RN UTILIZATION REVIEW DE jobs in UNITED STATES, United Kingdom

and/or denial of services. Ability to review, analyze and summarize reports and have effective oral and written communication skills... standards and require additional secondary review and/or escalation as needed. May also be actively involved in collaborating...

. Provide assistance to Utilization Review in communicating pertinent nursing information. Designs teaching programs...Job Description The RN Nurse Manager is responsible for administrative duties as assigned by the Program Director...

experience in population health, case management, utilization review, health plan, ambulatory care, or quality management.... The Community RN Care Manager provides complex medical care coordination for patients while assessing social factors...

activities of clinical review, discharge planning, resource utilization and utilization review. Candidates need acute hospital.../Minimum Requirements Education: Required for RN: Minimum - Associate's degree; Master's/Bachelor's degree preferred Experience...

$10,000 Sign On Bonus Are you an experienced RN MDS nurse interested in the next step? The MDS Coordinator provides... and chart review. Discusses resident care needs with care givers, including physician, nursing, social services, therapy...

for analyzing and synthesizing of data to maximize utilization of data in clinical decision-making, business and strategic..., maintain grant and contract files, review contracts, develops progress reports, and reviews closed grant for completeness...

year commitment. Eligibility rules apply, including 15+ months of RN experience. External applicants only. POSITION.... The Clinical Nurse 2 Colleague is an RN that practices as a full partner on the health care team and consistently...

to practice RN or RN with less than 15 months of experience that demonstrates basic safe practice within the organizational... availability and appropriated utilization of human, material and financial resources. Educates patients about healthy practices...

time frames. Assesses resident through physical assessment, interview and chart review. Discusses resident care needs... per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care...

Are you an experienced nurse (LPN) or (RN) who wants to remain clinically involved in patient care without being... time frames. Assesses resident through physical assessment, interview and chart review. Discusses resident care needs...

clinical review. General Medical-Surgical nursing is sufficient to be relevant to the clinical areas addressed in most initial... cases. Demonstrates a thorough understanding of criteria sets and their limitations including when a second level review...

critical decision making skills. Working knowledge of utilization review, quality assurance and managed health care concepts... 7:30 AM – 4:00 PM plus limited on call rotation Location: Wilkinsburg, PA Summary of Job Duties: If you are an RN...

. Must have valid State of Ohio LPCC, LSW, LCDC II or III, RN licensure. Utilization Review Specialist Requirements Salary...Utilization Review Specialist Job Description Unique opportunity to join Maryhaven, Central Ohio’s largest...

Overview Under the direction of the Director, Care Coordination, the Utilization Review RN performs activities... which support the Utilization Management functions. The Utilization Review RN is responsible for the delivery of the Utilization...

Overview Under the direction of the Director, Care Coordination, the Utilization Review RN performs activities... which support the Utilization Management functions. The Utilization Review RN is responsible for the delivery of the Utilization...

review of all applicable patients as stated in system utilization management plan. Oversees Clinical Review Specialist... utilization review Education Graduation from an accredited school of nursing Certification Summary Licensure...

Email Submit RN Utilization Specialist-Utilization Review Full Time Days Location Palos Heights, Illinois Business Unit Palos... trends. Responsibilities: RN Utilization Review: Applies medical necessity screening criteria, level of care guidelines...