Inpatient RN — Clinical Utilization Reviewer
US Tech Solutions
US Tech Solutions is seeking a Clinical Reviewer, Inpatient RN for a 4-month contract to manage a clinically complex caseload across inpatient settings, including acute, subacute, and LTAC. You will determine medical necessity and coverage for Medicare and other plans, working independently and with the team. The role emphasizes sound clinical judgment, utilization management criteria (InterQual/MCG), discharge planning, and collaboration with providers. #J-18808-Ljbffr Us Tech Solutions
- ...contract (with possible extension) Job Description The Clinical Reviewer, Inpatient RN, is a licensed professional that is expected to function... ...provides timely, clinically appropriate and cost-effective utilization management and discharge planning activities for members...SuggestedDaily paidContract workWeekend work
- ...Corporation in Norwood, MA is seeking a Registered Nurse to join our inpatient rehabilitation team. You will deliver patient-centered nursing... ..., educate patients and families, and ensure compliance with clinical standards and safety protocols across a nationwide network....Suggested
- ...health plan partner of ours with a need for an experienced RN Case Manager with Utilization Review/UM experience. This position is remote based and... ...of utilization management activities for members in an inpatient setting. Candidates MUST have current UM/UR and InterQual...SuggestedContract workRemote workMonday to FridayFlexible hours
- ...RN Case Manager, Inpatient Cardiology | Boston Childrens Hospital Position Summary/Department Summary... ...at Boston Children's function as the clinical professionals who coordinate the... ...Case Manager (Discharge Planning and/or Utilization Management) preferred. Licensure/...SuggestedMonday to Friday
- ...Position Overview The Nurse Reviewer, Utilization Management performs prospective... ...-level judgment to senior clinical team members. Working within... ...abuse per protocol. Perform inpatient concurrent review, monitor... ...Associate’s degree in Nursing (ADN/RN) required; Bachelor's degree...SuggestedFull timeLocal areaRemote work
- ...across disciplines for a defined patient population. You will review inpatient admission records to ensure appropriate resource use and determine... ...team. Experience in inpatient settings (3-5 years) and active RN licensure with BLS certification are required. #J-18808-...
- ...Mass Digital Health is seeking a Utilization Review Nurse in Quincy, Massachusetts. This role involves... ...The ideal candidate will have a strong clinical background and be proficient in... ...position requires at least two years of RN experience in care management or utilization...
$38.11 - $98.61 per hour
...the admitting/attending physician, the Utilization Review RN assists in determining the appropriate... ...the appropriate hospital setting (inpatient vs. outpatient) based on medical necessity. 3. Actively seeks additional clinical documentation from the physician to optimize...Hourly payLocal areaShift work$41.72 - $108.29 per hour
...RN Inpatient Oncology Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech... ...nursing care tailored to specific patients. Delegate tasks to clinical and support staff. Be accountable for leading nursing care for...Hourly payRemote workNight shiftRotating shift$3,000 per month
...! Please take a moment to review the job opportunity and reach... ..., the Registered Nurse (RN) is responsible for utilizing the nursing process while... ...Experience: One year of inpatient medical-surgical nursing experience... ..., as well as wound clinics and outpatient physical therapy...Full timeCurrently hiring$40 - $60 per hour
...Job Title Registered Nurse (RN) Job Description Under... ...Registered Nurse is responsible for utilizing the nursing process while... .... Experience: One year of inpatient medical-surgical nursing... ...locations, as well as wound clinics and outpatient physical therapy...ReliefFlexible hours$65 per hour
...Charge Nurse, the Registered Nurse (RN) is responsible for utilizing the nursing process while delivering... ...Nurses. Experience: One year of inpatient medical-surgical nursing experience... ...than 80 locations, as well as wound clinics and outpatient physical therapy locations...Hourly payLocal areaFlexible hoursNight shift$72.8k - $130k
...Sr Utilization Management Nurse Optum is a global organization that delivers care, aided... ...and providers to discuss care details, reviewing clinical information for appropriateness, and... ...Qualifications: ~ Registered Nurse (RN) with a current, active, unrestricted RN...Minimum wageFull timeWork experience placementCasual workLive inWork at officeLocal areaRemote work- ...Travel RN - Inpatient General Surgery - Ortho/Urology Boston, MA Travel Variable OR Nursing Shift: Rotating D/N, 12x3, 36hrs per week Length: 13 weeks Requirements: ~ MA License ~2+ years level 1 experience required ~ BLS Others: The Ortho-Urology...Local areaRotating shift
- ...Corporation in Randolph, MA is seeking a Registered Nurse to join our inpatient rehabilitation team. You will deliver patient-centered nursing... ..., educate patients and families, and ensure compliance with clinical standards and safety protocols in a dynamic, supportive...
