Utilization Review RN Acute Care Reimbursement Specialist
Memorial Health System
Memorial Health System is looking for a dedicated clinical reviewer in Springfield, Illinois. The role involves performing clinical reviews of patient records and ensuring proper documentation to support reimbursement for acute care services. This position is not remote, and requires a valid RN license in Illinois, with a minimum of 3-5 years of experience in acute care or case management. Candidates with strong communication skills and knowledge of healthcare reimbursement mechanisms are encouraged to apply. #J-18808-Ljbffr
- ...Springfield, Illinois, is looking for a licensed RN to perform clinical reviews of patient records for acute care services. The ideal candidate will have a... ...adept at communicating with payors for service reimbursement. Strong problem-solving skills and adaptability...Reimbursement
- ...Health is seeking a Clinical Review Nurse in Springfield, Illinois... ...of patient records for acute care services. The role requires an... ...Associates Degree in Nursing, current RN licensure in Illinois, and 3-... ...with payors for reimbursement support and ensuring documentation...ReimbursementFull timeShift work
- ...8:00-4:30pm Performs clinical review of patient records to evaluate the utilization of acute care services. Communicates to third... ...admission for services reimbursement. Ensures the patient care team... ...Certification/Registry: Current RN licensure in the State of Illinois...ReimbursementShift work
$27.73 - $54.06 per hour
...clinical member services review assessment processes.... ...integrated delivery of care across the continuum. Contributes... ...care model. Adheres to utilization management (UM)... ...experience in hospital acute care, inpatient review,... .... Registered Nurse (RN). License must be active...SuggestedHourly payWork experience placementWork at officeMonday to Friday$20k
...A healthcare organization in Springfield is seeking a Registered Nurse (RN) for its Multispecialty Care team. The role focuses on providing acute bedside care and coordinating care with multidisciplinary teams. Ideal candidates will have strong patient care skills and...SuggestedHourly payRelocation package$73k - $75k
...your career with us, experience our caring culture, and enjoy work-life balance.... ...Workplaces in Financial Services & Insurance RN Utilization Review PRIMARY PURPOSE: To provide timely,... ...dental plans to choose from. Tuition reimbursement eligible. 401K plan that matches 50%...Work at officeFlexible hours$2,161 per week
...We are looking for a Travel Acute Rehab RN for a great Travel nursing job in Springfield, IL. This Acute Rehab Travel nursing... ...~ Weekly pay + direct deposit ~ Referral bonuses ~ CEU reimbursement after 1,040 hrs ~24/7 on-call support ~ Day-one health,...ReimbursementWeekly payLocal areaRotating shift$2,037 - $2,167 per week
...Registered Nurse (RN) | Post-Anesthesia Care Unit (PACU) / Pre-Post Op Location... ...-operatively, including reviewing medical history,... ...promptly to emergency situations utilizing Pre/post op nursing standards... ...4/7 recruiter support ~ Reimbursement for licensure and CEUs...ReimbursementFull timeContract workTemporary workShift work$2,037 - $2,167 per week
...Registered Nurse (RN) | Post-Anesthesia Care Unit (PACU) / Pre-Post Op Location... ...-operatively, including reviewing medical history,... ...promptly to emergency situations utilizing Pre/post op nursing standards... ...4/7 recruiter support ~ Reimbursement for licensure and CEUs...ReimbursementFull timeContract workTemporary workShift work$33 - $49.5 per hour
...the development of the nursing care plan, and participates in the... ...Ensures optimal patient care utilizing the nursing process.*... ...used in patient care within an acute care setting, preferred.* Demonstrates... ...Time OffTuition Reimbursement and Loan ForgivenessGift Shop...ReimbursementRelocation packageFlexible hoursShift workWeekend work- ...need to have an Illinois state RN license Assess and analyze... ...teams Summary Works with the Utilization Management team primarily responsible... ...medical necessity/utilization review and other utilization... ...clients' members with the right care at the right place at the right...Contract workRemote work
$1,813 - $1,966 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Springfield, IL Agency: Host Healthcare... ...Satisfaction by MIT Sloan Management Review. No matter if you want to explore... ...coverage, 401K matching, travel reimbursements, housing support and more. Take...ReimbursementFull timeContract workLocal areaImmediate startShift work$31 - $46.5 per hour
...with the Case Manager, utilizes physicians' orders and... ...and state regulations, reimbursement guidelines, as well as... ...coordinating and documenting care for an assigned... ...hospice is preferred.1 year acute nursing experience is... ...as a Registered Nurse (RN) in the state of practice...ReimbursementFull timeTemporary workPart timeFlexible hours$2,648 - $2,801 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Springfield, IL Agency: Host Healthcare... ...License, travel, tuition, and scrub reimbursement. Matching 401k. Deluxe private... ...Satisfaction by MIT Sloan Management Review. No matter if you want to explore...ReimbursementFull timeLocal areaImmediate startShift workNight shift- ...is the leader of the Patient Care Team and that member of the... ...compensation Generous PTO Tuition Reimbursement Mileage Reimbursement Health... ...plan of care. Reviews information on all pending patient... ...annual program review. Performs utilization review of continuous care...ReimbursementFull timeContract workWork at officeLocal areaFlexible hours
