Clinical Utilization Management RN

Job SummaryWe are seeking a skilled Utilization Management Clinical RN to join our team. In this role, you will be responsible for providing precertification of inpatient hospitalizations and outpatient procedures, as well as conducting telephonic and concurrent reviews of inpatient hospitalizations and extended courses of outpatient treatment.Key...

Job Summary:The Utilization Review Specialist is a key member of our healthcare team, responsible for ensuring the medical necessity of patient admissions and continued stays. This role requires a strong clinical background, excellent communication skills, and the ability to work collaboratively with physicians and other healthcare professionals.Key...

Job Title: Mobile Research NurseJob Type: Contract, PRN, Per diemHourly Rate: $55/hr onsite and $50/hr travel timeWork Location: Houston, Texas; On the roadJob Description:We are seeking a dedicated individual with current acute care or homecare experience and phlebotomy skills to work under the guidance of the principal study investigator and nursing...

h3Job Description/h3pAt Nexus Health Systems Ltd, we are seeking a skilled bClinical Utilization Review Specialist/b to join our team. As a key member of our healthcare team, you will play a vital role in ensuring the delivery of cost-effective quality care within an appropriate length of stay./ppbKey Responsibilities:/b/pulliMaintain patient confidentiality...

Job Title: Clinical Care Manager RNWe are seeking a highly skilled and compassionate Clinical Care Manager RN to join our team at Nursing Solutions. As a Clinical Care Manager RN, you will play a vital role in ensuring the delivery of high-quality patient care and services to our clients.Key Responsibilities:Assure direct care staff functions provide...

Job OverviewAxsendo Clinical is seeking a detail-oriented Clinical Research Coordinator to support our clinical trials on a part-time/prn basis. This role offers opportunities for professional growth and development, with potential for transition to a full-time position based on performance and project needs.Key Responsibilities:Assist in the planning,...

Software Engineering Manager PositionWe are seeking a highly skilled Software Engineering Manager to lead our team of software developers in the design, implementation, and maintenance of proprietary clinical research software products.The ideal candidate will have a strong background in Java, Angular, microservices, and DevOps practices, with experience in...

Job Title: Utilization Review RNJob Summary:We are seeking a skilled Utilization Review RN to join our team at St. Joseph Medical Center. As a Utilization Review RN, you will play a critical role in ensuring that patients receive the necessary care and services to achieve optimal health outcomes.Key Responsibilities:Conduct thorough reviews of patient...

Job SummaryThe Utilization Review Nurse is responsible for ensuring the medical necessity of patient admissions and continued stays. This role involves reviewing patient medical records, evaluating the appropriateness of care, and communicating with payors regarding clinical updates.Key Responsibilities Reviews patient medical records to collect data and...

The OpportunityAt Ortho Clinical Diagnostics, we are united by a shared passion for delivering innovative diagnostic solutions that transform the power of diagnostics into a healthier future for all. As a Clinical Lab Business Development Manager, you will play a pivotal role in driving our growth and success in the Red River Region. The RoleThis is a...

Job SummaryThe Utilization Review Nurse is responsible for ensuring the medical necessity of patient admissions and continued stays. This role involves reviewing patient medical records, evaluating the appropriateness of care, and collaborating with healthcare teams to optimize resource utilization.Key Responsibilities* Review patient medical records to...

Job SummaryWe are seeking a highly skilled and experienced Regional Director to lead our clinical research operations. The successful candidate will provide strategic leadership, project management, and oversight for multiple locations, ensuring the successful execution of clinical trials in accordance with Sponsor goals, Standard Operating Procedures...

Job Summary: We are seeking a highly skilled and experienced Hospital Information Technology Director to join our team at Clinical Management Consultants. The ideal candidate will possess strong clinical skills, a commitment to patient-centered care, and the ability to work effectively within a multidisciplinary team.Key Responsibilities:Develop and...

Job Summary:As a Utilization Review Nurse at Care, you will play a vital role in ensuring the highest quality patient care while promoting efficient resource utilization. Your expertise will be instrumental in facilitating critical criteria reviews, collaborating with managed care organizations, and maintaining accurate records. If you are a dedicated and...

Job SummaryUniversal Health Services is seeking a highly skilled Director of Utilization and Case Management to join our team. This is a challenging and rewarding role that requires strong leadership and management skills, as well as a deep understanding of the healthcare industry.Key ResponsibilitiesDirect and oversee the Utilization Management programs for...

Lead Clinical IT ServicesThe Hospital Information Technology Director will play a crucial role in delivering IT services to our Community Health System. This position requires strong clinical skills, a commitment to patient-centered care, and the ability to work effectively within a multidisciplinary team.Key Responsibilities:Develop and implement IT...

Job SummaryAs a Clinical Manager, RN, Operating Room, you will be responsible for providing leadership to the department, overseeing daily operations, managing and developing departmental staff, and collaborating with the interdisciplinary team in the delivery of patient care.The ideal candidate will have a strong background in nursing, with a minimum of...

Key Responsibilities:As a Clinical Nurse Educator in the ICU, you will assist management and clinical staff in developing and providing educational programs that enhance patient care and nursing practice.Key Skills: Demonstrates expertise in the teaching/learning process Utilizes Prophecy Assessments to identify learning needs Collaborates with nurse...

At Memorial Hermann Health System, we strive to deliver exceptional patient care while fostering a collaborative and supportive work environment.We are seeking a highly skilled RN Clinical Manager to lead our Operating Room department, overseeing daily operations and ensuring the delivery of high-quality patient care.The ideal candidate will possess strong...

Job TitleNurse Utilization SpecialistJob Summary:Elite is seeking a skilled Nurse Utilization Specialist to join our team. As a key member of our clinical review team, you will play a critical role in ensuring the medical necessity of treatment requests submitted by providers, requestors, claimants, or carriers.Responsibilities:Conduct thorough evaluations...