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...Registered Nurse Case Manager - Utilization Management
Overview
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion, and community! Knapp Medical Center, a member of the Prime Healthcare Foundation, offers incredible...
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...Utilization Management Clinical Registered Nurse (RN)
Job Summary
We are searching for a Utilization Management Clinical RN -- someone who works well in a fast-paced setting. In this position, you will provide precertification of inpatient hospitalizations and all...
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...Utilization Management Coordinator (RN)
Under the general supervision of the Director of Health Services, the position is responsible for... ...for medical necessity determinations.
EDUCATION
* Registered Nurse degree.
WORK EXPERIENCE
* Minimum two (2) to five (5) years...
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Overview:
ERP International is seeking a Registered Nurse - Utilization Manager for a full-time position supporting Little Rock AFB, Arkansas. Apply online today and discover more about this exceptional employment opportunity.
Be the Best! Join our team of exceptional...
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Full time
Monday to Friday
...Responsibilities:
Responsible for the quality and resource management of all patients that are admitted to the facility from the point... ...one year experience in case management, discharge planning or nursing management;
2. CCM or obtained within 6 months of hire.
3....
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...Utilization Review Nurse
Per Diem
1648 Huntingdon Pike
Nursing RN/LPN
Day
SUMMARY OF JOB:
To review each admission for appropriate assignment... ...by the payer. Work with physician advisor to better manage denials and downgrades.
CONNECTING TO MISSION: All individuals...
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...RN Utilization Review Case Manager
Hiring a RN UR Case manager for a full remote opportunity with hospital!! MUST HAVE Current CA RN Licensure, InterQual experience, EPIC Experience and at least 2 years of experience! Amazing team!
M-F day shift with being open to...
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Day shift
Overview:
The RN Utilization Management Specialist, under the direction of the Manager of Utilization Management, serves a key role in coordinating... ...:
Education:
Associates Degree or Diploma (RN) in Nursing · Bachelor’s Degree or higher preferred in nursing,...
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Remote job
Flexible hours
Overview:
The UM RN (Utlilization Management RN) will be working flexible remote - mostly... ...LinkedIn.
Brief summary of purpose:
The UM Nurse uses a multidisciplinary approach to... ...and post-acute facility level of utilizing established Care Coordination polices and...
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...responded to in ways that fully develop and utilize each person's talents and strengths.
Collaborate closely with physicians, nurses, social workers and a wide range of... ...resources available. Provide utilization management (UM) services which promote quality, cost...
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...UTILIZATION REVIEW NURSE
~Randallstown, MD
~NORTHWEST HOSPITAL
~NW CARE MANAGEMENT
~Part-time - Weekends - Day shift - 8:00am-4:30pm
~RN Other
~81893
~Posted:
February 19, 2024
Apply Now
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...healthcare and serve as a leader of positive change.
The Case Management Care Coordinator, Utilization Management is a member of the healthcare team and is... ...and follows the state of New Jersey regulations for Nursing.
Responsibilities:
A day in the life of a Case...
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Permanent employment
...Sign-On bonus for experienced Registered Nurse / RN Saint Vincent Hospital offers a... ...health, access to care, and appropriate utilization of resources, balanced with the patient’... ...based on medical necessity. This position manages medical necessity process for accurate...
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Relocation bonus
Position Summary:
Leads the care management team in facilitating appropriate use of hospital resources and effective discharge... ...software.
Serves as facilitator to physicians and nursing staff on utilization and discharge planning, care coordination, and utilization...
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...the sick and injured; educate physicians, nurses and other health care providers; and... ...s ability to pay for health care.
The Utilization Review Nurse will be responsible for substantiating... ...with the Physician Advisors to manage second level and peer to peer reviews....
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...Job Description
Job Description Entry Level Utilization RN Position!
Description:
Under general supervision, review requests for... ...and Experience:
• Graduation from an approved school of nursing as a Registered Nurse, a current Registered Nurse license, and...
...you for payment as part of consideration for employment.
Utilization Management Representative I
Job Family: Customer Care
Type: Full... ...requests.
Refers cases requiring clinical review to a Nurse reviewer.
Responsible for the identification and data entry...
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...is more than a job. It's the calling of our lives and it compels us to keep moving forward.
Job Overview
The LVN Utilization Management Nurse (UM Nurse) will provide routine review of authorization requests from all lines of business using respective national/state...
Hourly pay
Holiday work
Flexible hours
...cardiology experience.
The RN in our Care Management department specializes in assessing... ...criteria and reviews for appropriate utilization of resources. Ensures continuity and coordination... ...appropriate clinical interventions to nursing staff and attending physicians,...
Hourly pay
Shift work
...the ability to work Remote?
Then Mainstream Nonprofit Solutions has the job for you!
We are looking for full-time Utilization Management Supervisor to add to our team! All you need is a Bachelor’s degree in business-related or social service field with a minimum...
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Full time
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