Utilization Review RN — Inpatient Care & Discharge
Quantum Health
A healthcare navigation organization is seeking a Utilization Review Nurse in Dublin, OH. The role involves reviewing inpatient medical service requests, assessing clinical criteria, and facilitating discharge planning for patients. Candidates should have a current RN license in Ohio, with a minimum of 2 years of clinical experience in a hospital setting. Strong communication and critical thinking skills are essential, as well as proficiency in Microsoft Office programs. Join our mission to simplify healthcare for our members. #J-18808-Ljbffr Quantum Health
- ...that our members get the care they need, when they... .... About the role The Utilization Review Nurse is responsible for... ...employer groups in an inpatient setting and... ...facilities to assist with discharge planning. The Utilization... ...as a Registered Nurse (RN) in the state of Ohio....SuggestedWork at office
- ...clinical member services review assessment processes.... ...integrated delivery of care across the continuum. Contributes... ...model. • Adheres to utilization management (UM)... ...hospital acute care, inpatient review, prior authorization... ...• Registered Nurse (RN). License must be...SuggestedWork at office
- ...Clinical Member Services Reviewer Provides support for... ...integrated delivery of care across the continuum.... ...care model. Adheres to utilization management (UM)... ...in hospital acute care, inpatient review, prior authorization... .... Registered Nurse (RN). License must be active...SuggestedWork at office
- Molina Healthcare in Columbus, OH is seeking a Care Review Clinician to provide prior authorization for behavioral health services for the... .... The role requires strong BH care experience across inpatient, substance use, and outpatient services, plus excellent multitasking...SuggestedRemote job
- ...Job Description Job Description Utilization Review Specialist Job Description Unique opportunity... ...by our value of excellence in quality care for all and fostering a culture that... ...Records. Must have LPCC, LSW, LCDC III or RN. Utilization Review Specialist...Suggested
- ## Staff Nurse (RN) - Acute Inpatient RehabilitationApplylocations: Dodd Rehabilitation... ...an application, please review these frequently asked... ...research, education, and patient care. The team provides patient... ...based care**Clinical Skills Utilized**RNs on this unit routinely...Interim roleLocal areaFlexible hoursShift workNight shiftDay shift
- ## Staff Nurse (RN) - Inpatient Psychiatry Float PoolApplylocations: Harding Hospitaltime type:... ...while submitting an application, please review these frequently asked questions.**Current... ...in research, education, and patient care. The team provides patient care and supportive...Interim roleShift work
- ...success. Job Description Works with the Utilization Management team, primarily responsible for inpatient medical necessity/utilization review and other utilization management... ...providing Healthcare members with the right care at the right place at the right time. Provides...Work at office
- Job Title: Staff Nurse (RN) - Adult Inpatient Psychiatry - Night Shift Department: Harding | 5NP... ...innovation in research, education, and patient care. The team provides patient care and... ...applications by logging in and reviewing your status. For answers to additional...Interim roleShift workNight shift
$37.4 per hour
...Discharge Planner 0.6 FTE, 24 hours per week Must work... ...high quality patient care is provided in a timely... ...coordinating the efforts of the inpatient multidisciplinary team; managing the utilization of hospital, patient/... ...Licensure: Current Ohio RN License...Weekend work- ...solutions company seeks an LPN Case Manager to join its Utilization Management team in Columbus, OH. This role involves performing utilization review activities and conducting member visits to ensure they receive appropriate care while adhering to regulations. Candidates must...
