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

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...

as well as efficiently in high pressure situations. Preferred- Experience in Case Management or Utilization Review Business and Financial... hospital approved medical necessity criteria to review appropriate admissions, levels of care and continued stay. Documents...

Utilization Management Nurse for Medical Management Pharmacy is responsible for utilization review and the coordination of members... to practice in the applicable states 2+ years of experience in managed care, Utilization Review, Case Management or five years...

Utilization Management Nurse for Medical Management Pharmacy is responsible for utilization review and the coordination of members... to practice in the applicable states 2+ years of experience in managed care, Utilization Review, Case Management or five years...

, 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...

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...

The Utilization Management Clinical Quality Nurse Reviewer RN II, under the purview the Utilization Management... preparation/follow-up. This position actively participates in development and review of policies and procedures to certify...

seeks a Utilization Management (UM) Nurse Clinical Reviewer - LPN/RN (Remote U.S.) to join our growing team. Job Summary...: The purpose of this position is to utilize clinical expertise to review medical records against appropriate criteria in...

The Utilization Management (UM) RN performs utilization review activities, including, but not limited... and appropriate levels of care for the incoming patients. UM RN is responsible for preparing cases for Physician Advisor for 2nd level...

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