UTILIZATION REVIEW RN jobs in UNITED STATES, United Kingdom #7

Responsible for utilization review work for emergency admissions and continued stay reviews. Responsibilities... Review electronic medical records of emergency department admissions and screen for medical necessity, using InterQual or MCG...

Netsmart

Clinical experience as Utilization Review RN in hospital acute care setting, strongly preferred. Leadership experience in case...Department: Jackson Memorial Hospital - Utilization Review Case Management (two openings) Address: 1611 NW 12 Ave...

Jackson Health System

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

Brighton Health Plan Solutions, LLC

Under minimal supervision and using clinical knowledge, the RN Utilization Review completes utilization review...: Position: RN Utilization Review Location: Must be flexible. Will work at Edward Hospital in Naperville, Elmhurst Hospital in...

Edward-Elmhurst Health

utilization review plan. Participates in daily interdisciplinary rounds. Asks clarifying questions regarding documentation.... Follows the Ohio Nurse Practice Act. Understand the importance of Utilization Review and how job functions, impacts the...

Ohio Memorial Hospital

) 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...

Brighton Health Plan Solutions, LLC

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...

Acadia Healthcare

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...

Baptist Health South Florida

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...

Martin’s Point Health Care

, 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...

Memorial Healthcare System

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...

Christus Health

Job Description: This position will be remote role for Nurses in Michigan Should have a valid MI RN License... Should Have utilization management experience. Should have experience completing post-acute reviews for the inpatient rehab, skilled nursing...

LanceSoft

Job Description: This position will be remote role for Nurses in Michigan Should have a valid MI RN License... Should Have utilization management experience. Should have experience completing post-acute reviews for the inpatient rehab, skilled nursing...

LanceSoft

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...

Christus Health

Job Description: This position will be remote role for Nurses in Michigan Should have a valid MI RN License... Should Have utilization management experience. Should have experience completing post-acute reviews for the inpatient rehab, skilled nursing...

LanceSoft

Job Description: This position will be remote role for Nurses in Michigan Should have a valid MI RN License... Should Have utilization management experience Should have experience completing post-acute reviews for the inpatient rehab, skilled nursing...

LanceSoft

Become a part of our caring community and help us put health first The Utilization Management Nurse 2 utilizes... administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation...

Humana