Jobs: utilization review nurse
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Utilization Review Nurse
2 days ago
Meadowbrook, PA, United States Holy Redeemer Hospital and Medical Center Full timeUtilization Review NursePer Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of care...
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Utilization Review Nurse
3 days ago
Meadowbrook, United States Holy Redeemer Hospital and Medical Center Full timeUtilization Review NursePer Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of care...
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Utilization Review Nurse
Found in: Jooble US O C2 - 1 week ago
Meadowbrook, PA, United States Holy Redeemer Hospital and Medical Center Full timeUtilization Review Nurse Per Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of...
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Utilization Review Nurse
2 days ago
Meadowbrook, United States Holy Redeemer Hospital and Medical Center Full timeUtilization Review NursePer Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of care...
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Utilization Review Nurse
4 hours ago
Colchester, VT, United States The University of Vermont Health Network Full timePOSITION SUMMARYThe Utilization Review Nurse is responsible for ensuring the medical necessity and appropriate level of care of all hospital admissions and extended hospital stays, including psychiatry; affirming compliance with CMS’ Conditions of Participation regarding Utilization Management with annual review of the UM Plan and assisting with the...
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Utilization Review Nurse
Found in: Lensa US P 2 C2 - 7 days ago
Moscow, United States Gritman Medical Center Full timeJob Summary: At Gritman, we pride ourselves on being the premier healthcare employer on the Palouse. We bring exceptional care that's close to home for the members of our community, We are seeking a Staff RN to join our Utilization Review/Case Management team. The Utilization Review Nurse (UR) has skills in areas of Utilization Management (UM), medical...
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Utilization Review Nurse
Found in: Resume Library US A2 - 1 week ago
Jacksonville, Illinois, United States Memorial Health Full timeOverview: 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....
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Utilization Review Nurse
Found in: Resume Library US A2 - 1 week ago
Huntsville, Texas, United States Huntsville Memorial Hospital Full timeUnder general supervision of the Director of Case Management, the Utilization Review Nurse provides a clinical review of cases using medical necessity criteria to determine the medical appropriateness of inpatient and outpatient services. Provides feedback and assistance to other members of the healthcare team regarding the appropriate use of resources and...
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Utilization Review Nurse
1 week ago
Huntsville, United States Huntsville Memorial Hospital Full timeJob DescriptionJob DescriptionUnder general supervision of the Director of Case Management, the Utilization Review Nurse provides a clinical review of cases using medical necessity criteria to determine the medical appropriateness of inpatient and outpatient services. Provides feedback and assistance to other members of the healthcare team regarding the...
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Utilization Review Nurse
Found in: Resume Library US A2 - 2 days ago
Springfield, Illinois, United States Memorial Health Full timeOverview: Performs clinical review of patient records to evaluate the utilization of acute care services. Communicates to third party payors to support the medical necessity of the hospital admission for services reimbursement. Ensures the patient care team is aware of general length of stay requirements for all patients. Facilitates physician documentation...
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Utilization Review Specialist
7 days ago
Chicago, United States Acadia Healthcare Inc Full timeUtilization Review SpecialistESSENTIAL FUNCTIONS: * Act as liaison between managed care organizations and the facility professional clinical staff. * Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements. *...
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Registered Nurse RN
1 week ago
Pensacola, FL, United States Sacred Heart Hospital Full timeRegistered Nurse RN - Utilization ReviewDetails * Department: Utilization Mgt * Schedule: M-F 8 hr days, ONSITE, exempt * Hospital: Ascension Sacred Heart Pensacola * Location: Pensacola, Florida Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term &...
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Registered Nurse RN
1 week ago
Pensacola, United States Sacred Heart Hospital Full timeRegistered Nurse RN - Utilization ReviewDetails * Department: Utilization Mgt * Schedule: M-F 8 hr days, ONSITE, exempt * Hospital: Ascension Sacred Heart Pensacola * Location: Pensacola, Florida Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term &...
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Registered Nurse RN
Found in: Jooble US O C2 - 7 days ago
Pensacola, FL, United States Sacred Heart Hospital Full timeRegistered Nurse RN - Utilization Review Details * Department: Utilization Mgt * Schedule: M-F 8 hr days, ONSITE, exempt * Hospital: Ascension Sacred Heart Pensacola * Location: Pensacola, Florida Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term &...
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RN-Utilization Review
1 day ago
Baltimore, United States Saint Agnes Hospital Full timeRN-Utilization ReviewDetails * Sign-on bonus: $3,500 * Department: Case Management * Schedule: Monday-Friday, standard business hours. 2 holidays per year required and weekend rotation * Hospital: Ascension St. Agnes * Location: Baltimore, MD Seeking experienced Utilization Review nurse. Will consider training an RN with 3+ years of recent acute care...
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Utilization Review Nurse RN
7 days ago
Kirkland, United States Long Tail Health Solutions Inc Full timeJob DescriptionJob DescriptionJob SummaryWe are seeking a highly motivated and experienced Utilization Review Nurse to join our team. The Utilization Review Nurse will play a crucial role in supporting our clients in the healthcare industry by providing expert clinical guidance, facilitating effective utilization management, and ensuring revenue cycle...
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Utilization Review Nurse
Found in: Talent US C2 - 2 days ago
Crystal River, United States Tampa General Hospital Full timeUtilization Review Nurse -(240001IF) Description TGH Crystal River is a 128-bed Joint Commission-accredited acute care hospital which opened in 1978. In keeping with their heritage, the hospital provides quality, compassionate healthcare to residents of Citrus County and surrounding areas. TGH Crystal River care services include a dedicated orthopedic...
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RN Utilization Review
Found in: Resume Library US A2 - 2 days ago
Greensboro, North Carolina, United States Cone Health Full timeOverview: Performs admission and continued stay utilization reviews and discharge screening to assure the medical necessity of hospital admission, appropriate level of care, continued stay and supportive services, and to examine delays in the provision of services. Coordinates care transitions from inpatient to the next level of care. Collaborates with...
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Utilization Review RN
2 days ago
Plattsburgh, United States The University of Vermont Health Network Full timeGENERAL 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...
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Utilization Review RN
3 days ago
Plattsburgh, United States The University of Vermont Health Network Full timeGENERAL 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...