UTILIZATION REVIEW RN PER jobs in UNITED STATES, United Kingdom #8

) Must be able to work independently. Adaptive to a high pace and changing environment. Proficient in Utilization Review process...About The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs...

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...

communication between payers, review agencies and health care team. Identifies delays in treatment or appropriate utilization... Care Nurse McKesson Certified Professional in Utilization Management AAMCN Utilization Review Professionals RNCB Certified...

as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of the Utilization... review prior to payment. The Utilization Review Nurse will use appropriate governmental policies as well as specified...

, physicians and the patients and families related to the case management and utilization review processes. Provides strategic... direction and ongoing education to all care partners regarding key elements of Case Management and Utilization Review.Develops...

change based on that data. Prepares utilization review reports; distributes according to established procedures. b. Tracks.... Demonstrates thorough working knowledge of applicable regulations and guidelines. Ensures that utilization review procedures comply...

, review agencies and healthcare team; Identify delays in treatment or inappropriate utilization and serves as a resource... in Utilization Management AAMCN Utilization Review Professionals RNCB Certified Rehabilitation Registered Nurse ANCC...

involved in the continued management of patient status/LOC. Provides consultative role as utilization management nurse... and assists with continually improving the quality and effectiveness of the utilization management program at CSVRMC...

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...

effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the... Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. Five years acute care nursing experience...

, medical management, or other related MCO departments/functions. Certifications: Required - Current registered nurse (RN...) license in state of practice. *MSW accepted in lieu of registered nurse (RN) licensure. Preferred - Certification in Case...

required within 5 years of employment in this position No experience required RN - Licensed as a Registered Nurse. Eligible...

, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions. As an RN... Active, unrestricted Registered Nurse license through the State of California 3+ years of care management, utilization...

Specialty: Travel RN-Utilization Management Job Description Consult and coordinate with health care team members... or omissions and to investigate questionable claims. Provide direct nursing care to patient and review medical records Prepare...

& Reimbursement Free Parking SUMMARY: The Utilization Management Nurse will review all inpatient medical necessity denials... DEPARTMENT: Utilization Management SCHEDULE: Monday - Friday; Days. No weekends or holidays. ATTRIBUTES: 3 years of acute...

& Reimbursement Free Parking SUMMARY: The Utilization Management Nurse will review all inpatient medical necessity denials... DEPARTMENT: Utilization Management SCHEDULE: Monday - Friday; Days. No weekends or holidays. ATTRIBUTES: 3 years of acute...

within the utilization management process. 10. Maintains proficiency in the application of organization selected clinical review... with timely follow up as indicated 6. Assists in identification and collection of avoidable days 7. Coordinates with the CM RN...