Clinical Utilization Management RN

{"title": "Clinical Utilization Management RN", "content": "Job SummaryWe are seeking a skilled Clinical Utilization Management 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...

About the RoleWe are seeking a skilled Clinical Utilization Management RN to join our team at Texas Children's Health Plan. As a Clinical Utilization Management RN, you will play a critical role in ensuring that our members receive the most appropriate and cost-effective care possible.Key ResponsibilitiesAnalyze submitted information, including clinical...

Job Title: Clinical Utilization Management RNWe are seeking a skilled Clinical Utilization Management RN to join our team. In this role, you will be responsible for providing precertification of inpatient hospitalizations and all outpatient procedures and services requiring authorization.Key Responsibilities:Analyze submitted information, including clinical...

Job SummaryWe are seeking a skilled Utilization Management Clinical Support RN to join our team at Texas Children's Hospital. As a key member of our organization, you will play a vital role in supporting utilization management processes for our health plan members.Key ResponsibilitiesDevelop and implement a coordinated approach to training new staff and...

Job SummaryWe are seeking a skilled Utilization Management Clinical Support RN to join our team at Texas Children's Hospital. In this role, you will play a critical part in supporting utilization management processes for our health plan members.Key ResponsibilitiesDevelop and implement training programs for new and existing staff to ensure a coordinated...

Job Title: Utilization Management Clinical Support RNWe are seeking a highly skilled Utilization Management Clinical Support RN to join our team at Texas Children's Hospital. As a key member of our utilization management team, you will play a critical role in supporting the organization's health plan members by overseeing monitoring of service and...

Job SummaryWe are seeking a skilled Utilization Management Clinical Support RN to join our team at Texas Children's Hospital. As a key member of our utilization management team, you will play a critical role in supporting the organization's health plan members by overseeing monitoring of service and productivity elements, providing educational support for...

Job SummaryWe are seeking a highly skilled Utilization Management Clinician to join our team at Community Health Plan of Washington. As a key member of our healthcare team, you will play a critical role in ensuring our members receive high-quality, cost-effective care.Key ResponsibilitiesConduct thorough reviews of hospital notifications and prior...

Job OverviewAxsendo Clinical Research is seeking a highly motivated and experienced Lead Clinical Research Coordinator to join our dynamic team. As a key member of our clinical research team, you will be responsible for coordinating and managing clinical research studies, ensuring compliance with regulatory requirements and company policies.Key...

Job Title: Utilization Review RNAt St. Joseph Medical Center, we are seeking a highly skilled and dedicated Utilization Review RN 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 hospital stays.Job Summary:The Utilization Review RN is...

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 be responsible for providing high-quality patient care and ensuring that our patients receive the best possible treatment.Responsibilities:Assure direct care staff...

Job Title: Clinical Care Manager RNWe are seeking a highly skilled and compassionate Clinical Care Manager RN to join our team at Angels of Care Pediatric Home Health. As a Clinical Care Manager RN, you will be responsible for providing high-quality patient care and ensuring that our patients receive the best possible treatment.Responsibilities:Assure direct...

Job Title: Clinical Care Manager RNWe are seeking a highly skilled and compassionate Clinical Care Manager RN to join our team at Angels of Care Pediatric Home Health. As a Clinical Care Manager RN, you will be responsible for providing high-quality patient care and ensuring that our patients receive the best possible treatment.Responsibilities:Assure direct...

Job Title: Utilization Review RNAt Care, we are seeking a skilled Utilization Review RN to join our team. 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.Job Summary:The Utilization Review RN is responsible for conducting thorough reviews of patient...

Job OverviewAxsendo Clinical Research is seeking a highly motivated and detail-oriented Clinical Research Coordinator to join our dynamic team. As a Clinical Research Coordinator, you will play a critical role in the success of our clinical trials by ensuring the smooth execution of study protocols, managing data, and maintaining accurate records.Key...

Job Title: Utilization Review RNAt St. Joseph Medical Center, we are seeking a skilled Utilization Review RN to join our team. 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.Job Summary:The Utilization Review RN is responsible for conducting...

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 SummaryAs a Clinical Manager RN at Memorial Hermann Health System, you will play a vital role in delivering high-quality patient care while leading a team of dedicated professionals. This leadership position requires a strong clinical background, excellent communication skills, and the ability to collaborate with physicians, management, and other...

Job Title: Utilization Review RNJob Summary:The Utilization Review RN 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 and healthcare teams.Key Responsibilities:Conduct thorough reviews of...

About the RoleGulf Coast Center is a leading provider of mental health and substance use services, and we are seeking a highly skilled and compassionate RN Nurse Manager to oversee the delivery of nursing services in the Crisis Center, an Extended Observation Unit, and a Crisis Respite facility.Key ResponsibilitiesProvide clinical and direct supervision to...