI/UM works closely with the medical staff leadership, the entire medical staff, including resident physician house staff, and coding and CDI to ensure physician clinical documentation is accurate and...
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Egg Harbor City, New Jersey, United States AtlantiCare Full time $60,000 - $90,000 per yearPosition SummaryThe Utilization Management Administrative coordinator role provides administrative coordination to the Utilization Management staff and Revenue Integrity Team. This position is primarily responsible for assisting the Utilization Review RN, Physician Advisor, Revenue Integrity Team and HIM records release to obtain/validate authorization from...
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Registered Nurse
3 weeks ago
Egg Harbor Township, United States Ohioleaguefornursing Full timeAtlantiCare Regional Medical Center All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. Description POSITION SUMMARY The RN Utilization Management is responsible for the overall Utilization Management...