Utilization Management Nurse

Job SummaryWe are seeking a skilled Registered Nurse to join our team as a Utilization Management Nurse. In this role, you will play a critical part in ensuring that hospital admissions are based on medical necessity and that documentation is sufficient to support the level of care being billed.Key ResponsibilitiesConduct concurrent reviews to ensure that...

Job SummaryWe are seeking a highly skilled Utilization Management Registered Nurse to join our team at McLaren Health Care. As a key member of our healthcare team, you will play a critical role in ensuring that hospital admissions are based on medical necessity and that documentation is sufficient to support the level of care being billed.Key...

Job SummaryWe are seeking a highly skilled and experienced Registered Nurse to join our team as a Utilization Management Nurse. In this role, you will be responsible for determining the appropriate patient status based on regulatory and reimbursement requirements of various commercial and government payers in collaboration with the admitting/attending...

Clinical Utilization Management Role **Job Summary:** McLaren Health Care is seeking a skilled Registered Nurse to join our Utilization Management team. As a Clinical Utilization Manager, you will play a critical role in ensuring that hospital admissions are based on medical necessity and that documentation is sufficient to support the level of care being...

Job SummaryWe are seeking a highly skilled and experienced Registered Nurse to join our Utilization Management team. As a Clinical Utilization Manager, you will play a critical role in ensuring that hospital admissions are based on medical necessity and that documentation is sufficient to support the level of care being billed.Key ResponsibilitiesConduct...

Job SummaryWe are seeking a highly skilled Registered Nurse to join our Utilization Management team at McLaren Health Care. As a Clinical Utilization Manager, you will play a critical role in ensuring that hospital admissions are based on medical necessity and that documentation is sufficient to support the level of care being billed.Key...

Job SummaryWe are seeking a skilled Clinical Utilization Manager to join our team at McLaren USA. As a key member of our healthcare team, you will play a critical role in ensuring the efficient use of hospital resources and promoting high-quality patient care.Key ResponsibilitiesConduct concurrent and retrospective reviews to ensure that patients receive the...

About the RoleCiena Healthcare is seeking a skilled Clinical Nurse Specialist to join our team at Regency at Chene. As a key member of our care management team, you will play a vital role in ensuring the highest quality of care for our residents.ResponsibilitiesConduct Resident Assessments: Utilize your clinical expertise to conduct thorough assessments of...

Job Title: Registered Nurse - Utilization ReviewAt the Detroit Medical Center, we are seeking a highly skilled Registered Nurse to join our team as a Utilization Review Specialist. This role is responsible for ensuring that patients receive the most appropriate level of care, while also optimizing resource utilization and promoting efficient healthcare...

Job Title: Registered Nurse Utilization ReviewWe are seeking a highly skilled Registered Nurse to join our team as a Utilization Review RN. In this role, you will be responsible for ensuring that patients receive the most appropriate level of care, while also promoting efficient resource utilization.Key Responsibilities:Conduct thorough assessments of...

Job Title: Registered Nurse - Utilization ReviewWe are seeking a highly skilled Registered Nurse to join our team as a Utilization Review Registered Nurse. This role will be responsible for ensuring that patients receive the most appropriate level of care, while also promoting efficient resource utilization.Key Responsibilities:Conduct thorough assessments...

Job SummaryWe are seeking a highly experienced Medical Director to lead our Utilization Management and Quality Management programs. As a key member of our leadership team, you will be responsible for providing clinical expertise and guidance to support the development and implementation of our medical policies and programs.Key ResponsibilitiesProvide...

Job SummaryThe Detroit Medical Center is seeking a skilled Registered Nurse to fill the role of Utilization Review Specialist. This position is responsible for ensuring that patients receive the most appropriate level of care, while also promoting efficient resource utilization.Key ResponsibilitiesConduct thorough medical necessity reviews to determine the...

Position: Registered Nurse for Utilization ReviewCompany: AdvantEdgeContract Duration: 9 MonthsWork Arrangement: RemoteCompensation: $34/hr on W2 Role Overview: As a Registered Nurse specializing in Utilization Review, you will play a crucial role in ensuring the appropriate use of healthcare resources. Your expertise will help in assessing the necessity and...

Job Title: Registered Nurse - Utilization ReviewAt the Detroit Medical Center, we are seeking a highly skilled Registered Nurse to join our team as a Utilization Review Specialist. This role is responsible for ensuring that patients receive the most appropriate level of care, while also optimizing resource utilization and promoting efficient healthcare...

Job Title: Registered Nurse Utilization ReviewWe are seeking a highly skilled Registered Nurse to join our Utilization Review team at the Detroit Medical Center. As a Utilization Review RN, you will play a critical role in ensuring that patients receive the most appropriate level of care, while also optimizing resource utilization and promoting efficient...

Job Title: Registered Nurse - Utilization ReviewAt the Detroit Medical Center, we are seeking a highly skilled Registered Nurse to join our team as a Utilization Review Nurse. This is a full-time position that requires a strong background in nursing and a passion for delivering high-quality patient care.Job Summary:The Utilization Review Nurse will be...

Job Title: Program Manager for Utility ProgramsWe are seeking a highly skilled Program Manager to join our Utility Programs team at ICF. As a Program Manager, you will be responsible for managing projects and customer operations, including project deliverables, financial forecasts, and budgets.Key Responsibilities:Monitor and analyze project application...

Travel Nurse RN Case Management Job OpportunityNurse First is seeking a skilled travel nurse RN Case Manager to join our team in a dynamic and rewarding role.Job SummaryWe are looking for a dedicated and compassionate travel nurse RN Case Manager to provide high-quality patient care and support in a fast-paced environment.ResponsibilitiesProvide case...

Job Title: Travel Nurse RN Case ManagementNurse First Travel Agency is seeking a skilled Travel Nurse RN Case Manager to join our team. As a travel nurse, you will have the opportunity to work in various healthcare settings, gain new experiences, and develop your skills in case management.Job Details:Specialty: Case ManagementDiscipline: RNDuration: 25...