for this position, UW Medical Center has an outstanding opportunity for an experienced Utilization Review Nurse (UM RN... or email and we will be happy to assist you. UTILIZATION REVIEW NURSE, PART-TIME, WEEKENDS UTILIZATION REVIEW NURSE, PART-TIME, WEEKENDS Req...
University of Washingtonfor CoxHealth Pharmacies and 1906 Employee Store Job Summary The Clinical Documentation Improvement (CDI)/Utilization Review... Coding Clinic and AHA Coding guidelines. As the Utilization Review Manager will ensure that patients are meeting clinical...
CoxHealthSentara Health is hiring a Full-Time Day shift Utilization Review RN Case Management for the Revenue Cycle Center... Review RN/Integrated Care Manager with Sentara Health. As a Utilization Review Nurse specializing in Utilization review, the...
Sentara Healthof clinical experience as an RN in a varied clinical setting required. Previous utilization review experience preferred... here while enjoying first-class perks, benefits and commitment to diversity and inclusion. Overview The Utilization Review Nurse (URN...
Independent Healthabuse utilization review process preferred. Experience working with providers and healthcare teams to review care services... will work weekend/holiday hours for coverage Position Purpose: Performs a clinical review and assesses care related to mental...
Centeneutilization review processes and participates in the resolution of retrospective reimbursement issues including appeals, PACER... Position Summary: In conjunction with the admitting/attending physician, the UR Specialist RN assists in determining the...
McLaren Health Careabuse utilization review process preferred. Experience working with providers and healthcare teams to review care services... perspective on workplace flexibility. Job Description 100% Remote Position - Must be license in the state of Texas RN, LCSW...
CenteneSoutheast. Always the right career direction. Job Description Summary The Utilization Review Nurse screens medical... One (1) year utilization review experience Required Skills/Abilities Demonstrates advanced computer skills...
SoutheastHEALTHand/or assess ABA Treatment Plans preferred. Knowledge of ABA services and BH utilization review process preferred. Experience... with ABA regulatory guidelines and criteria Analyzes BH member data to improve quality and appropriate utilization of services...
CenteneJob Description: The RN Case Manager is responsible to facilitate care along a continuum through effective resource... coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the...
Tenet HealthcareHospital 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...
Cooley Dickinson HospitalHospital 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...
Mass General Brighamour 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...
Ensemble Health Partnersrange Under minimal supervision, conducts detailed analysis and review of inpatient hospital stays and suspended claims, by applying.... Including but not limited to Word, Excel, and Outlook. Currently licensed in Hawaii as an RN or LPN (if applicable upon...
Hawaii Medical Service Associationand substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience... review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services...
CenteneRN- Utilization Review Nurse LTSS/DME *Full Time 100% Remote Opportunity* COME WORK FOR THE LEADING, LOCAL... MANAGED CARE COMPANY - VILLAGECARE! VillageCare is looking for a self-motivated and passionate RN as Utilization Review...
VillageCareRN- Utilization Review Nurse LTSS/DME *Full Time 100% Remote Opportunity* COME WORK FOR THE LEADING, LOCAL... MANAGED CARE COMPANY - VILLAGECARE! VillageCare is looking for a self-motivated and passionate RN as Utilization Review...
VillageCare