RN Utilization Review Specialist — Elevate Care & Compliance
University Medical Center, Inc.
University Medical Center, Inc. seeks a Utilization Review RN in Louisville, KY to perform utilization management tasks ensuring optimal healthcare delivery. You will evaluate patient admissions and coordinate with interdisciplinary teams while advocating for patient needs. The role requires at least two years of RN experience, active Kentucky license, and strong communication skills. You'll work with payors and help maintain compliance with policies while using your expertise in clinical assessment. A degree in nursing is preferred. #J-18808-Ljbffr University Medical Center, Inc.
$25.08 - $51.49 per hour
...clinical member services review assessment processes.... ...integrated delivery of care across the continuum. Contributes... ...cost-effectiveness and compliance with all state/federal... ...model. • Adheres to utilization management (UM)... ...• Registered Nurse (RN). License must be active...SuggestedHourly payWork experience placementWork at officeRemote work- ...Position Summary and Purpose The Utilization Review RN performs activities which support the... ...retro reviews, promote optimal health care outcomes in accordance with the... ...problems with OIG Workplan Audits and compliance issues; reports problems and makes recommendation...SuggestedWork at officeShift workDay shift
- ...pharmacists and other highly skilled health care professionals-UofL Health is focused... ...Summary and Purpose The Utilization Review RN performs activities which support the... ...problems with OIG Workplan Audits and compliance issues; reports problems and makes recommendation...SuggestedReliefWork at officeShift work
- UofL Health, Inc. is seeking a registered nurse for the RN Utilization Review position at UofL Hospital in Louisville, Kentucky. The role involves... ...reviewing medical necessity for admissions and coordinating care with medical staff. Candidates must hold an ADN or...SuggestedFull timeAfternoon shift
- ...more patients can receive the care they need. Our Vision:... ...Summary: The Peer-to-Peer Specialist is responsible for managing... ...improvements that align with the Utilization Management Department's... ...ensuring operational efficiency, compliance with organizational...SuggestedFull timeWork at office
$29.05 - $67.97 per hour
...Description Job Summary Utilizing clinical knowledge and... ..., responsible for review of documentation to ensure... ...appropriate level of care utilizing MCG/InterQual... ...• Registered Nurse (RN). License must be active... ...Certified Medical Audit Specialist (CMAS), Certified Case...Hourly payWork experience placementWork at office- ...Practices is seeking a Transfer Center Specialist II (RN) to coordinate admissions and patient transfers... ...experience, preferably in an acute care setting. The specialist will work... ...departments, ensure adherence to protocols, and utilize effective communication skills to...Remote jobFull time
$25.08 - $51.49 per hour
..., is seeking a Registered Nurse to support clinical member services. The role involves assessing member services for quality and compliance with clinical guidelines, analyzing clinical service requests, and collaborating with multidisciplinary teams. The position requires...Hourly pay$1,620 - $1,656 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY... ...implements the plan of care and reviews and revises the plan as... ...interdisciplinary services; utilizes resources appropriately to... ...workforce challenges, and elevating both our clients and ourselves...Full timeWork experience placementShift workNight shift$32 - $40 per hour
Essex Rehabilitation and Healthcare Center seeks a dedicated Quality Assurance RN to enhance clinical quality through data-driven improvements. In this role, you will monitor and analyze clinical indicators, collaborate with team members, and implement corrective actions...- ...Job Title Professional Nurse Responsibilities A professional nurse is an individual accountable for the care of a group of patients. The RN focuses on safe effective patient and family centered care, customer satisfaction and quality outcomes. The RN is responsible...Relief
- ...Job Title RN - Hand Care Chamberlain Pointe Primary Location UofL Health-Hand Care Chamberlain Pointe Address 4642 Chamberlain... ...expeditious manner• Performing laboratory tests• Maintains compliance with all company policies, procedures and standards of...Work at officeFlexible hoursShift workDay shift
- ...Professional Nurse Responsibilities A 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 centered care, customer satisfaction and quality outcomes. The RN is responsible...Full timePart timeReliefRelocation package
- ...ARDMS - Ultrasound Specialist / Sonography Tech Embark on an Inspiring... ...your passion for patient care and a vibrant lifestyle. Welcome... ...our committed imaging team. Utilizing advanced ultrasound... ..., and relentlessly strive to elevate the quality of care provided....Local areaImmediate startFlexible hoursWeekend workAfternoon shift
- ...following areas: Laboratory, Compliance, Computer, Engineering,... ...services. We are seeking a CQV Specialist who will support... ...equipment and systems. Develop, review, and execute commissioning and... ...systems, and associated utilities. Coordinate activities with...Weekend work
$75k - $82k
...across multiple states. Our continuum of care includes skilled nursing, rehabilitation,... ...families, internal care givers, and external Utilization Management Nurses. Coordinate internal... ...make a Difference Registered Nurse (RN) in good standing with required current...- UofL Health, Inc. is seeking an RN Specialist for Kleinert Kutz Hand Care in Louisville, KY. In this role, you will operate in a fast-paced environment, ensuring superior patient care while managing clinical duties and documentation. A minimum of two years' clinical experience...
