RN Utilization Review Specialist

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 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...

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 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 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...

Job Title: Concurrent Review Nurse - RNJob Summary:We are seeking a skilled Concurrent Review Nurse - RN to join our team at Pyramid Consulting, Inc. As a key member of our healthcare industry client, you will be responsible for managing facilities for acute care in patient stays, conducting initial reviews, concurrent stay reviews, and discharges. This is a...

Position Overview:As an Underground Utility Locator Specialist, you will leverage advanced mapping technologies and specialized tools to accurately identify and mark underground utilities, including cables and pipes, to prevent potential damages and ensure public safety. Key Responsibilities: Responding to Requests and Emergencies:Travel to various...

Job SummaryZachry is seeking a skilled Pipe Installation Specialist to join our team. As a key member of our utility infrastructure construction team, you will be responsible for assembling, connecting, and constructing pipe systems for storm or sanitation sewers, drains, and water mains.Key ResponsibilitiesAssemble and connect pipe systems, ensuring proper...

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...

Overview:The Senior Utilization Management Nurse plays a crucial role in assessing the clinical necessity of patient care and optimizing the use of hospital resources. This position involves conducting various pre-admission, concurrent, and retrospective reviews related to utilization management. The nurse is expected to proficiently apply established...

About the RoleThis position will be responsible for performing quality reviews of Service Treatment Records (STRs) for separated and/or retired Total Force Members.Key ResponsibilitiesEnsure all records and loose flowing documents received are accurately entered into the tracking database within the prescribed timelines.Conduct thorough research and ensure...

Job Title: Travel Nurse RN - Telemetry SpecialistJob Summary:We are seeking a skilled Travel Nurse RN - Telemetry Specialist to join our team at Gifted Healthcare. As a Tele RN, you will be responsible for providing high-quality patient care in a fast-paced telemetry environment.Responsibilities:Assess, plan, implement, and evaluate patient care plans in...

Job Title: Travel Nurse RN SpecialistJob Summary:A leading healthcare staffing agency, "A" Best Placement Services, is seeking a skilled Travel Nurse RN Specialist to join their team in a CVICU travel nursing position. This exciting opportunity is available in a dynamic healthcare environment, offering a chance to work with a talented team of...

Job SummaryThe Registered Nurse Float Specialist will provide high-quality patient care in a dynamic and fast-paced environment. This role requires a skilled nurse who can adapt to various clinical settings and prioritize patient needs.Key ResponsibilitiesProvide routine and complex care to patients in accordance with treatment plans.Develop and implement...

A-Line Staffing Solutions is currently seeking an Authorization Specialist. This position offers full-time hours, typically exceeding 40 hours per week.Compensation for the Authorization SpecialistThe hourly wage for this role is $17.Full-time employees are eligible for benefits after a specified period of employment.A 401(k) plan with company matching...

Job SummarySan Antonio Behavioral Health is seeking a highly skilled Utilization Review Coordinator to join our team. As a key member of our clinical operations team, you will play a critical role in ensuring the effective and efficient use of hospital services.Key ResponsibilitiesConduct Utilization Reviews: Conduct thorough reviews of patient charts and...

Job Title: Travel Nurse RN SpecialistJob Type: TravelerLocation: NationwideJob Description:We are seeking a skilled Travel Nurse RN Specialist to join our team at Titan Medical (Nebraska). As a Travel Nurse RN Specialist, you will provide high-quality patient care in a CVICU setting.Responsibilities:Provide direct patient care in a CVICU settingCollaborate...

U.S. Citizenship RequiredAs a Senior Aerospace Product Review Engineer, you will be instrumental in enhancing innovative aerospace initiatives. This role involves addressing intricate product challenges, spearheading root cause investigations, and executing engineering solutions for both commercial and military aviation sectors. You will engage directly in a...

Job SummaryChristus Health is seeking a skilled Registered Nurse Float Specialist to join our team. As a key member of our healthcare team, the successful candidate will provide high-quality patient care and support to patients and families in a fast-paced clinical environment.ResponsibilitiesProvide routine and complex care to patients in accordance with...