$43.71 per hour
...priorities and goals. Utilizing a shared... ...quality of patient care in a designated department... ...Current Illinois RN licensure required... ...experience in acute care nursing as a... ...productivity reports. Reviews and evaluates... ...health care related to reimbursement issues. 5....Reimbursement$2,115 per week
...is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job... ...Care Unit (ICU) within an acute care hospital, Level I trauma... .... Confirm traveller has reviewed housing and compliance needs... ...Referral bonuses ~ Travel reimbursement ~401(k) retirement plan...ReimbursementShift workNight shift$2,115 per week
...is seeking a travel nurse RN SICU - Surgical Intensive Care for a travel nursing job in... ...intensive care unit of an acute care hospital. The... ...post-neurosurgery care, and utilize special equipment such as... ...Referral bonuses ~ Travel reimbursement ~401(k) retirement plan...ReimbursementShift workNight shift$15 per hour
...Medicare’s Chronic Care Management... ...caseload), an RN Care Coach will... ...performance is regularly reviewed. This is not a... ...Utilize our specialized... ...screens, follow-up/specialist appointments, etc... ...Medicare to process reimbursements. All other... ...chronic and post-acute complications....ReimbursementContract workPart timeRemote workShift work$16.5 per hour
...Max USD $24.82/Hr. Overview The Floor Care Specialist is responsible for coordinating and completing... ...shifts available . (Openings are reviewed regularly based on the needs of the department... ...applicators, wet/dry vacuums, etc.). Utilizes Tru-D ultraviolet light device and is...Shift work- ...Staffing is seeking a travel nurse RN Med Surg for a 13-week travel... ..., Illinois. The role involves caring for adult patients before and... ...18 months of experience in an Acute Care Med/Surg setting.... ...coverage of credentialing fees, and travel reimbursement. #J-18808-Ljbffr...ReimbursementWeekly payNight shift
$2,295 - $2,638 per week
...Registered Nurse (RN) | Cardiac Catheterization Lab Location... ...Lab RN provides specialized care for patients undergoing... ...prior to procedures, including reviewing medical history and performing... ...~24/7 recruiter support ~ Reimbursement for licensure and CEUs Why...ReimbursementFull timeContract workTemporary workImmediate startShift work$2,295 - $2,638 per week
...Registered Nurse (RN) | Cardiac Catheterization Lab Location... ...Lab RN provides specialized care for patients undergoing... ...prior to procedures, including reviewing medical history and performing... ...~24/7 recruiter support ~ Reimbursement for licensure and CEUs Why...ReimbursementFull timeContract workTemporary workImmediate startShift work$30.23 per hour
...USD $48.37/Hr. Overview Psychiatric Registered Nurse (RN) , 5AG provides care for patients with acute psychiatric illnesses, including those with... ...nursing care for a designated group of patients through utilization of the nursing process. They will provide age-appropriate...$2,730 per week
...have at least 18 months of recent experience in an acute care surgery setting, hold a current RN license, and have BLS and ACLS certifications. Benefits... ...your family, life and disability insurance, travel reimbursement, 401(k) matching, and referral bonuses. #J-18808-...ReimbursementWeekly pay$59 per hour
...CapsuleAID is seeking a Telemetry Registered Nurse (RN) for a 12-hour night shift in Rock Island, Illinois. This role involves providing clinical care for adult patients in a post-acute care setting, utilizing specialized nursing knowledge to assess and implement patient...Flexible hoursNight shift$71.1k - $97.8k
...A leading healthcare provider is seeking a Utilization Management Registered Nurse to coordinate medical services... .... This fully remote role requires an RN license and over one year of clinical experience in acute care settings. The ideal candidate will have utilization...Remote work- ...A health care recruitment agency is seeking a Recruitment Manager to assess and analyze clinical service requests, verify member benefits... ...prior authorizations. Candidates must have an Illinois state RN license and 1-3 years of experience in hospital or medical clinic...Remote work
$71.1k - $97.8k
...Utilization Management Registered Nurse page is loaded##... ...**Become a part of our caring community**The Utilization... ...This team manages post-acute care services. These... ...Compact Registered Nurse (RN) license in your state... ...management/utilization review for a health plan or acute...Bi-weekly payWeekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome office$1,909 - $2,300 per month
...passion for providing exceptional patient care? If so, we have an exciting opportunity... ...Registered Nurse in this role, you will utilize your clinical expertise to provide top-... ...Insurance 401(k) Lodging and Meals & Incidental Reimbursement (with qualified tax home) Licensure/...ReimbursementContract workShift workNight shift
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