Average salary: $149,508 /yearly
More stats ...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
...RN Case Manager/UR Reviewer
JOIN OUR TEAM!!!
Are you looking to be one of the team? To be part of the family and not just another number... ...system
We are looking for a dedicated RN Case Manager/Utilization Review like you to join our Lubbock Heart team.
What You Will...
Suggested
Full time
Flexible hours
Shift work
Monday to Friday
...taking care of our incredible teams. Want to learn more? Click here.
Responsibilities:
Responsible for various aspects of utilization management to ensure that care is rendered in accordance with intensity of service and severity of illness standards at all times during...
Suggested
Relocation
Night shift
Weekend work
VIVA HEALTH, ranked one of the nation's Best Places to Work by Modern Healthcare, is seeking a Case Manager, Utilization Review position to join our team in Birmingham, AL!
VIVA HEALTH knows that nursing is not just a job; it is a calling. If you would like to fulfill...
Suggested
Work from home
Flexible hours
Night shift
Weekend work
Responsible for providing the overall leadership, management & direction of Case Management operations and staff, and for producing... ...Directs and implements case management programs, including utilization review, intake and discharge planning, and managed care contracting...
Suggested
Employment Type:Full timeShift:Description:Are you an experience RN Manager, Utilization Review of Acute Care seeking your next adventure?Duration: 13-week AssignmentThe Interim Utilization Management , RN Manager is responsible for management, leadership, and coordination...
Suggested
Interim role
...Position Title:
Manager Case Management Utilization Review - OU Medical Center
Department:
Case Management
Job Description:
General Description:
Under direction, the Manager of case management supervises the case managers and assists in the management...
Suggested
...Compensation Range: $25-$27/hr.
Utilization Review Specialist-Residential Program
Joinour mission to provide a comprehensive continuum... ...and the medications used for detoxificationpurposes, managing symptoms of withdrawal with comprehensive triage, consistentdocumentation...
Suggested
Full time
Temporary work
Monday to Friday
...treatment, and length of stay of patients.
Reviews application for patient admission and... ...admission or refers case to facility utilization review committee for review and course... ...five to seven years of experience in case management, discharge planning, and/or utilization...
Suggested
Hourly pay
Shift work
Day shift
...Act as liaison between managed care organizations and the facility professional clinical staff.
Conduct reviews, in accordance with certification requirements, of insurance... ...and narrative information to report on utilization, non-certified days (including identified...
Suggested
For contractors
...depending upon education and experience
Job Summary
The Utilization Review Specialist will examine medical and behavioral health... ...benefits to ensure proper coverage, address lapses in coverage, manage authorization process, billing process, decipher complicated...
Suggested
Contract work
...Job Description
Job Description The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate...
Suggested
Minimum wage
Full time
Local area
Remote job
Flexible hours
Saturday
Monday to Friday
...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
Temporary work
Remote job
Shift work
Weekend work
...This job manages the daily operations of all assigned divisions within the case management department in collaboration with the case... ...appropriate staffing levels and the interviewing, hiring, performance review, and termination of employees within practice unit(s);...
Suggested
Holiday work
Full time
Work experience placement
Flexible hours
Weekend work
...are looking forward to adding members to our team!
The Utilization Review representative provides appropriate care and assesses and interprets... ...and provide appropriate consultation and referral to Case Management/Social Services personnel.
PREFERRED KNOWLEDGE, SKILLS,...
Suggested
...Description
Utilization Review Analyst
Job Summary
This position helps to ensure clinical documentation integrity and ICD... ..., physicians, nurse practitioners, PA's, and the department managers for revenue integrity, coding and data quality.
Perform...
Shift work
About the job Utilization Review Specialist
About Us
Congress Billing is a sophisticated Billing Management Company that strongly believes in the best interest of their clients. Our mission is to ensure that all Congress Billing's clients have a proven low-cost...
Full time
Remote job
...Position Summary:
The Utilization Reviewer (UR) is a strong advocate for clients to access medically necessary care by pursuing insurance... ...Partner with the Accanto Medical Records and Revenue Cycle Management departments on authorization related appeals.
Coordinate...
Remote job
Full time
Monday to Friday
...individuals with a desire to teach, learn and join our community as a Utilization Review Specialist at our campus in Tucson, AZ. With this... ...performing a variety of concurrent and retrospective utilization management-related reviews and functions and for ensuring that...
Holiday work
Work from home
Home office
...FTE 1.0
$3, 000 Sign on!
OBJECTIVE SUMMARY : The Case Manager RN assesses, plans and evaluates the care of a designated case... ...financial outcomes are fully met. The Case Manager RN will perform review of referrals, chart documentation, insurance coverage, and...
Flexible hours
