UTILIZATION MANAGEMENT NURSE SPECIALIST jobs in UNITED STATES, United Kingdom

of the health care team and the management staff. The TPC is self-directed and self-motivating, plans and conducts work... and synthesizing of data to maximize utilization of data in clinical decision-making, business and strategic initiative. Coordinates...

; collaborates with Clinical Documentation Improvement Specialist (CDI Nurse) when further evaluation is warranted. Assesses... as clinically indicated. Coordinates with Utilization Review (UR) Nurse to align payor and status requirements with patient...

the utilization of resources, risk management and quality of care for patients in accordance with guidelines and criteria... with significant background in case management and/or utilization management experience. Minimum of three years nursing experience...

clinical nursing experience required. Experience in case management, utilization management, and/or coding preferred... Weekly Hours: 40. 00 Pay Info: ** experience credit added to wage Job Summary** The Clinical Documentation Specialist...

. 1 year experience in Utilization Management. Reliable transportation required. Mileage is reimbursed per our company... This is a unique hybrid position that will support the an external provider team as a Float Registered Nurse. This position will help...

Collaborate with utilization management, primary care physicians, specialist, and other members of the IDT. Notify family...Liberty Cares With Compassion Liberty Medical Care Services is currently seeking an experienced: REGISTERED NURSE...

of opportunity and value presentation, evaluation and implementation of product decisions and utilization management. Build... and utilization of clinical protocols and formularies. This position has an option to work remote for those living in North Dakota...

The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and approve medically necessary referrals... a patient care setting and/or combination in utilization management, appeals and grievances, delegation oversight, and/or CNA...

The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve medically necessary referrals.... At least 2 years Utilization Management/Case Management experience in a hospital or HMO setting . Preferred: Managed Care...

Description : Utilization Management Specialist *Remote* *working collaboratively with the treatment team... treatment. As a Utilization Management Specialist II, you will need to exhibit excellent communication and documentation...

. The Utilization Management Specialist collaborates with the care team to confirm the level of care and authorization... management experience 2+ years of utilization management experience 6+months of experience using InterQual, MCG...

. The Utilization Management Specialist collaborates with the care team to confirm the level of care and authorization... management experience 2+ years of utilization management experience 6+months of experience using InterQual, MCG...

. JOB SUMMARY Our Ethos Risk team is seeking a full-time Utilization Management (UM) Intake Specialist (REMOTE) to play a crucial... Utilization Management System. Review Assignment: Assign reviews to the Utilization Management Nurse. Communication: Assist...

, or AMFT/LMFT. At least 1 year of Utilization Management experience is needed. Minimum 3 years of post-degree clinical...River Edge is seeking a dedicated and knowledgeable Clinical Training Specialist for our Emery Highway Outpatient...

necessity reviews within patient s medical records. Performs utilization management (UM) activities in accordance with UM plan... the utilization of resources, risk management and quality of care for patients in accordance with guidelines and criteria...

! Job Description Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes... Board of Nursing, is required Minimum of 12 months experience in case management or utilization management...

IS THE PLACE FOR YOU! Utilization Management Specialists are responsible for: Obtaining initial and subsequent... summary reports and presentations on utilization management data Other duties as assigned Job Requirements: Current...