Utilization Review Nurse

Overview: As a Utilization Review Nurse, you will work under the direct supervision of the Supervisor, Utilization Review and Clinical Documentation Improvement, this role will be responsible for providing clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation and utilization of acute care services....

Job DescriptionJob DescriptionDescription:The Utilization Review Registered Nurse (RN) will:Assist in determining the appropriate admission status based on the regulatory and reimbursement requirements of various commercial and government payers, in conjunction with the admitting/attending physician. Partner with the health care team to ensure reimbursement...

The Insurance Reviewer II is responsible for completing assigned tasks involved in securing payment from third-party payors and reporting to management on observed trends and issues.Job RelationshipsReports to the Insurance Review SupervisorPrincipal ResponsibilitiesHandle all phone calls and messages received specific to designated insurance area.Update...

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Overview: The registered nurse is responsible for delegation, supervision, and provision of nursing care for a designated group of patients through utilization of the nursing process.  They will provide age-appropriate care and will participate in research when appropriate and incorporate research findings into evidence-based clinical practice. In addition,...

Overview: $15,000 SIGN ON BONUS AVAILABLE   The Registered Nurse is responsible for delegation, supervision, and provision of nursing care for a designated group of patients through utilization of the nursing process.  They will provide age-appropriate care and will participate in research when appropriate and incorporate research findings into...

Overview: Shift: 7:00am -7:30pm  Plus 3 call shifts from 1900-2300 in a 6 week period   The RN is responsible for delegation, supervision, and provision of nursing care for a designated group of patients through utilization of the nursing process. They will provide age-appropriate care and will participate in research when appropriate and incorporate...

Overview: $15,000 SIGN ON BONUS AVAILABLE   A Cardiac Registered Nurse (RN) is responsible for medical and surgical cardiac patients, and post-cardiac-cath patients; TAVR patients; ablation and vascular surgical patients, and also receives post-open heart patients.  The Cardiac Unit has Coronary Care Unit beds for closer observation of acute MI...

Overview: WEEKEND ONLY RN:  This fulltime night shift weekend only position is eligible to receive an additional Weekend Only premium pay.     $15,000 SIGN ON BONUS AVAILABLE   The registered nurse is responsible for delegation, supervision, and provision of nursing care for a designated group of patients through utilization of the nursing...

Overview: $15,000 Sign On Bonus Available   The Post Anesthesia Care Unit (PACU) Registered Nurse provides total age-appropriate patient care immediate post-op, as patients are recovered/waking from anesthesia following surgery or procedures. They will provide family visits for patients as appropriate during recovery period and will serve as an inpatient...

Overview: $15,000 SIGN ON BONUS AVAILABLE   The Main Operating Room Registered Nurse (RN) will be responsible for every aspect of the patient’s care during surgery. The day begins with preparing the room for the procedure, picking the patient up from pre-op, positioning the patient, maintaining the charting and caring for the patient before, during...

Overview:   The Registered Nurse (RN), ECT Recovery is responsible for delegation, supervision, and provision of nursing care for a designated group of patients through utilization of the nursing process.  Provides age-appropriate care. Participates in research when appropriate and incorporates research findings into evidence-based clinical practice....

DescriptionDescriptionLifeHealth, a federal government contractor, is seeking a Registered Nurse (RN) to provide nurse support in medical reviews of medical questionnaires for employees of the Transportation Security Administration (TSA)This position starts on 9/1/2024Job Description (full job description provided at time of interview):RN to provide...

Overview: Utilization Management Specialist, Non-RN PRN Hours - Day/Afternoon; Must be willing to work 1-2 days per week and assist in covering vacations during winter/summer break. Remote 75% - Will require working on-site (Downers Grove) on occasion for meetings, trainings, and to assist in rotating schedule. The Utilization Management Specialist is...

NEW HIRE SIGN ON BONUS ELIGIBLE POSITION! - $10K POSITION SUMMARY: Utilizing the nursing process, provides high quality direct and indirect patient centered care.# Coordinates patient care by working collaboratively with the interdisciplinary team.# Communicates, as appropriate, the patient#s clinical condition, responding quickly and accurately to changes...

Overview: This position exists to provide a range of support and guest services that include input of patient meal selections, and update of clinical nutrition records. The position is responsible for quick, accurate, and courteous service, and resolution of customer concerns acting as a nutrition liaison to the patient, resulting in a high level of...

Job DescriptionJob DescriptionWhy NHC? At NHC, we “Put our Heart in Everything We Do!” We take pride in working together as a team in our family-oriented work environment. We provide a culture of excellence, recognition, empowerment, and fun. We offer professional growth opportunities along with competitive compensation wage increases based on...

Overview: Responsible for delegation, supervision, and provision of the nursing care of a designated group of patients through utilization of the nursing process.  Provides age-appropriate care.  Participates in research when appropriate and incorporates research finding into evidence-based clinical practice.  Contributes to quality improvement...

Overview: Full-Time 08:00AM - 04:30PM Weekends: As Needed    A Insurance Pre-Authorization Specialist reviews all DMH and Memorial Care scheduled inpatient and outpatient procedures and outpatient diagnostic services to validate the scheduled procedure or diagnostic service has the appropriate payor authorization or meets the payor’s medical...

Overview: HealthPro-Heritage is currently seeking a Full Time Occupational Therapist to support our AL/IL facility in Springfield, IL. If you or someone you know might be interested in this role, let's talk! Springfield, IL ALF/ILF setting Flexible Scheduling Excellent Benefit Package! PRN options available  Estimated Pay Range: $46-48/hr Grace...