Clinical Utilization Review Nurse

Position Overview:The Utilization Management (UM) Program is designed with a focus on providers, necessitating professional collaboration with clinical personnel from Acute Inpatient Hospitals and Post-Acute Care facilities, as well as physicians. This role does not involve direct interaction with members or patients.Objective:The primary aim of the UM...

Job SummaryNew Oakland Family Centers is seeking a skilled Clinical Utilization Review Specialist to join our team. As a key member of our multidisciplinary team, you will be responsible for providing high-quality care to clients in our Partial Hospitalization Program and Outpatient Program.Key ResponsibilitiesComplete Utilization Review assignments,...

Job Summary:Harbor Oaks Hospital is seeking a skilled Utilization Review Manager to join our team. As a key member of our healthcare team, you will be responsible for optimizing reimbursement for the facility while maximizing use of patient benefits.Key Responsibilities:Provide consultation and guidance regarding admissions and patient length of stay to...

Position:Registered NurseLocation:RemoteJob Type:10-month contract with potential for extensionOverview:The role of the Registered Nurse focuses on the evaluation of clinical documentation submitted by healthcare facilities. This position requires the application of InterQual criteria and necessitates effective communication skills to interact with clinical...

Position:Registered NurseLocation:RemoteJob Type:10-month contract with potential for extensionOverview:The role of the Registered Nurse focuses on the assessment and evaluation of clinical documentation submitted by healthcare facilities. This position requires the application of InterQual criteria and the ability to engage professionally with clinical...

Position Overview:The Registered Nurse plays a critical role in evaluating and overseeing patient care across various settings. This position involves a thorough review of inpatient, outpatient, and ancillary services to ensure that all medical procedures are justified, appropriate in duration, and meet the necessary care standards.Key...

Position:Registered NurseLocation:RemoteJob Type:10-month contract with potential for extensionOverview and Key Responsibilities:The role of the Registered Nurse involves a thorough examination of clinical documentation supplied by healthcare facilities. This position requires the application of InterQual criteria and necessitates professional interaction...

Position:Registered NurseLocation:RemoteJob Type:10-month contract with potential for extensionOverview and Key Responsibilities:The role of the Registered Nurse involves the assessment and evaluation of clinical documentation submitted by healthcare facilities. This position requires the application of InterQual criteria and necessitates effective...

Why Join Us:Arizona College of Nursing is excited to announce new teaching opportunities for the upcoming semester. We are looking for qualified nursing professionals with a Master's or Doctorate degree to become part-time/adjunct Clinical Faculty for our Med Surg program.These positions involve in-person instruction and offer competitive compensation....

Job Title: Travel Nurse RN SpecialistJob Summary: Nurse First is seeking a skilled Travel Nurse RN Specialist to join our team in a CVOR travel nursing position. As a Travel Nurse RN Specialist, you will have the opportunity to work in a dynamic and challenging environment, providing high-quality patient care and contributing to the success of our healthcare...

Overview:The Clinical Nurse Specialist (CNS) plays a vital role in providing direct patient care and showcases proficient clinical skills. This position involves triaging patients, gathering medical history and vital signs, and conducting thorough assessments. The CNS acts autonomously to deliver immediate care in critical situations when a physician is...

Overview:This role encompasses a range of integrated nursing functions, employing the nursing process while utilizing extensive nursing knowledge in a compassionate and attentive manner.Key Responsibilities:(25%)* Conducts comprehensive assessments of patients, focusing on physical, emotional, psychosocial, and familial support needs.(25%)* Organizes and...

Job OverviewThe Utilities Operations Supervisor is essential in guaranteeing the efficient functioning, upkeep, and supervision of all utility systems within the plant, alongside the management of departmental staff. This role requires comprehensive knowledge of critical utility systems, including Anhydrous Ammonia Refrigeration, Plant Water, Steam...

Overview:This role requires expertise in evaluating, implementing, and overseeing patient care for outpatients designated as being in "observation status".For flexible roles: Employees in casual positions do not have fixed work hours but must understand and agree to meet the minimum time commitments associated with the role while it is held. This includes a...

Overview:This role involves a Clinical Pharmacist who collaborates with healthcare professionals, including physicians and care managers, as part of a dedicated medical team aimed at enhancing patient health outcomes while managing costs effectively.The Clinical Pharmacist delivers therapeutic evaluations and disease management strategies for designated...

About the RoleAs a Clinical Research Associate at PRA Health Sciences, you will be joining a global team of professionals dedicated to advancing medical research and improving patient outcomes. Our organization is a leading provider of clinical development services, and we are committed to delivering high-quality results that meet the needs of our clients...

Company Overview:DiaMedical USA is a rapidly growing organization in the medical equipment distribution industry, dedicated to improving healthcare quality by providing comprehensive solutions for healthcare facilities and educational institutions. Our mission is to allow healthcare providers and educators to concentrate on patient care while we serve as a...

Overview:The Clinical Nurse Specialist delivers comprehensive care to patients through the application of the nursing process. This encompasses continuous evaluation of the overall patient condition. The nurse provides interventions aimed at addressing the immediate symptoms and assesses the impact of nursing actions along with the patient's reactions. The...

Position: WOCN Clinical Nurse Coordinator PRNWe are seeking a compassionate and driven Registered Nurse with experience in wound and ostomy management to join our team at Bronson Healthcare as a WOCN Clinical Nurse Coordinator PRN. In this role, you will be responsible for coordinating and providing clinical care services for patients with ostomies,...

Jackson Nurse Professionals is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Sault Ste. Specialty: ICU - Intensive Care Unit Shift: nights Employment Type: Travel Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Filling critical...