- Overview Registered Nurse (RN) - PRN Days at PAM Health Specialty Hospital of Stoughton... ...Charge Nurse, the RN is responsible for utilizing the nursing process while delivering,... ...High Obs, and ICU. Experience One year of inpatient medical-surgical nursing experience preferred...Full timeReliefFlexible hours
- ...Registered Nurse to join our Healthcare & Medical Services team in inpatient rehabilitation. You will deliver high-quality, patient-... ...progress, educate patients and families, and ensure compliance with clinical standards and safety protocols across our nationwide network....
- ...various medical professionals to ensure the best outcomes for patients with complex needs. The ideal candidate will possess a current RN license, BLS, and ACLS certifications, and should be prepared to engage directly with patients and families to provide education and...
- ...appropriateness of admission type and setting, utilizing a combination of clinical information, medical necessity... ...guidelines. The Utilization Review Nurse utilizes clinical knowledge to... .... Minimum two years experience as an RN (preferred). Minimum at least two years...Work at office
$58 - $73.56 per hour
...includes all pharmacists (i.e., clinical, production, and retail),... ...and follows-up on problems. Utilizes clinical data in evaluating physician... ...Utilizes Outpatient and/or Inpatient computerized systems to enter... ...management and utilization review programs. May coordinate...Daily paidWork experience placement- ...Health Specialty Hospital of Stoughton is hiring a Licensed Practical Nurse/Licensed Vocational Nurse (LPN/LVN) to join our inpatient team. Under RN supervision, you’ll deliver direct patient care to medically complex surgical patients and participate in plan-of-care...
- ...Inpatient Mental Health Registered Nurse This position is located... ...Health (MH) Registered Nurse (RN) provides and leads the provision... ...de-escalation techniques, and utilize recovery-oriented language.... ...and ideas with peers. Questions clinical practices for the purpose of providing...Permanent employmentFull timeRemote workFlexible hoursShift workNight shiftWeekend workAfternoon shift
$39 - $65 per hour
...Hospital Dialysis Experience Required PURPOSE AND SCOPE: The professional registered nurse Inpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through...Hourly payWork experience placementNight shiftWeekend work$2,605 per month
...Nursing Profession RN Specialty PACU... ...post-anesthesia period. The RN utilizes advanced assessment, critical thinking, and clinical decision-making skills to promote... ...safely to Phase II recovery, an inpatient unit, or an intensive care setting...Weekly payImmediate startShift work- ...RN PACU The Phase I Post Anesthesia Care Unit (PACU) Registered... ...post-anesthesia period. The RN utilizes advanced assessment, critical thinking, and clinical decision-making skills to promote... ...safely to Phase II recovery, an inpatient unit, or an intensive care setting...Temporary workLocumLocal areaImmediate start
$2,635 per month
...Nursing Profession RN Specialty PACU... ...post-anesthesia period. The RN utilizes advanced assessment, critical thinking, and clinical decision-making skills to promote... ...safely to Phase II recovery, an inpatient unit, or an intensive care setting...Weekly payImmediate startShift work- ...PACU RN Position Summary: The Phase I Post Anesthesia Care Unit... ...post-anesthesia period. The RN utilizes advanced assessment, critical thinking, and clinical decision-making skills to promote... ...safely to Phase II recovery, an inpatient unit, or an intensive care setting...Local areaImmediate start
- ...clinician to join our outpatient palliative care clinics. This role requires floating between... ...family education and support Competent in utilizing pain scales, both verbal and nonverbal Experience with hospice and inpatient care settings Scheduling and...16 hoursImmediate startRemote workFlexible hoursShift workWeekend work3 days per week1 day per week
$2,747 per month
...Nursing Profession RN Specialty Oncology... ...in Oncology to join our inpatient oncology unit. The ideal candidate... ...and marrow transplant (BMT). Utilize telemetry equipment and PCA... ...patient care. Participate in clinical trials and collaborate with the...Weekly payFull timeTemporary workShift workNight shiftWeekend work$18.44 - $27.39 per hour
...workflow by scheduling Emergency and Inpatient MR scans, answering phones, preparing... ...tasks. The coordinator will perform clinical tasks utilizing EPIC to assist in safe patient... ...transfer from stretcher and MR bed Reviewing MR exam orders to ensure all required...Hourly pay16 hoursPart timeWork at officeRemote workShift workWeekend work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Inpatient RN — Clinical Utilization Reviewer. Be the first to apply!