$127k - $191k
...Lead Regional Oncology Specialist (Lead ROS) will... ...plan to maximize the utilization of Exact Sciences' products... ...will work with managed care, reimbursement, patients... .... Demonstrate elevated territory management,... ...law posters, visit our compliance hub. The documents summarize...Full timeFor contractorsLocal areaNight shift$2,272 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Jeffersonville, IN Agency: Cynet... ...prioritizes, and implements the plan of care; reviews and revises the plan as indicated.... ..., and interdisciplinary services. Utilizes resources appropriately to support the...Full timeContract workShift workNight shift$2,119 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY... ...not to be used for Matrix Compliance purposes nor to be uploaded... ...implements the plan of care and reviews and revises the plan as... ...interdisciplinary services; utilizes resources appropriately to...Full timeContract workImmediate startShift workNight shift$2,272 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Jeffersonville, IN Agency: Cynet... ...prioritizes, and implements the plan of care; reviews and revises the plan as indicated.... ..., and interdisciplinary services. Utilizes resources appropriately to support the...Full timeContract workShift workNight shift$2,119 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY... ...not to be used for Matrix Compliance purposes nor to be uploaded... ...implements the plan of care and reviews and revises the plan as... ...interdisciplinary services; utilizes resources appropriately to...Full timeContract workImmediate startShift workNight shift$2,110 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Jeffersonville,... ...not to be used for Matrix Compliance purposes nor to be uploaded... ...implements the plan of care and reviews and revises the plan as... ...interdisciplinary services; utilizes resources appropriately to...Full timeContract workShift workNight shiftWeekend work- ...Radiology Technician / Imaging Specialist / CT Situated in the... ...commitment to patient-centered care. Your role won't merely involve... ...Your Key Responsibilities Utilize advanced radiographic and CT... ..., and together, we strive to elevate patient care through sharing...Work experience placementLocal areaFlexible hours
- ...of your career.Option Care Health, Inc. is the largest... ...compassionately to elevate standards of care for patients... ...of education utilizing OCH applications and technology... ..., performance reviews, discipline, etc.)Basic... ...unrestricted Registered Nurse (RN) license required....Local area
$2,267 per week
...Registered Nurse (RN) | Labor & Delivery Location: Louisville... ...accountable for the care of a group of patients. The Registered... ...implements the plan of care and reviews and revises the plan as... ...& interdisciplinary services; utilizes resources appropriately to support...Full timeContract workSecond jobImmediate startShift workNight shift$2,749 per week
...Registered Nurse (RN) | Telemetry Location: Louisville, KY Agency: FlexCare... ...to provide the highest level of patient care possible. For clinicians, we open... ...success, from payroll to clinical support to compliance. FlexCare pushes beyond...Full timeContract workImmediate startShift workNight shift$1,476 per week
...Registered Nurse (RN) | Telemetry Location:... ...to be used for Matrix Compliance purposes nor to be uploaded... ...individual accountable for the care of a group of patients.... ...the plan of care and reviews and revises the plan as... ...services; utilizes resources appropriately...Full timeContract workLocal areaImmediate startShift workDay shift$1,548 per week
...Registered Nurse (RN) | Telemetry Location: Louisville, KY... ...individual accountable for the care of a group of patients. The Registered... ...the plan of care and reviews and revises the plan as indicated... ...& interdisciplinary services; utilizes resources appropriately to...Full timeWork experience placementImmediate startShift work$2,326 per week
...Registered Nurse (RN) | Telemetry Location:... ...Minimum of 2 years of acute care RN experience License:... ...the plan of care and reviews and revises the plan as... ...interdisciplinary services. Utilizes resources appropriately... ...- Regulatory Compliance Required Education: -...Full timeContract workShift workNight shift
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