RN Utilization Review Specialist - Care & Approvals
UofL Health
UofL Health is seeking a Utilization Review RN to perform admission and concurrent reviews, ensuring medical necessity and appropriate level of care across designated services. You will collaborate with physicians, case managers, and payors to secure authorizations while adhering to UM criteria and regulatory standards. Requirements include an active Kentucky RN license with at least two years of nursing experience and experience in case management/utilization management; BSN preferred, with #J-18808-Ljbffr
- ...UofL Health is seeking a Utilization Review RN at the Frazier Rehab Institute - UMC in Louisville, KY. The role focuses on conducting utilization... ...coordinating with physicians and payors to optimize patient care and financial accountability. The ideal candidate has RN...Suggested
- University Medical Center is seeking a Utilization Review RN to support UM Care Management and Utilization Management processes. The role involves evaluating medical necessity for admissions and continued stays, screening against payer guidelines, and coordinating with...Suggested
- UofL Health is seeking a Utilization Review RN to support the Utilization Management process. You will assess medical necessity for admissions... ...with the interdisciplinary team to ensure appropriate level of care, drive efficient resource use, and educate staff on payor...Suggested
- ...other highly skilled health care professionals—UofL Health... ...Position Summary and Purpose The Utilization Review RN performs activities which... ...managers regarding payor approval/denial of admission and... ...Certification: MCG Care Guidelines Specialist-ISC/GRC/Behavioral Health...SuggestedWork at office
$46.92k
...reside in on-campus student homes and provide care, guidance, supervision, and support for a... ...free housing, meals while on duty, utilities, and more) * Comprehensive benefits: medical... ...limitations: only fish and one dog of approved breeds allowed * Valid U.S. driver's license...SuggestedFull timeWork from homeRelocation packageFlexible hoursWeekday work$36 - $39 per hour
...talented Clinical - Clinical Review Nurse - Concurrent... ...determine appropriate care and setting.... ...healthcare providers to approve medical determinations... ...Educate providers on utilization processes to ensure high... ...Technology Experience: ~ RN License - Required ~2...Full timeContract workLocal areaImmediate start$2,506 - $2,699 per week
...and pay ranges from $2,506 to $2,699 weekly. Licensure must be KY or a Compact license, and Epic is the charting system used. This acute care hospital role requires about 1 year of RN experience and offers comprehensive benefits through Aya Healthcare. #J-18808-Ljbffr...Immediate startShift workDay shift$36 - $39 per hour
...talented Clinical - Clinical Review Nurse - Concurrent... ...determine appropriate care and setting.... ...healthcare providers to approve medical determinations... ...Educate providers on utilization processes to ensure high... ...Technology Experience: ~ RN License - Required ~2...Contract workLocal areaImmediate start$108.6k - $250.7k
...clinicians and systems that deliver care. We lead with integrity and... ...based value narratives using approved materials to support informed... ...Care - GI Health & Science Specialist is a field-based specialty... ...disclosure. Subject to further legal review and statutory or regulatory...Permanent employmentWork experience placementH1bWork at officeLocal areaVisa sponsorshipWork visaRelocation packageNight shift- ...The Vascular Access Nurse Specialist at UofL Health serves as the subject matter expert in peripheral and peripherally inserted central... ...related outcomes, and ensure safe, evidence-based vascular access care across the patient care continuum. You educate clinical nurses,...
