UTILIZATION REVIEW ED CASE jobs in UNITED STATES, United Kingdom

-social barriers and supports discharge needs. Utilization Management – review patient status for appropriateness... and much more! THE CARE MANAGEMENT MODEL: Our Care Management Triad Team Model is a collaboration between the following: RN Case...

ChristianaCare

– resolve psycho-social barriers and supports discharge needs. Utilization Management – review patient status... and much more! RN Case Manager - manage patient care and drive patient progression and establish a discharge plan. Social Worker...

ChristianaCare

per Week 24 Job Posting Category Nursing Job Posting Description The Utilization Review Nurse will be responsible... and criteria Focusing on high priority utilization review activity including: conducting emergency admission level of care...

Boston Children's Hospital

and collaboration Utilization Review Nurse Provides utilization management services, in coordination with other Case Management... (CM) / Utilization Review (UR) nurse staff augmentation full time role will temporarily fill in for Optum care management...

UnitedHealth Group

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...

Slidell Memorial Hospital

Email Submit Case Manager RN ED Care Coordination Full time Location Winfield, Illinois Business Unit Central DuPage Hospital... Nurse (RN) Preferred: Master's of Nursing degree Minimum 2 years of prior experience in Case Management Utilization...

Northwestern Medicine

hours are 9A-9P. with one weekend obligation every 6 weeks and one holiday obligation per year. The Case Manager RN ED... Nurse (RN) Preferred: Master's of Nursing degree Minimum 2 years of prior experience in Case Management Utilization...

Northwestern Medicine

utilization review with a high level of expertise by using criteria that demonstrates medical necessity to achieve authorization... placement of patients to the right level of care. The RN Access Case Manager works to ensure appropriate utilization of hospital...

PIH Health

regulations related to Utilization Review. Evening Shift Case Manager Provide nurse case management support to patients... Managers assure robust utilization review, resource management and discharge planning. RN Care Managers assess patients...

Oregon Health & Science University

+ registered nurses Quality of Life: Living in the Triangle! Relocation Assistance (based on eligibility) ED or Hospital ED.../Case Management Experience Highly Preferred Occ Summary Manage a designated caseload to coordinate and complete timely...

Duke University

collaborate with the Physicians, patient/family, nursing, utilization review and other members of the healthcare team to assure... direct patient care and/or case management. Financial and discharge planning experience. Other: Preferred...

Northeast Georgia Health System

criteria for disease processes (e.g., sepsis or respiratory failure) Review medical records of patients identified by case... to ED physicians and ED Case Management regarding status issues and alternatives to acute care when acute care...

AtlantiCare

opportunity to join our team as a Registered Nurse, ED/OU, Night Shift. In this role, the successful candidate Carries out... and revises education plan. (Include utilization of EHR education tools) Evaluates the patient's progress towards expected...

NYU Langone Health

: We have an exciting opportunity to join our team as a Registered Nurse, ED/OU, Night Shift. In this role, the successful candidate... and revises education plan. (Include utilization of EHR education tools) Evaluates the patient's progress towards expected...

NYU Langone Health

Job Description: Overview Licensed Clinical Social Worker, Per Diem/Casual, ED Crisis Lawrence & Memorial Hospital... others at all levels of care and locations required to meet community needs. ED Crisis is program based in the hospital emergency room...

Yale New Haven Health

physician level review; escalates case through appropriate venue for review and status determination. Consults and educates... preferred Utilization review experience License and/or Certifications Required: Valid RN License from Virginia...

Mary Washington Healthcare

The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs overall utilization management... Days in CANOPY system. Performs clinical review on admission and/or continued stay using InterQual criteria to determine...

UPMC