Clinical Utilization Review Specialist

Job Summary:The Utilization Review Specialist is a key member of our healthcare team, responsible for ensuring the medical necessity of patient admissions and continued stays. This role requires a strong clinical background, excellent communication skills, and the ability to work collaboratively with physicians and other healthcare professionals.Key...

Job Title: Utilization Management Review NurseAbout the Role:Astrana Health is seeking an experienced Utilization Review Nurse to work remotely from Texas. This position requires working Monday through Friday from 8:30 a.m. to 5 p.m., with occasional weekend and holiday coverage as needed.Key Responsibilities:1. Conduct prior authorization and retrospective...

Job Title: Utilization Review NurseJob Summary:Nexus Health Systems Ltd is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring the delivery of cost-effective quality care within an appropriate length of stay.Key Responsibilities:Maintain patient confidentiality and adhere to...

Job Title: Utilization Review NurseNexus Health Systems is seeking a skilled Utilization Review Nurse to join our team. As a key member of our healthcare team, you will play a critical role in ensuring the delivery of cost-effective quality care within an appropriate length of stay.Responsibilities:Maintain patient confidentiality and adhere to all company...

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 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: 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 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...

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 records, collaborating with healthcare teams, and communicating with payors to ensure compliance with approved treatment plans.Key Responsibilities:Conduct...

Job Title: Utilization Review NurseJob Summary:Nexus Health Systems Ltd is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring the delivery of cost-effective quality care within an appropriate length of stay.Key Responsibilities:Maintain patient confidentiality and adhere to...

Job SummaryThe Utilization Review Nurse 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 regarding clinical updates.Key Responsibilities Reviews patient medical records to collect data and...

Job Overviewdestinationone Consulting is a leading recruitment agency specializing in diverse sectors, including Healthcare, Health Tech, Government, Municipalities, Non-Profits, Legal, Public Accounting, and more. We are building a comprehensive database of opportunities in these fields. By applying, you ensure our recruiters can efficiently match you with...

Job SummaryThe Utilization Review Nurse 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 collaborating with healthcare teams to optimize resource utilization.Key Responsibilities* Review patient medical records to...

Job Summary:As a Utilization Review Nurse at Care, you will play a vital role in ensuring the highest quality patient care while promoting efficient resource utilization. Your expertise will be instrumental in facilitating critical criteria reviews, collaborating with managed care organizations, and maintaining accurate records. If you are a dedicated and...

Job TitleNurse Utilization SpecialistJob Summary:Elite is seeking a skilled Nurse Utilization Specialist to join our team. As a key member of our clinical review team, you will play a critical role in ensuring the medical necessity of treatment requests submitted by providers, requestors, claimants, or carriers.Responsibilities:Conduct thorough evaluations...

Job Title: Clinical Review NurseJob Summary:HealthHelp, a WNS Global Services company, is seeking a skilled Clinical Review Nurse to join our team. As a Clinical Review Nurse, you will play a critical role in ensuring the quality and safety of patient care by reviewing medical necessity criteria and facilitating resolution of escalated cases.Key...

Job Title: Utilization Review NurseAt Elite Services, we are seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will play a critical role in ensuring the medical necessity of treatment for Workers' Compensation requests.Job Purpose:The primary purpose of this role is to review Workers Compensation requests...

Job SummaryHealthHelp, a leading provider of healthcare utilization and care management services, is seeking a skilled Clinical Review Nurse to join our team. As a key member of our clinical review team, you will play a critical role in ensuring the quality and safety of patient care.Key ResponsibilitiesPerform thorough clinical reviews of cases to determine...

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 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 and extended courses of outpatient treatment.Key...