LPN RN UTILIZATION REVIEW jobs in UNITED STATES, United Kingdom

and develops plan of care for complex high-risk patients. Provide assistance to Utilization Review in communicating pertinent...Job Description The LPN will provide patient care and assist in the collection of data during the assessment process...

for VT and NH BSN/MSN preferred Hospice expereince required Minimum two years as a nurse (RN and or LPN) Minimum one year..., and utilization review reporting Strong assessment and organizational skills Demonstrated successful track record of working...

. Proficient in Utilization Review processes, you'll maintain effective procedures to meet regulatory and reimbursement... during their stay. Job Requirements: Current LPN/LVN or RN Nurse license or Clinical License. Associate's degree; Bachelor...

or RN Utilization Review Specialist. This position will have a standard 7:30am-4pm weekdays schedule at our main location in... requires completion of an accredited nursing program and licensure (LPN or RN) in the State of Tennessee or a Bachelor's in...

RIDGEVIEW, a not-for-profit community mental health center has an immediate opening for a full-time LPN or RN... Utilization Review Specialist. This position will have a standard 7:30am-4pm weekdays schedule at our main location in Oak Ridge...

. Proficient in Utilization Review processes, you'll maintain effective procedures to meet regulatory and reimbursement...Job Summary: As a Utilization Management Nurse/Social Worker, you'll play a crucial role in our multidisciplinary...

our next Virtual Utilization Review Specialist Champion. Essential job function include: Resource Utilization Utilizes proactive...'s Degree; Specialty/Major: Nursing Licensure/Certification Required: Current unrestricted LPN or RN license to practice...

. Including but not limited to Word, Excel, and Outlook. Currently licensed in Hawaii as an RN or LPN (if applicable upon... range Under minimal supervision, conducts detailed analysis and review of inpatient hospital stays and suspended claims, by applying...

utilization management preferred. LICENSES/DESIGNATIONS/CERTIFICATIONS: · Current licensure as an LPN or RN within the state... (LPN or RN) required. Bachelor's or Master’s degree in social work, behavioral or mental health, nursing or other related...

your greatest potential. Utilization Review Specialist include ESSENTIAL FUNCTIONS: Act as liaison between managed care... other functions and tasks as assigned. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: Associate's degree in nursing (LPN or RN...

, contract providers, and outside agencies. Requirements Current LPN, RN or other Clinical Licensure and/or Master’s degree...The UR Specialist reviews and monitors patients’ utilization of health care services with the goal of maintaining high...

seeks a Utilization Management (UM) Nurse Clinical Reviewer - LPN/RN (Remote U.S.) to join our growing team. Job Summary... Required Qualifications/Experience: Active unrestricted Indiana Licensed Practical Nurse (LPN) OR Registered Nurse (RN) OR other applicable...

review and other utilization management activities aimed at providing large MCO members with the right care at the right... review and prior authorizations (as needed) according to large MCO policy for members as part of the Utilization Management...

management platforms. Keep up-to-date with regulatory prerequisites (such as URAC) and state standards for utilization review...Job Description: The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring...

-to-date with regulatory prerequisites (such as URAC) and state standards for utilization review. Apply clinical reasoning to determine the...The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services...

Dallas, TX office) to coordinate all components of the utilization review process, ensuring timely review of treatment... for peer clinical review when necessary. KEY RESPONSIBILITIES: Coordinate the utilization review process for each treatment...

Dallas, TX office) to coordinate all components of the utilization review process, ensuring timely review of treatment... for peer clinical review when necessary. KEY RESPONSIBILITIES: Coordinate the utilization review process for each treatment...