NURSE UTILIZATION AND CLINICAL jobs in UNITED STATES, United Kingdom #9

for everyone, so we offer ongoing professional training, lower nurse-to-patient ratios, and comprehensive benefits for eligible... Utilization Manager plans, coordinates, implements, and finalizes projects according to the specifications, deadlines, and budget...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical... member data to improve quality and appropriate utilization of services Provides education to providers members...

utilization review and case referrals on patients, consistent with the approved Utilization Review Plans. Works with medical... and professional staff to obtain appropriate clinical documentation for review and optimal patient placement. Maintains...

Summary The Utilization Review – RN is a registered nurse who is responsible for facilitating appropriate lengths of stay... replacement, emergency/trauma care, comprehensive cancer care, wound care and clinical trials and research. Take advantage...

Description: Under the general direction of the Utilization Management Manager, you will be responsible for prospective and concurrent... utilization of appropriate reports such as Health Plan Eligibility and Benefits and Division of Responsibility (DOR) Maintain...

Registered nurse. (RN) Minimum Experience: 15+ years of experience in clinical services 5+ years of experience in... Organization's Utilization Management (UM) functions across all markets for AHP. The incumbent interprets key performance metrics...

, Utilization Management is a member of the healthcare team and is responsible for coordinating, communicating, and facilitating the... clinical progression of the patient's treatment. Accountable for a designated patient caseload; the Care Coordinator...

Utilization Review Nurse, assesses patient insurance/status to facilitate appropriate completion of utilization review using payer... requirement. Experience 3-4 years as a clinical nurse in an acute care setting required Prior experience as a Case Manager...

of Utilization Review The UR Director possesses knowledge of psychiatric clinical diagnosis and the ability to articulate...Job Description: Responsibilities FULL-TIME DIRECTOR OF UTILIZATION REVIEW Brentwood Behavioral Healthcare...

Summary Monitors the utilization of resources, risk management and quality of care for patients in accordance to established... guidelines and criteria for designated setting and status. Collection of clinical information necessary to initiate commercial...

Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management.... Knowledge of utilization management principles preferred. License/Certification: RN - Registered Nurse - State Licensure...

Registered nurse. (RN) Minimum Experience: 15+ years of experience in clinical services 5+ years of experience in... Organization's Utilization Management (UM) functions across all markets for AHP. The incumbent interprets key performance metrics...

Anticipated End Date: 2024-08-02 Position Title: Utilization Management Representative I Job Description: Title...: Utilization Management Representative I Location: This position will work a hybrid model (remote and office). Ideal candidates...

Job Description: Responsibilities Job description Part-time Utilization Management Coordinator Via Linda... Forgiveness through AZ BHLRP The Utilization Management Coordinator reports to the Utilization Management Director...

Job Description: Responsibilities Job description Full-time Utilization Management Coordinator Via Linda... Forgiveness through AZ BHLRP The Utilization Management Coordinator reports to the Utilization Management Director...

in Clinical Performance Improvement Initiatives related to Clinical Documentation and Quality Utilization. Increases... for better? Job Description The Quality Utilization Specialist reflects the mission, vision, and values of NM, adheres to the organization's Code...

policy. X Accept Cookies RN Case Manager - Utilization Review Job Details Job Location Arkansas Heart Hospital... to assess, plan and evaluate the care of a designated case load of patients so that clinical and financial outcomes are achieved...