Jobs for utilization review nurse at South Carolina

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...

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...

Utilization Review/Physician Advisor Opportunity in Greenville, NC (Partial Remote) ECU Health Physicians and ECU Health Medical Center, located in Greenville, North Carolina, are seeking a physician to work as a Utilization Review Physician Advisor. The successful applicant will be a part of ECU Health Clinical Documentation Advisor Program and will have...

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...

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...

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 DescriptionJob DescriptionA Registered Nurse (RN) is a health care professional skilled in all phases of the nursing process. He/she is adaptable to the needs of the individual and family during health and illness and has the ability to prioritize. The RN assesses, plans, implements and evaluates daily resident care and is responsible for the direction...

Position Summary:The Nurse Anesthetist administers anesthesia under medical direction for diversified surgical cases, utilizing inhalation, intravenous, spinal or rectal agents. Emphasis in the work is on skilled application of appropriate professional techniques, constant review of anesthetized patients' condition during surgery, and completion of remedial...

Overview: The  Director, Medical Review will: Lead tracking and coordination of all direct bill therapy appeals, ensuring thorough data compilation and analysis. Lead ALJ hearing preparation and maintain professional communication with facility and corporate personnel. Communicate effectively with public and medical personnel promoting clinical excellence....

Overview: General Description The Director, LTC Medical Review will: Lead tracking and coordination of all direct bill therapy appeals, ensuring thorough data compilation and analysis. Lead ALJ hearing preparation and maintain professional communication with facility and corporate personnel. Communicate effectively with public and medical personnel...

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...

Job DescriptionJob Description We are looking for an experienced Real Estate Project Manager to manage various utility projects throughout NJ.The successful candidate will be based out of the clients office and support their upper management as well as manage a small team of professionals. The job responsibilities include land acquisition, property...

Duties & Responsibilities The primary purpose of your job position is to coordinate care on nursing units in accordance with federal and state guide lines, as well as in accordance with facility established policies and procedures. The position provides administrative supervision and clinical oversight to the unit on all shifts to assure that quality...

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....

SummaryThe Phlebotomy/Nursing Assistant (NA) will practice in the Primary Care Clinics and may be assigned to the clinics located in Portland, Vancouver, Bend, Salem, Fairview, West Linn, or Hillsboro. Incumbent may assist members of the PACT Teamlet or support the work of the expanded team. The main responsibility of Incumbent will be to perform specimen...

Increases patient throughput to the most appropriate level of care while facilitating interdisciplinary care across the continuum while maintaining regularity compliance. The role Integrates, coordinates care facilitation throughput while working in partnership with the healthcare team. Is accountable for prioritizing, reviewing cases to determine the...

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,...

Full-time615 N. Michigan StreetProfessionalDay$10,000.00 Sign On BonusReports to the Manager or designee. Manages resources through interdisciplinary collaboration to achieve optimal patient outcomes for oncology patients. Coordinates research data, community physicians and Beacon Health System resources into a seamless model of access and care that benefits...

Full-time100 Navarre PlaceProfessionalDay$10,000 Sign-On Bonus AvailableNew Grads Welcome; Student Loan Repayment OfferedRelocation Assistance AvailableReports to the Manager or designee. Manages resources through interdisciplinary collaboration to achieve optimal patient outcomes for oncology patients. Coordinates research data, community physicians and...

Job DescriptionJob DescriptionDuties & ResponsibilitiesThe primary purpose of your job position is to coordinate care on nursing units in accordance with federal and state guide lines, as well as in accordance with facility established policies and procedures. The position provides administrative supervision and clinical oversight to the unit on all...