Current jobs related to Utilization Review Nurse - Bremen - NeuroPsychiatric Hospitals
-
Nursing Assistant
2 months ago
Bremen, United States Beacon Health System Full timeSummary Reports to Patient Care Services Manager. Assist patients with performing activities of daily living when delegated by RN. Keeps the nurse up to date on any changes in patient information. Exhibits exceptional patient experience by upholding Beacon values of respect, trust integrity and compassion. Functions within the relationship-based care...
-
Nurse Practitioner
4 weeks ago
Bremen, Indiana, United States Matrix Medical Network Full timeAbout Matrix Medical NetworkMatrix Medical Network is a leading provider of clinical services and expertise that give primary care providers and at-risk health plan members the tools and knowledge to better manage their health at home.We offer a broad range of clinical services, including home risk assessments, medical history reviews, and health education....
-
Nurse Practitioner
3 weeks ago
Bremen, Indiana, United States Matrix Medical Network Full timeAbout Matrix Medical NetworkMatrix Medical Network is a leading provider of clinical services and expertise that empower primary care providers and at-risk health plan members to better manage their health at home.We offer a broad range of clinical services, including home risk assessments, medical history reviews, and health education, to help individuals...
-
Nurse Practitioner Position
2 weeks ago
Bremen, Georgia, United States Tanner Health System Full timeJob SummaryTanner Health System is seeking a highly skilled Nurse Practitioner or Physician Assistant to join our team at Tanner Primary Care of Bremen. As a key member of our healthcare team, you will provide exceptional patient care and services in a clinic-based setting.ResponsibilitiesProvide patient evaluation, assessment, and treatment in the medical...
-
Nurse Practitioner
2 weeks ago
Bremen, Indiana, United States Matrix Medical Network Full timeAbout Matrix Medical NetworkMatrix Medical Network is a leading provider of clinical services and proven expertise that give primary care providers and at-risk health plan members the tools and knowledge to better manage their health at home.We offer a broad range of clinical services, including home risk assessments, medical history reviews, and health...
-
Registered Nurse
5 months ago
Bremen, United States Beacon Health System Full timeSummary Reports to the Manager of Patient Care Services. Provides professional nursing services. Assesses the needs of patients and initiates, implements and evaluates individualized plans of care. Collaborates with other professional, clinical and ancillary staff in providing quality care to patients. MISSION, VALUES and SERVICE GOALS MISSION:...
-
Nurse Practitioner
4 weeks ago
Bremen, Indiana, United States Hueman Risk Adjustment Full timeJob OpportunityHueman Risk Adjustment is actively seeking a skilled Nurse Practitioner to conduct in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in the Bremen, IN area.This unique opportunity offers a flexible schedule, allowing you to balance your professional goals with your personal preferences. As a Nurse Practitioner with...
-
Nurse Practitioner
3 weeks ago
Bremen, Indiana, United States Hueman Risk Adjustment Solutions Full timeJoin Our Team as a Nurse Practitioner for Home VisitsHueman Risk Adjustment Solutions is actively seeking a skilled Nurse Practitioner to join our team for a part-time opportunity. As a Nurse Practitioner, you will have the chance to interact with patients in a more intimate setting, conducting comprehensive, non-invasive physical assessments and providing...
-
Registered Nurse
4 weeks ago
Bremen, United States Beacon Health System Full timeReports to the Manager of Patient Care Services. Provides professional nursing services. Assesses the needs of patients and initiates, implements and evaluates individualized plans of care. Collaborates with other professional, clinical and ancillary staff in providing quality care to patients. MISSION, VALUES and SERVICE GOALS MISSION: We deliver...
-
Bremen, Georgia, United States Tanner Health System Full timeJob Summary:Tanner Health System is seeking a dedicated and compassionate Nurse Practitioner or Physician Assistant to join our team at Tanner Primary Care of Bremen. As a key member of our healthcare team, you will provide high-quality patient care through evaluation, assessment, and treatment in a clinic-based setting.Responsibilities:Provide patient...
-
Nurse Practitioner
3 weeks ago
Bremen, United States Tanner Health Full timeTanner Health System is recruiting a full-time Nurse Practitioner OR Physician Assistant to work at Tanner Primary Care of Bremen in a clinic-based position. The Nurse Practitioner or Physician Assistant provides patient services through the performance of patient evaluation, assessment and treatment in the medical office setting as allowed by state...
-
Registered Nurse
4 months ago
Bremen, United States Beacon Health System Full timeReports to the Manager of Patient Care Services. Provides professional nursing services. Assesses the needs of patients and initiates, implements and evaluates individualized plans of care. Collaborates with other professional, clinical and ancillary staff in providing quality care to patients. MISSION, VALUES and SERVICE GOALS MISSION: We deliver...
-
Nurse: RN or LPN
4 weeks ago
Bremen, United States Highland Rivers Behavioral Health Full timeJob DescriptionThere is a place for you at Highland Rivers Behavioral Health!Highland Rivers Behavioral Health provides treatment and recovery services to individuals impacted by mental illness, substance use disorders and intellectual developmental disabilities.JOB SUMMARY:The RN or LPN will be working in a Mental Health environment. RN or LPN will provide...
