CASE MANAGEMENT UTILIZATION REVIEW jobs in UNITED STATES, United Kingdom

reviews, assists assigned departments of the Medical Staff in implementing effective quality and utilization management... and patient contact regarding any care or length of stay issues. Provides concurrent and ongoing review of patient charts based...

home health or similar setting; previous case management/utilization review experience preferred. OASIS experience...Our Registered Nurse Case Managers (RNCM) have been called to care when they’re needed most. At Interim HealthCare...

or Nursing Diploma Required Bachelor’s Degree in Nursing Preferred 2+ years experience in case management OR 3+ years... experience in clinical nursing Required InterQual experience Preferred Certification in Case Management Preferred...

or Nursing Diploma Required Bachelor’s Degree in Nursing Preferred 2+ years experience in case management OR 3+ years... experience in clinical nursing Required InterQual experience Preferred Certification in Case Management Preferred...

or Nursing Diploma Required Bachelor’s Degree in Nursing Preferred 2+ years experience in case management OR 3+ years... experience in clinical nursing Required InterQual experience Preferred Certification in Case Management Preferred...

or Nursing Diploma Required Bachelor’s Degree in Nursing Preferred 2+ years experience in case management OR 3+ years... experience in clinical nursing Required InterQual experience Preferred Certification in Case Management Preferred...

The Clinical Care Manager is responsible for utilization management by conducting utilization review activities... necessity criteria and apply that knowledge in all work activities. Complete Utilization Management activities including...

The Clinical Care Manager is responsible for utilization management by conducting utilization review activities... necessity criteria and apply that knowledge in all work activities. Complete Utilization Management activities including...

Case Management is a collaborative process of assessment, planning, facilitation and advocacy for options and services... Knowledgeable regarding InterQual Criteria for utilization review. Demonstrates safe knowledge of nursing practice skills...

utilization review and case referrals on patients, consistent with the approved Utilization Review Plans. Works with medical... contact with Managed Care and other third party payors to ensure appropriate case management. Education: Essential: Associate...

Center. The Manager Utilization Management will ensure the timely delivery of utilization review, discharge planning...Employment Type: Full time Shift: Day Shift Description: Reporting to the Director, Case Management, Case...

Nurse McKesson Certified Professional in Utilization Management AAMCN Utilization Review Professionals RNCB Certified... role as an RN, however, they are required to complete the BSN within 5 years of hire. A Utilization Review or Case...

to administration, physicians and the patients and families related to the case management and utilization review processes. Provides... strategic direction and ongoing education to all care partners regarding key elements of Case Management and Utilization Review...

Department: Jackson Memorial Hospital - Utilization Review Case Management Leadership Address: 1611 NW 12 Ave., Miami... patients within the Designated Services Area(s). Ensures staff participation in an effective and efficient case management...

per Week 24 Job Posting Category Nursing Job Posting Description The Utilization Review Nurse will be responsible... for: Completing Utilization Management Clinical Reviews including: reviewing hospital admissions and continued inpatient stays...

Demonstrated clinical competency Three to Five years experience in case management or utilization review or proven success...Description Summary: The RN Utilization Review II is responsible for determining the clinical appropriateness...

utilization review and case referrals on patients, consistent with the approved Utilization Review Plans. Works with medical... contact with Managed Care and other third party payors to ensure appropriate case management. Education: Essential: Associate...