RN UTILIZATION REVIEW DE jobs in COLUMBUS OH, United Kingdom

. 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...

to: Utilization Review (UR) and resource management, discharge planning, treatment plan management and financial management... of utilization criteria reviews. Building relationships and coordinating with payor sources in order to ensure proper reimbursement...

to: Utilization Review (UR) and resource management, discharge planning, treatment plan management and financial management... of utilization criteria reviews. Building relationships and coordinating with payor sources in order to ensure proper reimbursement...

and research strategies related to care coordination including case management, utilization review and discharge planning. Assists... may include inpatient nursing, case management, utilization review, discharge planning, community health nursing...

and chart review. Discusses resident care needs with care givers, including physician, nursing, social services, therapy... of Medicare days and RUGs utilization in the absence of the Care Management Coordinator. Remains current with American...

and invaluable benefits to our clients. Qualifications: Active Ohio LPN or RN license with clinical experience required; PACU.... Proficient understanding and utilization of medical terminology, anatomical drawings, laboratory tests, and medications...

. Collaborates with the Utilization Review Specialist RN regarding medical necessity of inpatient admission, appropriate patient... knowledge of current concepts, research needs and research strategies related to case management, utilization review...