RN UTILIZATION REVIEW DE jobs in UNITED STATES, United Kingdom #4

-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...

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

Email Submit RN Utilization Specialist-Utilization Review Casual Rotating Location Palos Heights, Illinois Business Unit Palos... Hospital Job REQID 139071 Job Function Nursing Coordinator Shift Rotating Description The RN Utilization Specialist...

Experience At least two years Utilization Review Case Manager RN experience, strongly preferred. Education Bachelor...Department: Jackson Memorial Hospital- Case Management, Utilization Review Address: 1611 NW 12 Ave, Miami, FL 33136...

, Care Coordination, Discharge Planning and Utilization Review Southern Maine Health Care's Case Management department..., intensive care or home health care background. Previous case management and utilization review experience Certified Case...

as well as efficiently in high pressure situations. Preferred- Experience in Case Management or Utilization Review Business... hospital approved medical necessity criteria to review appropriate admissions, levels of care and continued stay. Documents...

across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews... and monitors utilization of health care services with the goal of maintaining high quality cost-effective care. Ensures appropriate...

across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews... and monitors utilization of health care services with the goal of maintaining high quality cost-effective care. Ensures appropriate...

Description : San Jose Behavioral Health currently has an opportunity for a Utilization Review Specialist Per Diem... is currently seeking an experienced Utilization Review Specialist Per Diem to join our growing team. The Utilization Review...

requirements below! Apply today! About the Job: The Utilization Review RNs (UR RN) primary responsibility is to monitor... Utilization Review RN will utilize medical necessity screening tools, such as InterQual, to complete admission reviews in...

to identify over/under utilization patterns. Supports Steward Health Care's and hospital goals and objectives. Works... utilization. REQUIRED KNOWLEDGE & SKILLS: Ability to work competently with computer-based charting and other clinical and non...

clinical information used to support Utilization Management (UM) decisions based on established clinical criteria and applies... Oregon RN License required. BSN preferred. One (1) year clinical experience required. Experience or training in the...

to identify over/under utilization patterns. Supports Steward Health Care's and hospital goals and objectives. Works... utilization. REQUIRED KNOWLEDGE & SKILLS: Ability to work competently with computer-based charting and other clinical and non...

to identify over/under utilization patterns. Supports Steward Health Care's and hospital goals and objectives. Works... utilization. REQUIRED KNOWLEDGE & SKILLS: Ability to work competently with computer-based charting and other clinical and non...

, and utilization review. Review admissions and service requests within assigned unit for prospective, concurrent, and retrospective... statistical analysis and utilization review reports as necessary. Oversee and coordinate compliance to federally mandated...

for hospital stay and monitor adherence to the hospital’s Utilization Review Plan (Subject No 29-2 policy and procedure manual... and utilization management criteria; Familiar with medical chart review; application of Interqual utilization management criteria...

care services regarding admissions, case management, discharge planning and utilization review. Review admissions... and coordinate discharge planning needs with healthcare team members. May prepare statistical analysis and utilization review...