Jobs: utilization management - rn or lpnlvn

Job DescriptionJob DescriptionSeeking an RN with Managed Care and Utilization Management experience to review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria. This position is remote, but requires the candidate to reside in the state of S.C. and attend 1 week of mandatory training onsite, then it will be fully remote....

We are seeking an experienced Utilization Management RN to join our esteemed surgical center in the one and only, Dallas, TX This Nurse should have a minimum of 5 years INPATIENT clinical nursing experience in an acute care hospital setting and mini Management, RN, Healthcare, Staffing, Experience

PERMANENT ADDRESS MUST BE MORE THAN 50 MILES FROM THE HOSPITAL MUST NOT BE A PREVIOUS EMPLOYEE OF ST. MARY'S The ICU is a 11 bed adult inpatient mixed acuity unit. RN will provide specialty care for critically ill patients and intermediate care unit (IMC) patients. The RN is responsible for the nursing process from admission through transfer or discharge....

Submittals must include resume, Nursys, certifications, skills checklist, COVID card, and two professional references Unit Manager Qualifications: Nurse Unit Manager must be licensed a Registered Nurse (RN) 2 years experience in LTC/SNF care. One (1) year experience Preferred as a Unit Manager Must follow State and Federal Regulations Must have extensive...

Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures cost effective and quality patient care by appropriate utilization of resources. Provides direction to staff which may include Outside Utilization, Extended Care, Bed Placement, Discharge Planning, Transportation and others as...

Oversee the daily pre-authorization process for Palliative and Hospice clients Job #2020-0005 Location: New York City Salary: very competitive compensation package As Utilization Management Supervisor, you will review data to monitor regulatory requirements (standard/expedited time frames, organizational determination outcomes and communication, inter-rater...

University Health is one of the largest employers in San Antonio, TX. We are a nationally recognized teaching hospital and consistently recognized as a leader in advanced treatment options, new technologies and clinical research. University Health is currently looking for a Lab Manager to join our team. This is an exciting opportunity to join a company...

Summary/objectiveThe professional RN Case Manager and Utilization Manager, in collaboration with the Provider and other healthcare team members, provides overall support to daily operations of the utilization management department - discharge planning, and utilization review; provides guidance and support for all care levels as indicated and related to...

Conducts day-to-day activities for the clinical, financial and utilization coordination of the patient s hospital experience. Proactively consults with the interdisciplinary team which includes, but is not limited to, hospital patient care staff, phy RN, Management, Lead, Healthcare, Manager, Operations

Weekly pay includes taxable wage and per diems (non taxable stipend) if eligible. **Requirements-** **RN **License for CA state**, BLS certified from AHA and Co-vid Card.** Recent **2+** years experience is required as RN Case Manager/Utilization Review. Cerner experience required. **Job Type**: Contract Pay: From $3,168.00 per week **Benefits**: -...

Weekly pay includes taxable wage and per diems (non taxable stipend) if eligible. **Requirements-** **RN **License for CA state**, BLS certified from AHA and Co-vid Card.** Recent **2+** years experience is required as RN Case Manager/Utilization Review. Cerner experience required. **Job Type**: Contract Pay: From $3,168.00 per week **Benefits**: -...

GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data and evaluates variances of resource utilization, complications and overall quality of care based on benchmarked criteria or established practices. The Utilization Review RN in utilizing these skills assists the Medical Center in providing optimal care in a cost effective manner...

GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data and evaluates variances of resource utilization, complications and overall quality of care based on benchmarked criteria or established practices. The Utilization Review RN in utilizing these skills assists the Medical Center in providing optimal care in a cost effective manner...

Must have active AK License at time of submission Must have COVID vaccines including 1 Booster and flu vaccine Position Summary: The clinical nurse coordinates and performs a variety of nursing care procedures for patients of all ages, requiring professional knowledge and consideration of specific patient conditions and treatments and the ability to work...

Job DetailsJob Ref:R0064291 Category:Registered Nurse Employment Type:Full Time Location:75 Beekman St, Plattsburgh, NY 12901 Department:CVPH - Utilization Review Job Type:Regular Primary Shift:Day/Eve-10hr Hours:10:00 AM - 8:30 PM Estimated Hours per Week: 40 Bi-Weekly Hours: 80 Weekend Needs:As Scheduled Pay Rate: $35.43 - $52.44 per hourGENERAL...

Sign On Bonus for Eligible External HiresJob Summary:Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient...

We are looking for a Utilization Management, RN - IN to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives. McLaren Health Plan and MDwise, Inc.,...

Hybrid F/T RN Utilization Management Specialist Needed in Park Ridge, IL Our client, a growing Medicare Advantage Plans Ins. Co. located in Park Ridge; IL has an immediate need for an experienced partially remote, direct hire full-time IL Licensed RN UM Specialist. Hours for this position: M-F (8:30am-5:00pm) & one Sat/mo. 9am -1pm. Job...

Overview Utilization Review RN is responsible for the review of medical records for appropriate admission status and continued hospitalization. Works in collaboration with the attending physician, consultants, second level physician reviewer and the Care Coordination staff utilizing evidence-based guidelines and critical thinking. Collaborates with the...

OverviewUtilization Review RN is responsible for the review of medical records for appropriate admission status and continued hospitalization. Works in collaboration with the attending physician, consultants, second level physician reviewer and the Care Coordination staff utilizing evidence-based guidelines and critical thinking. Collaborates with the...