RN Utilization Review & Care Coordination
University Medical Center, Inc.
The University Medical Center, Inc. is seeking a Utilization Review RN to perform vital functions in utilization management. The role involves making clinical recommendations on admissions, screening patients for guidelines, and coordinating care with other healthcare professionals. Qualified candidates should have a valid RN license in Kentucky and experience in case management is preferred. The position emphasizes patient advocacy and effective communication with third-party payors while ensuring compliance with healthcare regulations. #J-18808-Ljbffr University Medical Center, Inc.
- ...pharmacists and other highly skilled health care professionals—UofL Health is focused... ...and every day. Job Description The Utilization Review RN performs activities which support the... ...in the most appropriate level of care; coordinates care in conjunction with other members...SuggestedWork at officeShift work
$29.05 - $67.97 per hour
...Cincinnati, Ohio, seeks a Clinical Reviewer to leverage clinical knowledge for ensuring... ...necessity and appropriate levels of care. You will handle clinical reviews... ...nursing experience, including utilization review, and an active RN license. Molina offers competitive compensation...SuggestedRemote jobHourly pay- ...The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans,... ...Supervises Individual Patient Care On A Nursing Unit/Department... ...Service, Teamwork, Resource Utilization, And Staff And Self Development... ...Outlined In Performance Review. Performs Other Duties As...SuggestedTemporary workFlexible hours
$36.38 - $45.48 per hour
...LTSS Service Coordinator – RN Clinician (Case Manager) Hiring statewide... ...evaluates, and revises the member's care plan to meet the member's... ...effective and efficient utilization of health benefits. Obtains... ...screened under Florida law should review the education and awareness...SuggestedTemporary workWork experience placementWork at officeLocal area$29.05 - $67.97 per hour
...Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines... ...experience. Registered Nurse (RN). License must be active and unrestricted...SuggestedHourly payWork experience placementWork at office- ...SEP - RN Care Coordinator (OCC) Reports to the RN Manager of Care Coordination, the RN Care Coordinator... ...: Documents in chart appropriately utilizing care management documentation.... ...members, management, and utilization review staff for coordination of care and care...Work at officeImmediate startWork from home
- ...Registered Professional Nurse (RN) upholds the YNHHS mission,... ...highest level of patient centered care. The RN practices... ...implements the identified plan. Coordination of Care: The RN coordinates care... ...others nursing practice. Resource Utilization: The RN utilizes appropriate...
- ...RN Transplant Coordinator At UC Health, we're proud to have the best and brightest teams and clinicians... ...innovation and provide world-class care for not only our community, but... ...Perform and interpret clinical assessments, review test results, and escalate abnormal findings...Full timeRemote workShift work
- ...Registered Nurse - Coordinator Of Innovation, Quality Integration St. Elizabeth Healthcare... ...division and improve overall patient care. This position is responsible for closely... ...quality improvement, and dashboards Utilize appropriate tools and templates to track...Full timeShift workDay shift
- Overview Performs coordination of services to provide a seamless transition from acute and long term care to Home Care. Elements required for above... ...collection and clinical review of all referrals; determination... ...: Registered Nurse (RN) - Virginia Department of Health...
- ...Trauma Outreach And Prevention Coordinator At UC Health, we're proud... ...innovation and provide world-class care for not only our community,... ...Center. The incumbent will review trauma data and work collaboratively... ...'s Degree Preferred ~ Ohio RN License Required ~7 - 11...Full timeWork at officeLocal area
- ...judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles... ...problems and needs. Prepares, coordinates, and revises multidisciplinary... ...Demonstrates critical thinking upon review of physician orders, making...Contract workFor contractorsImmediate startShift workNight shiftWeekend work
$34 - $43.02 per hour
...best possible patient care. When parents bring their... .... Develop, coordinate, and implement nursing... ...and patient progress. Review and ensure timely, accurate... ...transparency and support. Utilize teach-back and other... ...hire date • Active Ohio RN License. May be...Part timeReliefShift workNight shiftRotating shiftAfternoon shift$38.5 - $44.7 per hour
...Registered Nurse (RN) Facility: Arbors at Milford... ..., and patient-centered care are at the forefront.... ...in understanding and utilizing your benefit options.... ...Registered Nurse plans, coordinates, and provides total nursing... ...information, please review the Know Your Rights notice...Bi-weekly payHourly payWeekly payDaily paidTemporary workLocal areaFlexible hoursShift work- ...Infusion Patient Care Coordinator Soleo Health is seeking an Infusion Patient Care Coordinator to support our Specialty Infusion Suite... ...Care Coordination, Inter-Agency Coordination, Patient Intake, Utilization Coordination, Medication referrals, Specialty Pharmacy...Full timeWork at office
$2,042 per week
...seeking a travel nurse RN Float for a travel nursing... ...specific patient care and education. -The RN... ...communicates with peers, utilizes appropriate channels of... ...and needs. -Prepares, coordinates, and revises... ...critical thinking upon review of physician orders, making...Immediate startShift workNight shift$30.89 per hour
...LTSS Service Coordinator – Clinician Hiring statewide across... ...to the LTSS care coordination process by... ...assisting the responsible RN with telephonic or face... ...effective and efficient utilization of health benefits. Decision... ...under Florida law should review the education and...Hourly payContract workWork at officeLocal area- ...The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans,... ...Supervises Individual Patient Care On A Nursing Unit/Department... ...Service, Teamwork, Resource Utilization, And Staff And Self Development... ...Outlined In Performance Review. Performs Other Duties As...
