UTILIZATION REVIEW RN FRI jobs in UNITED STATES, United Kingdom

management experience 1+ years of experience that involves utilization review and evidence-based guidelines (InterQual... for ensuring proper utilization of our health services. This means you will be tasked with assessing and interpreting member needs...

management experience 1+ years of experience that involves utilization review and evidence-based guidelines (InterQual... for ensuring proper utilization of our health services. This means you will be tasked with assessing and interpreting member needs...

and utilization of patient education resources, suitable to patient age and cultural/psychosocial factors. Collaborates... decisions from many diversified alternatives that are subject to general review in final stages only. Working Relationship...

toward goals. Facilitates patient discharge through timely, appropriate referrals and utilization of patient education resources... that are subject to general review in final stages only. Working Relationship: Coordinates activities of others (does not supervise...

completion of appropriate clinical review of all applicable patients as stated in system utilization management plan. Oversees... Experience in pediatrics 2 years of experience in hospital or insurance related utilization review; extensive case management...

to also have MI, CA, OR licenses in addition to compact. SHIFT: Mon - Fri 8a-5p No OT Job Description: Description - External..., as necessary, the care plan and promote desired outcome Assess the member's current health status, resource utilization, past...

to also have MI, CA, OR licenses in addition to compact. SHIFT: Mon - Fri 8am - 5 PM CST, No OT..., as necessary, the care plan and promote desired outcome Assess the member's current health status, resource utilization, past...

will not be a condition of employment 3 years Clinical nursing experience 1 year utilization Management-review and Discharge-planning... Management department at Providence Alaska Medical Center in Anchorage, AK. Case Manager RN - Part time, 0.6 FTE, Day Shift...

Job Description: Nemours is seeking a Care Management RN to join our team.The Care Management Nurse (RN) coordinates... the utilization of pediatric healthcare resources, including transition planning, while facilitating the achievement...

experience Experience developing performance improvement plans, field staff orientation, clinical chart review, and utilization... Weekly Mon-Fri work hours AMAZING culture Strong employee values and recognition Small team at a local office Growth...

medicine, and receive care. SUMMARY: Under the direction of the Practice Administrator, the Lead RN is responsible... care in accordance with RN scope of practice and adherence to the organization’s nursing policy and procedures. Thorough...

medicine, and receive care. SUMMARY: Under the direction of the Practice Administrator, the Lead RN is responsible... care in accordance with RN scope of practice and adherence to the organization’s nursing policy and procedures. Thorough...

Endoscopy 6:30 AM - 3:00 PM, Mon-Fri Limited night and weekend call is required Job Summary: The Clinical Nurse I assesses... and utilization of patient education resources, suitable to patient age and cultural/psychosocial factors. Collaborates...

into plan of care. Collaborates with Utilization Review Nurse. Facilitates an interdisciplinary approach to patient care... appropriate to identify individualized needs in collaboration with SW. CM will review assigned census beginning each day...

into plan of care. Collaborates with Utilization Review Nurse. Facilitates an interdisciplinary approach to patient care... appropriate to identify individualized needs in collaboration with SW. CM will review assigned census beginning each day...

review, and utilization review reporting Strong assessment and organizational skills Demonstrated successful track record... for Women 2023 and 2024 Forbes Best employer 2022 Paid Weekly Mon-Fri work hours AMAZING culture Strong employee values...

CDI Ambulatory Full Time AM/PM Shift Mon-Fri 8am-5pm Consistently named best hospital, Lexington Medical Center... thorough concurrent review of medical record clinical documentation to capture documented and potential principal diagnosis...