- ...Care Manager RN - Inpatient University Hospital | Care Management Services Scope of Position/... ...this may include pre-admission to post-discharge coordination of care. The Clinical... ...care and ensure efficient resource utilization. Minimum Qualifications For Hire...Shift workDay shift
- ...Care Manager (RN) - IRP - Inpatient University Hospital | Care Management Services Scope of Position... ...may include pre-admission to post discharge coordination of care. Position Summary... ...care and ensure efficient resource utilization. Minimum Qualifications RN...Shift workDay shift
- ...department ~60 acute inpatient beds ~4 operating rooms... ...for: Primary Care, Neurology Cardiology... ...work alongside a Virtual RN and another bedside... ...There is the ability to utilize tele-health to enhance... ...ensure our patients are discharged home in a timely manner...Full timeWork at officeLocal areaShift workNight shift
$39.9 - $53 per hour
...Select Medical Position: Wound Care Nurse (Registered Nurse)... ...Sign-on Bonus: $10,000 Our inpatient rehabilitation hospital is committed... ...and credentials and utilizes the database to evaluate and plan... ...Qualifications Valid State RN License required Previous...Hourly payFull timeRelocation package- ...is part of a 3-person Care Team where you will have... ...work alongside a Virtual RN and another bedside... ...needs of each patient.The Inpatient Unit at Mount Carmel... ...There is the ability to utilize tele-health to enhance... ...ensure our patients are discharged home in a timely manner...Local areaRelocation package
- ...RN, Registered Nurse - Pre-Certification 3 days ago Be among... ...ensure that our members get the care they need, when they need it,... ...staff in the company such as Utilization Review, Patient Services, Personal... ...desired benefits. Facilitate the discharge planning process during pre‑...Full timeWork at officeWork from home
- ...Staff Nurse (RN) - Inpatient Psychiatry Float Pool Harding | 4NP Adult Inpatient Psychiatry Scope of Position: The Ohio State University... ...world through innovation in research, education, and patient care. The team provides patient care and supportive services...Interim roleShift work
- ...leading provider of end-of-life care. We provide our employees with... ...Care Registered Nurse (RN) supports VITAS Healthcare's growing... ...recovery after treatment utilizing appropriate resources as needed... ...care. Facilitates proactive discharge planning or follow-up to promote...Flexible hours
- Job Title: Staff Nurse (RN) - Heart Failure/LVAD InpatientDepartment: Ross | 6 Ross Heart... ...and Left Ventricular Assist Device Inpatient Job Description Scope of Position: The Ohio... ...innovation in research, education, and patient care. The team provides patient care and...Interim roleRotating shift
- Job Title: Staff Nurse (RN) - Extended Recovery Unit - Inpatient- Overnights Department: University Hospital | Surgery, Prep and Recovery Scope of Position... ...through innovation in research, education, and patient care. The team provides patient care and supportive services...Interim roleMonday to FridayShift workNight shiftDay shift
- ...innovation in research, education, and patient care. The team provides patient care and... ...Going Responsibilities Maintains current Ohio RN license. Meets mandatory educational and... ...Medical Center offers an adult and geriatric inpatient program with 84 beds and provides...Interim role
- ## Staff Nurse (RN) - ApheresisApplylocations: James... ...an application, please review these frequently asked... ...education, and patient care. The team provides... ...provides services to both inpatients and outpatients. The inpatients... ..., admissions and discharges are not generated from...Interim roleShift work
$2,283.04 per week
Staff Nurse (RN), Acute Care - Colorectal and Bariatric Surgery - Part-time... ...an application, please review these frequently asked questions... ...profiles Provides discharge planning that begins on admission... ...) - $3,750 Sign-on Bonus RN Utilization Review remote - MediGold Health...Full timeContract workPart timeInterim roleRemote workRelocation packageShift workRotating shiftDay shift- House Supervisor (RN) - Full-time Day Shift Columbus Springs... ...including crisis stabilization, inpatient care, and outpatient treatment for... ..., treatment planning, discharge and admission procedures, medication... ...communication with external review organizations or comparable...Full timeFlexible hoursDay shift
- ...well-being so you can provide exceptional care to others. As a Registered Nurse joining... ...-based care. Our multidisciplinary teams utilize innovative treatment approaches, including... ...include 24/7 crisis care and assessment, inpatient mental health and addiction treatment,...Full timeTemporary workPart timeLocal areaRelocation packageShift workNight shift
$41.2 - $62.17 per hour
Job Description: The RN Hospital Care Manager I delivers comprehensive care management... ...departments, including both Inpatient and Outpatient areas.... ...experience in case management, utilization review, value-based care, and/or discharge planning. Basic computer skills...Hourly payRemote work- ...well-being so you can provide exceptional care to others. As a Registered Nurse joining... ...-based care. Our multidisciplinary teams utilize innovative treatment approaches, including... ...include 24/7 crisis care and assessment, inpatient mental health and addiction treatment,...Full timeTemporary workPart timeLocal areaShift workAfternoon shift
- ...well-being so you can provide exceptional care to others. As a Registered Nurse joining... ...-based care. Our multidisciplinary teams utilize innovative treatment approaches, including... ...include 24/7 crisis care and assessment, inpatient mental health and addiction treatment,...Full timeTemporary workPart timeLocal areaRelocation packageShift workNight shift
- ...an application, please review these frequently asked... ...Case Management - RN Specialist 2 Department... ...validations, supporting Utilization Management, Peer to... ...appropriate level of care (Inpatient or Observation) based... ...Certification, Admissions/Discharges/Transfers, Clinical workflows...Flexible hoursShift workDay shift
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