Utilization Review RN
3 days 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 is responsible for overseeing the admission review process to ensure compliance with medical necessity guidelines. This role includes clinical analysis, resource management, and coordination of care to prevent denials. Qualified candidates must possess an RN license and have at least three years of acute experience, with prior experience in Utilization Review preferred. Keywords: Utilization Review, Registered Nurse, Clinical Analysis, Healthcare Management, Admission Review, Resource Management, Nursing, Care Coordination, Denial Prevention, Healthcare Compliance
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Utilization Review RN
5 days ago
Washington, United States Norman Regional Health System Full timeOverview: 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 EducationClinical Analysis and Data ManagementClinical Care...
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RN Utilization Review
3 weeks ago
Washington, United States Medstar Full timeConducts admission, concurrent, and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital disciplines to ensure high-quality patient care in the most efficient way.\r Education Associate's degree in Nursing required Bachelor's...
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Utilization Review RN
7 days ago
Washington, OK, United States Norman Regional Health System Full timeOverview: 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...
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Utilization Review Nurse
4 days ago
Washington, United States Medix Full timeUtilization Review Nurse Are you a LPN or an RN with Utilization Review experience? We are hiring for a Utilization Review Nurse in Washington, D.C! This is a great opportuntiy to work with a leading healthcare organization in the DMV! Details are outlined below, interviews are actively going on, apply today!! Overview Day to day Health plan experience...
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Registered Nurse
2 weeks ago
Washington, United States MEDSTAR HEALTH Full timeConducts admission, concurrent, and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital disciplines to ensure high-quality patient care in the most efficient way.EducationAssociate's degree in Nursing required Bachelor's degree...
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Utilization Review RN
6 days ago
Washington, OK, United States Norman Regional Health System Full timeOverview: 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 EducationClinical Analysis and Data ManagementClinical Care...
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Registered Nurse
2 weeks ago
Washington, United States MEDSTAR HEALTH Full timeConducts admission, concurrent, and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital disciplines to ensure high-quality patient care in the most efficient way.EducationAssociate's degree in Nursing required Bachelor's degree...
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Registered Nurse
2 weeks ago
Washington, United States MEDSTAR HEALTH Full timeConducts admission, concurrent, and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital disciplines to ensure high-quality patient care in the most efficient way.EducationAssociate's degree in Nursing required Bachelor's degree...
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Registered Nurse
2 weeks ago
Washington, United States MEDSTAR HEALTH Full timeConducts admission, concurrent, and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital disciplines to ensure high-quality patient care in the most efficient way.EducationAssociate's degree in Nursing required Bachelor's degree...
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Registered Nurse
2 weeks ago
Washington DC, United States MEDSTAR HEALTH Full timeConducts admission, concurrent, and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital disciplines to ensure high-quality patient care in the most efficient way. Education Associate's degree in Nursing required Bachelor's...
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Registered Nurse
2 weeks ago
Washington, DC, United States MEDSTAR HEALTH Full timeConducts admission, concurrent, and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital disciplines to ensure high-quality patient care in the most efficient way.EducationAssociate's degree in Nursing required Bachelor's degree...
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Registered Nurse
2 weeks ago
Washington DC, United States MEDSTAR HEALTH Full timeConducts admission, concurrent, and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital disciplines to ensure high-quality patient care in the most efficient way. Education Associate's degree in Nursing required ...
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RN Utilization Review
3 months ago
Washington, United States MEDSTAR HEALTH Full timeGeneral Summary of PositionConducts admission, concurrent, and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital disciplines to ensure high-quality patient care in the most efficient way. Primary Duties and...
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Registered Nurse
2 weeks ago
Washington, DC, United States MEDSTAR HEALTH Full timeConducts admission, concurrent, and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital disciplines to ensure high-quality patient care in the most efficient way.EducationAssociate's degree in Nursing required Bachelor's degree...
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washington, United States Norman Regional Health System Full timeOverview: 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 EducationClinical Analysis and Data ManagementClinical Care...
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Registered Nurse
2 weeks ago
Washington DC, DC, United States MEDSTAR HEALTH Full timeConducts admission, concurrent, and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital disciplines to ensure high-quality patient care in the most efficient way. Education Associate's degree in Nursing required Bachelor's...
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Registered Nurse
2 weeks ago
Washington, DC, United States MEDSTAR HEALTH Full timeConducts admission, concurrent, and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital disciplines to ensure high-quality patient care in the most efficient way.EducationAssociate's degree in Nursing required Bachelor's degree...
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Registered Nurse
2 weeks ago
Washington, DC, United States MEDSTAR HEALTH Full timeConducts admission, concurrent, and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital disciplines to ensure high-quality patient care in the most efficient way.EducationAssociate's degree in Nursing required Bachelor's degree...
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Registered Nurse
2 weeks ago
Washington, District of Columbia, 20007, Arlington County, VA, United States MEDSTAR HEALTH Full timeConducts admission, concurrent, and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital disciplines to ensure high-quality patient care in the most efficient way.EducationAssociate's degree in Nursing required Bachelor's...
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Nurse Reviewer
2 weeks ago
Washington, United States Seneca Holdings Full timeGreat Hill Solutions is part of the Seneca Nation Group (SNG) portfolio of companies. SNG is the federal government contracting business wholly owned by the Seneca Nation. SNG meets mission-critical needs of federal civilian, defense, and intelligence community customers across a variety of domains. The SNG portfolio receives shared services support from its...