$36 - $39 per hour
...talented Clinical - Clinical Review Nurse - Concurrent... ...determine appropriate care and setting. \n... ...healthcare providers to approve medical determinations... ...Educate providers on utilization processes to ensure high... ...Experience: \n \n \n ~ RN License - Required \n...Contract workLocal areaImmediate start$47k - $54k
Care with Heart. Work with Purpose. Join The Senior Community... ...Kentucky PACE as a Eligibility Specialist in Louisville, KY. This is... ...with participants for Medicaid approval. Ensures compliance with all... ...outstanding debts are collected. Reviews and monitors eligibility...Temporary workAfternoon shift- ...highly skilled health care professionals—UofL Health... ...varying age groups by utilizing the nursing process and... ...regular and systematic reviews of patient /family responses... ...required to start an approved BSN program within one... ...)Experience:All new RN graduates will participate...ReliefShift work
$3,000 per month
...PAMily! Please take a moment to review the job opportunity and... ..., the Registered Nurse (RN) is responsible for utilizing the nursing process while delivering... ...directing and supervising care to patients admitted to the... ...certifications must be AHA approved within 90 days of...Full timeCurrently hiring- ...AP Specialist Accountant About UofL Health: UofL Health is a fully... ...other highly skilled health care professionalsUofL Health is focused... ...staff, vendor setup review, 1099 processing, and other accounting... ...and expense reports via AP approval software Ensures import of...Work experience placementWork at office
$1,967 per week
...Travel Post/Pre Op RN Company: Fusion Medical... ...provides specialized care to patients recovering... ...operatively, including reviewing medical history, performing... ...in accordance with approved nursing techniques... ...to emergency situations utilizing Pre/post op nursing standards...Temporary workShift work- ...is more than a health care system. It is an organization... ...of Nursing's online RN to BSN program *Tuition... ...varying age groups by utilizing the nursing process and... ...regular and systematic reviews of patient /family... ...ADN) from an accredited/approved school of nursing (Required...Flexible hours
- ...highly skilled health care professionals—UofL Health... ...varying age groups by utilizing the nursing process and... ...regular and systematic reviews of patient /family responses... ...required to start an approved BSN program within one... ...)Experience:All new RN graduates will participate...Shift work
$75k - $90k
...providing home health care but find documentation... ...skilled Registered Nurse (RN) to provide... .... Participates in peer review and performance improvement... ...assigned. Participates in utilization review of medical records... ...Qualifications Graduate of an approved school of professional...Full timeTemporary workReliefWork at officeImmediate startRelocation packageFlexible hoursNight shiftWeekend work- ...professional nurse is an individual accountable for the care of a group of patients. The Registered Nurse (RN) focuses on safe effective patient and family... ...skills, and expectations of each clinical area and are reviewed regularly to ensure alignment with best practices...Full time
$2,242 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY Agency: Cynet Health... ..., and implements the plan of care. Reviews and revises the plan as indicated. Collaborates... ...and interdisciplinary services. Utilizes resources appropriately to support the...Full timeContract workShift workDay shift$2,250 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY Agency: Cynet Health... ..., and implements the plan of care. Reviews and revises the plan as needed. Collaborates... ..., and interdisciplinary services. Utilizes resources appropriately to support the...Full timeContract workShift workDay shift$2,476 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY Agency: Cynet Health... ..., and implements the plan of care and reviews and revises the plan as indicated.... ...and interdisciplinary services. The RN utilizes resources appropriately to support the...Full timeContract workShift workNight shift$2,487 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY Agency: Cynet Health... ..., and implements the plan of care. Reviews and revises the plan as indicated. Collaborates... ...and interdisciplinary services. Utilizes resources appropriately to support the...Full timeContract workShift workNight shift$2,473 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY Agency: Cynet Health... ...implements the plan of care. The RN reviews and revises the plan as indicated. The... ...services. Resources are utilized appropriately to support the needs of...Full timeContract workShift workNight shift$2,242 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY Agency: Cynet Health... ...implements the plan of care while reviewing and revising the plan as indicated.... ...families, and interdisciplinary services, utilizing resources appropriately to support...Full timeContract workShift workDay shift$2,242 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY Agency: Cynet Health... ..., and implements the plan of care and reviews and revises the plan as indicated.... ...families and interdisciplinary services; utilizes resources appropriately to support the...Full timeContract workShift workDay shift$2,242 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY Agency: Cynet Health... ...implements the plan of care while reviewing and revising the plan as indicated.... ...families, and interdisciplinary services, utilizing resources appropriately to support...Full timeContract workShift workDay shift$2,476 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY Agency: Cynet Health... ..., and implements the plan of care and reviews and revises the plan as indicated.... ...and interdisciplinary services. The RN utilizes resources appropriately to support the...Full timeContract workShift workNight shift$3,000 per month
...PAMily! Please take a moment to review the job opportunity and... ..., the Registered Nurse (RN) is responsible for utilizing the nursing process while delivering... ...directing and supervising care to patients admitted to the... ...certifications must be AHA approved within 90 days of...Full timeCurrently hiringNight shift
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