Utilization Review Coordinator

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at San Antonio Behavioral Health. As a key member of our healthcare team, you will play a critical role in ensuring the effective and efficient use of hospital services.Key ResponsibilitiesEvaluate patient medical records to assess the appropriateness and quality of...

Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at San Antonio Behavioral Health. As a key member of our healthcare team, you will play a critical role in ensuring that patients receive the most appropriate care for their condition.Key ResponsibilitiesConduct thorough utilization reviews to determine the medical...

About the Role:The Clinical Utilization Specialist is responsible for conducting thorough reviews of assigned admissions, continued stays, and discharge planning to ensure compliance with established clinical criteria and regulatory requirements.Key Responsibilities:Perform admission, concurrent, continued stay, and retrospective reviews using established...

Job Summary:The RN Utilization Review II is a key member of the healthcare team, responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role involves performing pre-admission, concurrent, and retrospective reviews to ensure that patients receive the most effective and efficient...

Job SummaryThe RN Utilization Review II is a key member of our healthcare team, responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role involves performing pre-admission, concurrent, and retrospective reviews to ensure compliance with regulatory requirements and industry...

Job SummaryThe RN Utilization Review Specialist is a key member of the healthcare team at Christus Health, responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role involves performing pre-admission, concurrent, and retrospective reviews to ensure that patients receive the most...

Job Summary:The RN Utilization Review Specialist is responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role involves performing pre-admission, concurrent, and retrospective reviews to ensure compliance with regulatory requirements and industry standards. The RN Utilization...

Job Summary:The RN Utilization Review Specialist is responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role involves performing pre-admission, concurrent, and retrospective reviews to ensure that services are necessary and meet regulatory requirements. The ideal candidate will...

Job Title: Registered Nurse - Utilization Review and Case Management at Christus HealthJob Summary:The Registered Nurse - Utilization Review and Case Management is responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This RN will perform a variety of pre-admission, concurrent, and...

Position Overview: The Registered Nurse - Utilization Review Specialist plays a crucial role in assessing the clinical necessity of patient care and optimizing the use of hospital resources. Key Responsibilities: Utilize established screening criteria such as InterQual, MCG, and CMS Inpatient List to evaluate patient care.Manage a varied workload effectively...

Job Summary:The RN Utilization Review Specialist is responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role involves performing pre-admission, concurrent, and retrospective reviews to ensure that services are necessary and properly utilized. The RN must be able to competently...

Job Summary:The RN Utilization Review Specialist is responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role involves performing pre-admission, concurrent, and retrospective reviews to ensure compliance with regulatory requirements and approved screening criteria. The ideal...

Job Summary:The RN Utilization Review Specialist is responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role involves performing pre-admission, concurrent, and retrospective reviews to ensure compliance with regulatory requirements and industry standards. The ideal candidate...

Are you driven by a desire to make a meaningful impact in healthcare? At OptumCare, we believe that transforming lives begins with the values we uphold and the dedication we exhibit in our roles. The Clinical Operations Coordinator plays a crucial role in supporting the Utilization Management (UM) department by overseeing various administrative tasks related...

Job SummaryThe Utilization Management Nurse III is a key member of the healthcare team, responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role requires a strong clinical background, excellent communication skills, and the ability to navigate complex regulatory...

Job SummaryWe are seeking a highly skilled CLS Provider Utilization Coordinator Specialist to join our team at QTC Management, Inc. This role will be responsible for coordinating with clinic office managers and business partner agencies to maximize clinic capacity.Key ResponsibilitiesCommunication and Coordination: Consistently and effectively communicate...

Job SummaryThe Utilization Management Nurse III is a key member of the healthcare team at Christus Health, responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role requires a strong clinical background, excellent communication skills, and the ability to work in a fast-paced...

Job SummaryThe Texas Department of Aging & Disability Services is seeking a highly skilled Nurse II - Utilization Review Specialist to join our team. As a key member of our Utilization Review team, you will play a critical role in ensuring that individuals served in our waiver programs and Community Attendant Services receive the appropriate type and amount...

Job SummaryThe Utilization Management Nurse III is a key member of the healthcare team at CHRISTUS Health, responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role requires a strong clinical background, excellent communication skills, and the ability to work effectively in a...

Job Title: Concurrent Review Nurse - RNJob Type: ContractLocation: RemoteJob Description:Job SummaryWe are seeking a highly skilled Concurrent Review Nurse - RN to join our team at Pyramid Consulting, Inc. As a Concurrent Review Nurse, you will be responsible for managing facilities for acute care in patient stays, conducting initial reviews, concurrent stay...