Utilization Review Nurse

About the Role:">We are seeking a highly skilled and experienced Utilization Review Nurse to join our team at Providence Medical Foundation. As a key member of our clinical network, you will play a critical role in promoting quality and cost-effective care for our patients.Key Responsibilities:">Provide utilization review and coordination of care throughout...

Job SummaryWe are seeking a skilled Utilization Review RN to join our team at Providence Medical Foundation. This role is responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost-effective care to our members.About the RoleIn this position, you will be part of a comprehensive health...

Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care...

Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused,...

Job DescriptionResponsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members.Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care...

Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care...

Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built...

Description Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review medical records daily during admission for all payers, as required by the health plans. This role requires a strong clinical background combined with well-developed knowledge and skills in Utilization Management,...

Description Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review medical records daily during admission for all payers, as required by the health plans. This role requires a strong clinical background combined with well-developed knowledge and skills in Utilization Management,...

Overview: The Utilization Review team is comprised of highly skilled Registered Nurses who ensure Norman Regional Health System follows a compliant review process to determine appropriateness of admission. Responsibilities: Utilization Review, Utilization Management, Advocacy and Education Clinical Analysis and Data Management Clinical Care...

Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused,...

Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused,...

Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused,...

Hospitals on Incredible Health are actively hiring and accepting applications in the Mission Hills, CA area for the following position: Registered Nurse - Utilization Management Manager. Nurses with experience in any of the following areas are strongly encouraged to apply: Assistant Nurse Manager, CNO, Charge, Clinical Nurse Coordinator, Clinical pathway,...

Hospitals on Incredible Health are actively hiring and accepting applications in the Mission Hills, CA area for the following position: Registered Nurse - Utilization Management Manager. Nurses with experience in any of the following areas are strongly encouraged to apply: Assistant Nurse Manager, CNO, Charge, Clinical Nurse Coordinator, Clinical pathway,...

About ProvidenceAt Providence, we are a comprehensive health care organization with a rich history of serving the poor and vulnerable. Our strength lies in our promise of Know me, care for me, ease my way. We provide whole-person care built on understanding, commitment, and mutual respect, empowering our caregivers to inspire and retain the best people.Job...

About the RoleMass General Brigham seeks a skilled Care Manager to join their experienced Case Management team in Beverly, Massachusetts. This role focuses on transition planning and utilization review, ensuring seamless care delivery for patients.In this position, you will work closely with multidisciplinary teams to assess patient needs, develop...

Description The Manager of Utilization Management provides a key role in leading, facilitating and managing the hospital utilization management program in the Southern California Region. The Manager assists the Regional Director of Utilization Management, Appeals & Clinical Training through the provision of ongoing assessment and evaluation of hospital...

Description The Manager of Utilization Management provides a key role in leading, facilitating and managing the hospital utilization management program in the Southern California Region. The Manager assists the Regional Director of Utilization Management, Appeals & Clinical Training through the provision of ongoing assessment and evaluation...

Anticipated End Date: 2024-11-25 Position Title: Nurse Reviewer I (US) Job Description: Location: This is a Virtual role , Must be located within 50 miles of a Pulse Point Schedule: 9:30am-6:00pm PST, ability to work weekends if necessary. New Grads are encouraged to apply! Responsible for conducting preauthorization, out of network and appropriateness of...