- Job Description The LPN Care Coordinator serves as a key member of the care... ...management team, supporting the RN Transition Nurse and/or... ...Monitor patient status through review of labs, vital signs, and patient... ...electronic medical record. Utilize EMR tools, registries, and...Full timeWork at office
$35.72 - $45.55 per hour
...information to improve patient care; begins to compare and... ...-appraisal performance review and peer review,... ...patient and staff safety. Utilize current research... ...evaluate effectiveness. Coordinates education with other members... ...1 year of hire date/RN job date and complete program...Part timeWork experience placementImmediate startRotating shift- ...Kentucky. The full-time position involves responsibilities like reviewing patient medical history, coordinating care, and supervising staff to ensure excellent patient outcomes. Qualifications include a valid RN license, BLS certification, and experience in an acute care...Full time
- ...RN MDS Nurse Forest Hills Healthcare Center, a member of the CommuniCare Family of... ...Three years of experience in a long term care environment preferred Experience with... ...The MDS Nurse RAC (Resident Assessment Coordinator) reports to the Executive Director and is...Flexible hours
- ...Chamberlin Park in Cincinnati, OH is recruiting an RN MDS Nurse, a critical role focused on MDS assessments and care coordination. This full-time position offers a day shift with no on-call duties, allowing for a comfortable work-life balance. Key responsibilities include...Full timeDay shift
- ...The Nurse Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans,... ...Supervises Individual Patient Care On A Nursing Unit/Department... ...Service, Teamwork, Resource Utilization, And Staff And Self Development... ...Outlined In Performance Review. Performs Other Duties As...Immediate start
- ..., judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles... ...problems and needs. Prepare, coordinate, and revise multidisciplinary plan... ...Demonstrate critical thinking upon review of physician orders, making appropriate...Full timeImmediate startShift work
$79.2k - $129.6k
RN - Oncology Clinical Reviews (JR192475) Hybrid 1 : This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and... ...rates for complex cases ensuring rating compliance, utilizing a combination of medical applications, additional medical...Work experience placementWork at officeLocal area2 days per week1 day per week- ...to help overcome health care system barriers and... ...Responsibilities Assessment Reviews baseline data related... .... Implementation / Coordination of Care Provides... ..., etc.. Create and utilize tools to measure the outcomes... ...Nursing education and RN experience as...Temporary workPart timeFlexible hours
- ...and provide world-class care for not only our... ...The Registered Nurse (RN) is an individual who holds... ...and individuals. The RN utilizes knowledge derived from... ...evaluates, revises and coordinates interdisciplinary plan... ...participating in self/peer review and performance improvement...Full timeShift workNight shift
$29.05 - $67.97 per hour
...seeking a clinical nurse responsible for reviewing documentation for medical necessity and appropriate care levels. The role involves appeals... ...clinical nursing experience, specifically in utilization review, and must hold an active RN license. Key skills include analytical...Hourly pay$62.7k - $100.4k
...Job Summary: The Community Based Care Coordinator, Duals Integrated Care is responsible for managing and coordinating care for dual-eligible... ...for accommodations will be completed through an interactive review process. Working Conditions: This is a mobile...Full timeWork experience placementWork at officeLocal areaWork from homeHome officeFlexible hoursWeekend workAfternoon shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Utilization Review & Care Coordination. Be the first to apply!
- rn network Cincinnati, OH
- registered nurse on call Cincinnati, OH
- telephonic rn Cincinnati, OH
- travel or rn Cincinnati, OH
- labor and delivery registered nurse rn Cincinnati, OH
- pcu rn Cincinnati, OH
- full-time registered nurse rn Cincinnati, OH
- new graduate rn Cincinnati, OH
- new grad rn residency Cincinnati, OH
- wound care rn Cincinnati, OH

