Utilization Review Registered Nurse

The Utilization Review Nurse performs prospective and retrospective reviews for post-acute care services. The purpose and goal of utilization management is to assure that Wellsky’s population receives medically necessary services in the appropriate setting, with the appropriate provider, and at the appropriate level of care. This position is responsible...

The Utilization Review Nurse performs prospective and retrospective reviews for post-acute care services. The purpose and goal of utilization management is to assure that Wellsky’s population receives medically necessary services in the appropriate setting, with the appropriate provider, and at the appropriate level of care. This position is responsible...

The Utilization Review Nurse performs prospective and retrospective reviews for post-acute care services. The purpose and goal of utilization management is to assure that Wellsky’s population receives medically necessary services in the appropriate setting, with the appropriate provider, and at the appropriate level of care. This position is responsible...

The Utilization Review Nurse performs prospective and retrospective reviews for post-acute care services. The purpose and goal of utilization management is to assure that Wellsky’s population receives medically necessary services in the appropriate setting, with the appropriate provider, and at the appropriate level of care. This position is responsible...

The Utilization Review Nurse performs prospective and retrospective reviews for post-acute care services. The purpose and goal of utilization management is to assure that Wellsky's population receives medically necessary services in the appropriate setting, with the appropriate provider, and at the appropriate level of care. This position is responsible for...

The Utilization Review Nurse performs prospective and retrospective reviews for post-acute care services. The purpose and goal of utilization management is to assure that Wellsky’s population receives medically necessary services in the appropriate setting, with the appropriate provider, and at the appropriate level of care. This position is responsible...

Position Overview:The Utilization Review Nurse is responsible for conducting both prospective and retrospective evaluations for post-acute care services. The primary objective of utilization management is to ensure that WellSky's population receives necessary medical services in the correct environment, with the right provider, and at the suitable level of...

Position Overview:The Clinical Utilization Review Nurse is responsible for conducting both prospective and retrospective evaluations of post-acute care services. The primary objective of utilization management is to ensure that WellSky's patient population receives necessary medical services in the right environment, with the right provider, and at the right...

Position Overview:The Utilization Review Nurse is tasked with conducting both prospective and retrospective evaluations for post-acute care services. The primary objective of utilization management is to ensure that WellSky's patient population receives medically necessary interventions in the correct environment, with the right provider, and at the suitable...

Utilization Review Specialist Category Legal Job Locations US-MN-Brooklyn Park Type Regular Full-Time About Us We are a psychiatric healthcare system, dedicated to providing mental healthcare for all, with seven locations in the Minneapolis/St. Paul metro area, and two additional sites located in Rochester and Mankato. With a robust...

Utilization Review SpecialistCategoryLegalJob LocationsUS-MN-Brooklyn ParkTypeRegular Full-TimeAbout UsWe are a psychiatric healthcare system, dedicated to providing mental healthcare for all, with seven locations in the Minneapolis/St. Paul metro area, and two additional sites located in Rochester and Mankato. With a robust benefits package, career...

VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Cliffside Park, New Jersey.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNStart Date: ASAPDuration: OngoingEmployment Type: StaffResolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines ...

Home Health Registered Nurse Our hospital is seeking a Registered Nurse to join our Home Health Care team. In this role, you will provide direct nursing care to patients and families outside the hospital setting. You will coordinate home healthcare activities and ensure adherence to Hospital and Departmental Policies and Procedures. Qualifications: Program...

UNM Hospitals participates in the Clinical Advancement Program (CAP) and depending on your Nursing Education and National Certifications, you’ll work towards one of five CAP levels that offer increasing compensation. You may earn up to $8.00 in addition to base pay.Sign-on Bonus and Relocation Reimbursement available!Receive 17% weekday nights, 26% weekend...

We are seeking candidates for a contract role to cover for a Utilization Review RN on medical leave for 8 weeks . There is potential for extension or transition to contract-to-hire based on performance. This contract will be working at/supporting a Managed Care Organization (MCO) Job Description: Target Start Date: Monday, July 22nd or Monday, July 29th ...

Nurse Case Manager - Per Diem We are seeking a Nurse Case Manager to oversee patient care and ensure quality outcomes. The Nurse Case Manager will manage treatment plans, collaborate with healthcare professionals, and engage patients and their families to ensure their needs are met. Additionally, the Nurse Case Manager will be responsible for coordinating...

Department: Utilization Management FTE: 1.00 Shift: Days Position Summary: Coordinate care management orientation and professional development activities Serve as a staff resource regarding case management, professional practice, accreditation and licensure regulations Contribute to professional knowledge and to educational mission Ensure adherence...

UNM Hospitals participates in the Clinical Advancement Program (CAP) and depending on your Nursing Education and National Certifications, you’ll work towards one of five CAP levels that offer increasing compensation. You may earn up to $8.00 in addition to base pay.Sign-on Bonus and Relocation Reimbursement available!Receive 17% weekday nights, 26% weekend...

ICU Inpatient Registered Nurse Sign-on Bonus and Relocation Assistance available! Receive additional compensation for CAP levels and shift differentials! Department: Trauma/Surgical ICU FTE: 0.90 Full Time Shift: Nights Position Summary: Provide direct nursing care to assigned patients, demonstrate clinical leadership, and ensure adherence to hospital...

Department: Inpatient Float PoolFTE: 0.05Casual Pool (as needed)Shift: NightsPosition Summary:Work within the nursing process to provide direct nursing care to assigned patients consistent with clinical specialty (PCU/ICU/ED etc.), independent of patient location. Serve as a role model to promote a positive work environment and quality patient care. Ensure...