RN Utilization Review Specialist
UofL Health
UofL Health in Louisville, KY seeks an experienced Utilization Review RN to support the Utilization Management function. You will assess medical necessity for admissions and continued stay, coordinate with physicians and case managers, and document in Case Management Software to ensure appropriate care levels and financial accountability. Responsibilities include concurrent reviews, payer communications, and education of staff and clinicians on payor guidelines and regulatory requirements. #J-18808-Ljbffr
- ...Utilization Review RNAbout UofL Health: UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers... ...every day.Position Summary and Purpose The Utilization Review RN performs activities which support the Utilization Management...SuggestedWork at office
- ...delivering patient-centered care to each and every patient each and every day. Job Description: Position Summary and Purpose The Utilization Review RN performs activities which support the Utilization Management functions. They are responsible for the delivery of the...SuggestedWork at officeShift work
$29 - $34 per hour
...Transfer Center Specialist (RN) The Transfer Center Specialist II (RN) coordinates the acceptance... ...flow through the continuum of care utilizing electronic resources. Ability to... ...call for Transfer Center leadership to review and escalate issues to facility Administrative...SuggestedFull timeLocal areaRemote workFlexible hoursShift work- ...UofL Health, Inc. in Louisville is seeking an Utilization Review RN to support the UM process. The role focuses on determining medical necessity for admission and continued stay, aligning care with payer guidelines, and coordinating with physicians and case managers for...Suggested
- ...SRI Tech SolutionsJob Title: WFM Systems Specialist (Genesys & TTEC Aria WFM Adapter)... ...AHT, Abandonment, Occupancy, Shrinkage, Utilization, Service Levels.Systems & IntegrationConfigure... ...ManagementLead WFM cadences: capacity reviews, weekly staffing calls, intraday...SuggestedFull timeTemporary workDay shift
$110k - $130k
...collaborative environment? As an experienced Pay Specialist II, you will have the ability to share... ...analysis at the security and fund level utilizing the PAY forecasting tool, to be used by... ...for new data workflows, conduct reviews of all testing results to ensure data integrity...Local area- ...seeking Disaster Recovery Public Assistance Specialists to join our dedicated team. This... ...coordination of project documentation for FEMA review and approval. This position will be... ...scope accuracy, and cost reasonableness.Utilize FEMA Grants Portal: Track project progress...Work at officeLocal areaWorldwideRelocation packageFlexible hours
- ...maintain confidentiality at all times Performs other duties as assigned Job Requirements: Education: Graduate of an accredited RN program (required) Experience: Minimum of two years' clinical experience (required) Experience in a physician's office or...Work at office
$128.06 per hour
...Job Description ~ The Disaster Program Delivery Specialist: • Collects, coordinates and/or reviews applicant data to determine eligibility and priority... ...documents through FEMA’s Consolidated Resource Centers utilizing a web-based tool, schedules site inspections with...Work experience placementH1bImmediate startFlexible hours- ...Position Purpose: The Asset Protection Specialist is primarily responsible for preventing... ...their assigned store/multiple stores. They utilize tools to minimize loss to the Company,... ...identifying incidents of theft and fraud, reviewing CCTV and exception reports, monitoring...
$24.28 - $32.44 per hour
...The Technical Services Building Systems Specialist II (BSS II) is skilled member of the Technical... ...in site surveys, documentation review, and due diligence activities to determine... ...the commissioning process. • Actively utilize the CxAlloy software to document assigned...Full timeWork at officeRemote work- ...job operates in a clerical office setting. This role routinely utilizes standard office equipment such as computers, phone, photocopiers... ...to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.Work at office
- ...quotations in accordance with company pricing guidelines. - Review rental orders for completeness and accuracy prior to fulfillment... ...confirmations, and billing readiness. - Track equipment utilization, rental durations, and return timelines. Problem Resolution...Work at officeShift work
- ...prior authorization within four to five business days Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to... ...Adjudicates and resolution of claim rejections as needed Utilizes Frameworks, QuickBase, Docutrack, and CoverMyMeds in order to complete...Flexible hoursShift work
- ...prior authorization within four to five business days. Track and review all claims in QuickBase and send an Excel tracking spreadsheet... .... Adjudicate and resolve claim rejections as needed. Utilize Frameworks, QuickBase, Docutrack, and CoverMyMeds to complete daily...Flexible hoursShift work
$129k - $177k
The Trenchless Technology Specialist / Design Consultant will support planning, design, and... ...experience delivering trenchless and underground utility infrastructure projects (planning... ...laws. For further information, please review the Know Your Rights notice from the...Temporary workFor contractorsRemote work- Position Purpose The Asset Protection Specialist is primarily responsible for preventing financial... ...assigned store/multiple stores. They utilize tools to minimize loss to the Company,... ...incidents of theft and fraud, reviewing CCTV and exception reports, monitoring the...
