RN UTILIZATION REVIEW SPECIALIST jobs in USA, United Kingdom

strongly preferred Utilization review experience License and/or Certifications Required: Valid RN License from Virginia... as clinically indicated. Coordinates with Utilization Review (UR) Nurse to align payor and status requirements with patient...

(with feedback from Quality Review Specialist) to ensure the medical records reflect compliance with medical necessity, homebound... satisfaction and personal growth, we encourage you to apply for our Home Health RN Clinical Manager opening. We promptly review...

corrections (with feedback from Quality Review Specialist) to ensure the medical records reflect compliance with medical necessity... satisfaction and personal growth, we encourage you to apply for our Home Health RN Clinical Manager opening. We promptly review...

and provides feedback to clinicians regarding deficiencies or OASIS corrections (with feedback from Quality Review Specialist... to you, we encourage you to apply for our Home Health RN Clinical Manager opening. Our team will promptly review your application. Highly...

for better? Job Description The RN Utilization Specialist reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics... and accreditation standards. The RN Utilization Specialist (RNUS) is an experienced registered professional nurse with extensive...

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...

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...

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...

Position Summary: In conjunction with the admitting/attending physician, the UR Specialist RN assists in determining the... utilization review processes and participates in the resolution of retrospective reimbursement issues including appeals, PACER...

Hospital The Utilization Review Specialist is responsible for using clinical best practice knowledge and skilled... intervention to determine patient level of care and provide concurrent review with insurance payers in order to achieve quality...

our next Virtual Utilization Review Specialist Champion. Essential job function include: Resource Utilization Utilizes proactive... in an acute care environment required. Utilization review/discharge planning experience preferred. Recent and working...

Hospital The Utilization Review Specialist is responsible for using clinical best practice knowledge and skilled... intervention to determine patient level of care and provide concurrent review with insurance payers in order to achieve quality...

your greatest potential. Utilization Review Specialist include ESSENTIAL FUNCTIONS: Act as liaison between managed care... of stay. Gather and develop statistical and narrative information to report on utilization, non-certified days (including...

The UR Specialist reviews and monitors patients’ utilization of health care services with the goal of maintaining high... quality, cost-effective care. The duties include providing the medical and utilization expertise necessary to evaluate the...

utilization management preferred. LICENSES/DESIGNATIONS/CERTIFICATIONS: · Current licensure as an LPN or RN within the state.... · Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified...