Jobs for utilization review nurse at North Dakota

Overview:   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...

Utilization Specialist Job Responsibilities: * 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. *...

Overview: Triangle Springs Springs *Fully In-Person Role* Part-Time Utilization Review Specialist     Members of our team Enjoy: Working with a highly engaged staff Healthy staffing levels Flexible scheduling Career growth Competitive compensation Health, Vision, Dental, 401k, and Paid Time Off UKG Wallet – We’ve partnered with UKG Wallet, a voluntary...

Overview JOB SUMMARY: The Clinical Research Billing Reviewer II is a position that resides in the Office of Clinical Research (OCR). Under the direction of the Manager, Clinical Research Billing Review the position is a mid-level performer of charge capture and claim resolution in Epic (electronic health record and patient billing system) for clinical...

As the largest staffing and recruitment agency in the world, we can commit to finding you the perfect role that gives you the opportunity to learn and grow in the life sciences arena. Utilizing a recruiter for your job search gives you access to a la Medical, Safety, Healthcare, Staffing, Clinical

Description/Job Summary Responsible for the overall direction, coordination and evaluation of this unit. May also directly supervise one or more non-supervisory employees. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Establishes and enforces job site policies, procedures, and standards of...

This is a highly responsible position responsible for coordinating all aspects of budget, payroll asset management, assessments and purchasing functions.  Work is performed under general direction of the Utilities Business Manager. * Prepares the department's budget and capital improvement by performing data entry, compiling backup, and producing budget...

Title : Assistant Nurse Manager Location : Oakland, CA Type : Full time Job Description: MUST HAVE CURRENT CA RN license, regular not Temp status MUST HAVE BS degree or higher Must have a minimum of 3 years in an inpatient acute care Med Surg hospital unit. Job description Manages activities of the unit(s), monitors quality, service and utilization...

Overview: This Operations Specialist I position on the Loan Doc Review team reviews loan documentation for accuracy for both Commercial and Consumer loans. Maintains Service Level Agreements for both Commercial and Consumer Loans. Handles verbal and written communication with internal loan officers. Facilitates processes and associate workflow while ensuring...

Job Summary The general purpose of this position is to work with internal and external customers to coordinate maintenance (repair, paint/coating, cleaning) events on railcars (e.g. tank, hopper, and other freight cars) that meet the requirements with FRA, AAR, and customer requirements and AITX service capabilities. Job Duties Serves as the customer contact...

Overview Job SummaryMaster's prepared advanced generalist that leads the practice of professional nursing and manages care on an adult inpatient unit. Oversees the needs of individuals and groups of patients and their families by providing evidence based care, monitors patient and health care outcomes and applies best practice nursing strategies for the...

Overview Job Summary: Provides nursing care to patients using the nursing process (assessment, planning, implementation, and evaluation). The staff nurse directs and leads other assigned team members and collaborates with multidisciplinary team members to provide age/developmentally appropriate care in accordance with nursing standards of care and practice....

Overview: Nurse Manager, Behavioral Health Services  Greensboro, NC    Signet Health, a national behavioral health management company, is currently recruiting for a full-time seasoned Nurse Manager to manage the psychiatric inpatient services (adolescent and adult units) for an 80-bed program at Cone Health Behavioral Health Hospital in Greensboro,...

Overview: Talent Pool:NursingResponsible for daily operations of assigned department(s) for the provision of effective patient care. Accountable for staff supervision and patient care management for a select program and/or a defined workgroup. Identifies and accomplishes program goals and outcomes. Maintains regulatory and professional...

Overview: Talent Pool:NursingResponsible for daily operations of assigned department(s) for the provision of effective patient care. Accountable for staff supervision and patient care management for a select program and/or a defined workgroup. Identifies and accomplishes program goals and outcomes. Maintains regulatory and professional...

Overview: Responsible for daily operations of assigned department(s) for the provision of effective patient care. Accountable for staff supervision and patient care management for a select program and/or a defined workgroup. Identifies and accomplishes program goals and outcomes. Maintains regulatory and professional standards/requirements. Supports and...

Overview PRN Variable Shift JOB SUMMARY: Provides nursing care to patients using the nursing process (assessment, planning, implementation, and evaluation). Directs and leads other assigned team members and collaborates with multidisciplinary team members to provide age/developmentally appropriate care in accordance with nursing standards of care and...

Overview Service Line Nurse Educator will be responsible for nursing development utilizing evidence based practice to develop a comprehensive nursing education program.Atrium Health Levine Children's Hospital (LCH) has taken the community to another level of service to provide care for the growing population of children in our region. At 247 beds, LCH is the...

Interim DON Opportunity starting on 5/14/24 for about 4-6 weeks. Genesis HealthCare is one of the leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is delivered by bringing together people like you - passionate, highly skilled and...

Interim DON Opportunity starting on 5/14/24 for about 4-6 weeks.    Genesis HealthCare is one of the leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is delivered by bringing together people like you -- passionate, highly skilled...