Case Manager Utilization Review RN

Job Title: Utilization Review NurseWe are seeking a skilled Utilization Review Nurse to join our team at Children's Health. As a Utilization Review Nurse, you will play a critical role in ensuring that our patients receive the most appropriate and effective care possible.Responsibilities:Conduct thorough reviews of patient records to determine medical...

Job Title & Specialty Area:Utilization Management RNDepartment:Utilization ReviewLocation:DallasShift:Day, M-F (This position does provide some flexibility in start/end time, and does require availability to be on campus for meetings)Job Type:RemoteAbout the Role:The Utilization Management Nurse is responsible for determining and managing medical necessity...

Job Title: Utilization Review NurseChildren's Health is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring that our patients receive the most appropriate and effective care.Responsibilities:Conduct thorough reviews of patient records to determine medical necessity and...

Job Title: Utilization ReviewrnAt Children's Health, our mission is to Make Life Better for Children for 110 years, and generation to come. We recognize that their health plays a crucial role in achieving this goal.Through our cutting-edge treatments and affiliation with UT Southwestern, we strive to deliver an extraordinary patient and family experience,...

Job Title: Utilization Review RNChildren's Health is seeking a skilled Utilization Review Registered Nurse to join our team. As a Utilization Review RN, you will play a critical role in ensuring that our patients receive the highest quality care while minimizing unnecessary costs.Key Responsibilities:Conduct thorough reviews of patient records to determine...

Job SummaryWe are seeking a highly skilled and experienced Director of Utilization Review to join our team at Addiction and Mental Health Services, LLC.The successful candidate will be responsible for overseeing the coordination of insurance certification, including precertification and continued stay reviews, as well as ensuring timely completion of...

Job SummaryUT Southwestern Medical Center is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring that patients receive the most appropriate level of care while minimizing unnecessary hospital stays.Key ResponsibilitiesConduct medical certification reviews for medical necessity...

Job SummaryAs a Clinical Utilization Review Nurse at the University of Texas Southwestern Medical Center, you will play a critical role in ensuring the highest quality of care for our patients. Your primary responsibility will be to conduct medical certification reviews for medical necessity for acute care facilities and services. You will use nationally...

Job SummaryAs a Clinical Utilization Review Specialist at the University of Texas Southwestern Medical Center, you will play a crucial role in ensuring the highest quality of care for our patients. Your primary responsibility will be to conduct medical certification reviews for medical necessity for acute care facilities and services.You will use nationally...

Job SummaryAs a Clinical Utilization Review Nurse at the University of Texas Southwestern Medical Center, you will play a critical role in ensuring the appropriate level of care for patients. You will conduct medical certification reviews for medical necessity, using nationally recognized guidelines to recommend the level of care to physicians. Your...

About the JobThis position is responsible for implementing and coordinating all utilization management functions relating to pre-certification of outpatient services. The LVN Case Manager in this capacity is responsible for coordinating authorizations and workflow, direction, organization, and monitoring of authorizations/utilization management. Coordinates...

Job Title & Specialty Area: Utilization Management NurseDepartment: Utilization ReviewLocation: DallasShift: Day, M-F (This position does provide some flexibility in start/end time, and does require availability to be on campus for meetings)Job Type: RemoteAt Children's Health, our mission is to Make Life Better for Children, and we recognize that their...

Job SummaryAs a Utilization Review Registered Nurse at UT Southwestern Medical Center, you will play a critical role in ensuring the highest quality of care for our patients. Conduct medical certification reviews for medical necessity, utilizing nationally recognized guidelines to recommend the appropriate level of care. Collaborate with physicians and other...

Job OpportunityWe are seeking a skilled Physician Reviewer to join our team at Dane Street, LLC.About the Role:This telework opportunity provides the flexibility to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor.Key...

Job Title: Nurse Case ManagerParkland Health and Hospital System (PHHS) is seeking a skilled Nurse Case Manager to join our team. As a key member of our healthcare team, you will play a vital role in ensuring the health and well-being of our patients and communities.Job Summary:The Nurse Case Manager will be responsible for daily case management and care...

Job Title: Nurse Case ManagerParkland Health and Hospital System (PHHS) is seeking a skilled Nurse Case Manager to join our team. As a key member of our healthcare team, you will play a vital role in ensuring the health and well-being of our patients and communities.Job Summary:The Nurse Case Manager will be responsible for daily case management and care...

Job OpportunityWe are seeking a skilled Physician Reviewer to join our team at Dane Street, LLC.About the RoleThe successful candidate will utilize their clinical expertise to review insurance appeals, prospective and retrospective claims, and provide an interpretation of the medical necessity of services provided by other healthcare professionals.Key...

Job Title: Medical Review SpecialistConcentra is seeking a Medical Review Specialist to join our team. As a Medical Review Specialist, you will be responsible for reviewing medical files and providing recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family...

Job SummaryThe Facility Case Management Director is responsible for overseeing and coordinating department activities to ensure optimal clinical resource utilization and continuity of care.This leadership role requires a registered nurse with expertise in case management, who can effectively engage interdisciplinary teams and external stakeholders to achieve...

Job Title: Case ManagerBaylor Scott & White Medical Center – Uptown is a joint venture surgical hospital between Baylor Scott & White Health (BSWH), United Surgical Partners International (USPI), and local physicians.The hospital provides a wide range of medical and surgical services to the greater North Texas area.Job SummaryThe Case Manager will be the...