$50k
...their access to therapy. The Reimbursement Specialist works in a dynamic and compassionate... ...regulation or guidance. Patient Assistance: Review of patient assistance enrollment forms... ...inbound callers through resolution utilizing answers to frequently asked questions or...Full timeTemporary workWork at officeImmediate start- ...prior authorization within four to five business days Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to... ...Adjudicates and resolution of claim rejections as needed Utilizes Frameworks, QuickBase, Docutrack, and CoverMyMeds in order to complete...Live inWork at officeFlexible hoursShift work
$7.25 per hour
...progress. Essential Duties and Responsibilities: Review the hospital census or utilize established referral method to identify self-pay patients... ..., as applicable, for the backend Patient Advocate Specialist to develop a positive relationship with the patient....Hourly payOdd jobFull timeContract workImmediate startRemote workMonday to FridayShift work$63 per hour
...as related civil structures (roads, dams, bridges, facilities, utilities, etc.) to verify compliance with approved design specifications... ...construction, required corrective actions and any needed sampling. • Review contractor submittals, RFIs, shop drawings, and material...Contract workFor contractorsWork experience placementH1bImmediate startOverseasFlexible hours$7.25 per hour
...manuals, schematics, and wiring diagrams, and repairs equipment, utilizing knowledge of electronics and using standard test instruments... ...to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. Convergint...Hourly payFull timeWork from homeShift workNight shift- ...growth of the child within the inpatient and outpatient setting, utilizing age appropriate principles of growth and development; acts an... ...network of highly trained pediatricians, pediatric specialists and support services providing care for children of all ages....Relocation packageAfternoon shift
- ...8,500 employees across a sprawling 720-acre campus. As an EHS Specialist, you’ll play a pivotal role in ensuring compliance, reducing risks... ...work plans, lock out tag out assessments, and new equipment reviews, which may require travel to the equipment manufacturer....Full timeFor contractorsWork at officeImmediate startMonday to FridayFlexible hours
- ....Job DescriptionAECOM is seeking Disaster Recovery Mitigation Specialists to join our dedicated team. This is a contingent position, with... ..., and coordination of project documentation for FEMA review and approval. This position will be offered on a contingent basis...Work at officeLocal areaWorldwideRelocation packageFlexible hours
- ...2 Experience: Two years of acute care RN experience License: Registered Nurse... ...prioritizes, and implements the plan of care. Reviews and revises the plan as indicated.... ...patient/family and interdisciplinary services. Utilizes resources appropriately to support the...Temporary workLocumLocal areaShift workNight shift
- ...Dover Precision Components, #LifeAtDPC WHAT YOU’LL DO The HSE Specialist will provide full-time health, safety and environmental support... ...in line with our Safety Always mission. Perform compliance reviews, general risk assessments, JSA and other safety assessments to...Full timeFor contractorsWork experience placementLocal area
- ...Job Description: RN Burn ICU in Louisville, KY Position Summary and Purpose: Our client... ..., burn injuries, and complex diagnoses. Utilizing the nursing process, nursing practice... ...needs. Conducting regular and systematic reviews of patient/family responses to interventions...Shift work
- ...group of patients. The Registered Nurse (RN) focuses on safe, effective, patient and... ...prioritizes, and implements the plan of care. Reviews and revises the plan as indicated.... ...patient/family and interdisciplinary services. Utilizes resources appropriately to support the...Temporary workLocumLocal area
- ...Critical Care Registered NurseProfession: RN Specialty: Intensive/Critical... ...prioritizes, and implements the plan of care. Reviews and revises the plan as indicated. Collaborates... ...families, and interdisciplinary services. Utilizes resources appropriately to support the...Shift workNight shiftWeekend work
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