Average salary: $149,508 /yearly
More statsSearch Results: 978,594 vacancies
...partnership with physicians, nurse case managers, and other disciplines to ensure the appropriateness... ...for the corresponding level of care utilizing evidence-based criteria.... ...Discharge Planning, and Case Management.
Reviews the appropriateness of Severity Index/Intensity...
Suggested
Holiday work
Contract work
Work experience placement
Flexible hours
...RN-Utilization Review
Details
* Sign-on bonus: $3,500
* Department: Case Management
* Schedule: Monday-Friday, standard business hours. 2 holidays per year required and weekend rotation
* Hospital: Ascension St. Agnes
* Location: Baltimore, MD
We offer free parking...
Suggested
Holiday work
Temporary work
Relief
Local area
Relocation bonus
Weekend work
Monday to Friday
...Utilization Review Nurse
Per Diem
1648 Huntingdon Pike
Nursing RN/LPN
Day
SUMMARY OF JOB:
To review each admission for appropriate assignment... ...required by the payer. Work with physician advisor to better manage denials and downgrades.
CONNECTING TO MISSION: All...
Suggested
43 New Scotland Avenue Albany, NY 12208
Department/Unit:
Care Management/Social Work
Work Shift:
Day (United States of America)
Utilization Review Nurse
Salary Range: $31.28 - $51.61 per hour
Responsible for Utilization Management, Quality Screening...
Suggested
Hourly pay
Shift work
...Scotland Avenue
Department/Unit:
Care Management/Social Work
Work Shift:
Day (... ...States of America)
Responsible for Utilization Management, Quality Screening and Delay... ...standards.
• While performing utilization review identifies areas for clinical documentation...
Suggested
Shift work
...UR Nurse Registered Nurse
A Case Manager facilities a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication...
Suggested
...Registered Nurse RN - Utilization Review
Details
* Department: Utilization Mgt
* Schedule: M-F 8 hr days, ONSITE, exempt
* Hospital:... ...Responsibilities
Provide health care services regarding admissions, case management, discharge planning and utilization review.
* Review...
Suggested
Temporary work
Relief
Local area
...Details
Department: Utilization Management
Schedule: Full time, Mon-Fri 8am-5pm
Hospital: Ascension St Vincent
Location: Remote
Must have minimum... ...specifics.
Responsibilities
Manage effective utilization review processes, including management of patient statusing processes...
Suggested
Full time
Temporary work
Work experience placement
Relief
Local area
Remote job
...Description
MAIN FUNCTION:
The Utilization Review (UR) Case Manager coordinates, negotiates, procures services resources for and manages the care of complex patients to facilitate achievement of quality and cost, patient outcomes.The UR Case Manager works collaboratively...
Suggested
Work from home
...POSITION SUMMARY
The Utilization Review Nurse is responsible for ensuring the medical necessity and appropriate level of care of all hospital... ...with CMS’ Conditions of Participation regarding Utilization Management with annual review of the UM Plan and assisting with the...
Suggested
...Department
Clinical Resource Management
Location
Escondido, California... ...Responsible for implementing the utilization management process for patients admitted... ...care. Conducts daily concurrent clinical reviews for utilization/quality management activities...
Suggested
Shift work
...Places to Work by Modern Healthcare, has an opportunity for a Case Manager, UR in Birmingham, AL!
VIVA HEALTH knows that nursing is not... ...experience in case/complex care field management
Ability to utilize Microsoft Word and Excel
Click Here to learn more about...
Suggested
Temporary work
Work from home
Flexible hours
Night shift
Weekend work
...Job Description
Job Description The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine...
Suggested
Remote job
Shift work
Weekend work
...Job Description
Job Description Hiring full-time Utilization Review Specialists that are experienced in SA, MH and Eating disorder UR. The position is hybrid or in office. Competitive salary and benefits offered. Must be familiar and functional with google and multiple...
Suggested
Full time
Under general supervision of the Director of Case Management, the Utilization Review Nurse provides a clinical review of cases using medical necessity criteria to determine the medical appropriateness of inpatient and outpatient services. Provides feedback and assistance...
Suggested
Permanent employment
Temporary work
...Duties:1. Adheres to most current ACMA Case Management Standards of Practice and Scope of... ...Skilled Nursing Placement and resource utilization. 6. Comprehensive and client centered service... ...admission/continued stay clinical reviews using clinical documentation...
Hourly pay
Permanent employment
...****Average hourly rate is $22.60 (including wage, incentives, bonuses, overtime, shift differential, etc.)****
Utilization Reviewer
Pathway Family Services, LLC. provides resources for youth and families through their Independent Living Program, TRAIL (...
Hourly pay
Local area
Flexible hours
Shift work
...the residents in Montgomery, Autauga and Elmore counties. To learn more about Baptist Health, visit us at
The RN - Utilization Review Nurse Manager shall manage the daily Utilization Review and Appeals Management processes for the facilities within Baptist Health. This...
...RN Utilization Review Case Management Full Time Days Position Days The individual in this position is responsible to facilitate effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with...
Full time
Local area
...goals in a safe family like setting?
Mainstream Nonprofit Solutions has the job for you!
We are looking for full-time Utilization Review Specialist to add to our team! A Bachelor’s degree is required with two to four years of experience in social services with...
Hourly pay
Holiday work
Full time
Remote job
Flexible hours
Shift work