-
Nurse Practitioner
6 days ago
Bremen, United States Tanner Health System Full timeTanner Health System is recruiting a full-time Nurse Practitioner OR Physician Assistant to work at Tanner Primary Care of Bremen in a clinic-based position. The Nurse Practitioner or Physician Assistant provides patient services through the performance of patient evaluation, assessment and treatment in the medical office setting as allowed by state...
-
Nurse Practitioner NP, Part-Time, HRA
3 weeks ago
Bremen, United States Hueman Risk Adjustment Solutions Full timeDescription Hueman is actively hiring Nurse Practitioners to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in and around Bremen, IN. This unique opportunity adapts to your lifestyle, giving you the freedom to achieve your professional goals on your terms, all while enjoying a schedule designed with your preferences in...
-
Insurance Specialist
18 hours ago
Bremen, United States Tanner Health System Full timeThe Insurance Specialist is responsible for day-to-day processing and follow-up of all insurance Authorizations and precerts, review of trial balances to identify and resolve problem area, formulation of action plans, prioritization of work, and analysis of results and customer service functions. Timely follow up to avoid untimely write offs and significant...
-
Insurance Specialist
14 hours ago
Bremen, United States Tanner Health System Full timeThe Insurance Specialist is responsible for day-to-day processing and follow-up of all insurance Authorizations and precerts, review of trial balances to identify and resolve problem area, formulation of action plans, prioritization of work, and analysis of results and customer service functions. Timely follow up to avoid untimely write offs and significant...
-
Healthcare Professional
7 days ago
Bremen, Indiana, United States Hueman Risk Adjustment Full timeAbout the RoleHueman Risk Adjustment is actively seeking a skilled Nurse Practitioner to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in the surrounding area.This unique opportunity offers flexibility and autonomy, allowing you to work on your own terms while enjoying a schedule designed with your preferences in mind.Key...
-
Physical Therapist
1 month ago
Bremen, United States Aequor Technologies Full timeHighlights Location Bremen, GA Pay Rate Up to: $1862.44/Week Start Date Oct 14, 2024 to Jan 11, 2025 Duration 13 weeks Number of Positions 1 Remote Position Type On-Site Work Only Shift Type Days Hours Per Day 8 Hours Discipline Physical Therapist (PT) Skills Outpatient Description Published Description: Job Title: Outpatient...
-
Physical Therapist
3 weeks ago
Bremen, United States Aequor Technologies Full timeHighlights Location Bremen, GA Pay Rate Up to: $1862.44/Week Start Date Nov 11, 2024 to Feb 9, 2025 Duration 13 weeks Number of Positions 1 Remote Position Type On-Site Work Only Shift Type Days Hours Per Day 8 Hours Discipline Physical Therapist (PT) Skills Outpatient Description Published Description: Job Title: Outpatient Physical...
Utilization Review Nurse
3 months ago
HEALING THE BODY AND MIND
Founded fifteen (15) years ago, NeuroPsychiatric Hospital is the largest hospital system in the nation providing care to patients with both neurological and medical needs. We are unique in that we serve a population which others have been previously been unable to, largely due the patient's underlying medial issues. Our facilities maintain an inter-disciplinary focus using a multi-specialty approach for both neuropsychiatric and complex medical care issues. This proven approach provides unrivaled quality care for all of our patients. We have multiple locations throughout the United States and are continuing to add locations to ensure better access to our unique model of care.
Overview
Neuropsychiatric Hospitals is looking for a Utilization Review Nurse (RN) to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams. This will provide service to our utilization review team at our Bremen location.
Benefits of joining NPH
- Competitive pay rates
- Medical, Dental, and Vision Insurance
- NPH 401(k) plan with up to 4% Company match
- Employee Assistance Program (EAP) Programs
- Generous PTO and Time Off Policy
- Special tuition offers through Capella University
- Work/life balance with great professional growth opportunities
- Employee Discounts through LifeMart
- Filing documents as needed.
- Initial Precertification with payors.
- Concurrent Clinical review with payors.
- Document in the electronic system daily in real time.
- Admission audit.
- Ensures that CON's/RON's and CMS certifications are completed by provider.
- Consistently demonstrates professionalism with all internal and external customers as evidenced by positive customer and peer Communicates effectively with all staff and patients as evidenced by the establishment and maintenance of productive working relationships.
- Maintains knowledge of current trends and developments in the field by reading appropriate books; journals and other literature and attending related seminars or conferences.
- Maintains a professional approach with Assures protection and privacy of health information as attained through written, electronic or oral disclosures.
- Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
- Seeks guidance and remains knowledgeable of, and complies with, all applicable federal and state laws, as well as hospital polices that apply.
- Complies with hospital expectations regarding ethical behavior and standards of conduct.
- Complies with federal and hospital requirements in the areas of protected health information and patient information.
- Reconsiderations, assists with appeals as needed, arrange peer to peer level reviews, and report the outcomes to the VP of Care Management and Team.
- Provides education to nursing staff. leadership team, and providers regarding documentation.
- Actively works with the business office regarding resolution of appeals/denials and retrospective reviews.
Qualifications
Education: Must have graduated from an accredited school of nursing.
Licensure: Registered Nurse (RN) or Licensed Practical Nurse (LPN) in the state of Indiana required
Skills: Must have strong knowledge of medications and demonstrate exceptional time management, data entry, and communication skills. Must be detail oriented.
