Average salary: $72,149 /yearly
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...excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care... ...of a patient's ability to pay for health care.
The Utilization Review Nurse will be responsible for substantiating medical necessity...
Suggested
...Utilization Review Nurse
Per Diem
1648 Huntingdon Pike
Nursing RN/LPN
Day
SUMMARY OF JOB:
To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide...
Suggested
...excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care... ...of a patient's ability to pay for health care.
The Utilization Review Assistant is responsible for taking the data provided to their...
Suggested
...Job Description
GHR Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Sellersville, Pennsylvania.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: 04/29/2024
~ Duration: 8...
Suggested
Shift work
Overview Utilization Review Nurse
Berkshire Hathaway GUARD Insurance Companies, an A+ Superior rated Insurance company is seeking a Utilization Review Nurse who is interested in joining a company with a unique culture dedicated to technology and customer service...
Suggested
Holiday work
Night shift
Weekend work
...characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights:
The Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management initiatives....
Suggested
Full time
Work experience placement
...Network ** **Job Description :****
**GENERAL OVERVIEW:**
This position is responsible for covering vast roles within the Utilization Review management team that include managing bill processing, downgrades, entry into the system including reg, insurance verification...
Suggested
Remote job
Local area
...Position Summary:
The Utilization Management (UM) Reviewer, in collaboration with other internal and external offices, payors, and providers and staff, is responsible for the coordinates Utilization Management (UM) processes and requirements for prior authorization...
Suggested
Immediate start
$68k - $80k
...Utilization Review Nurse /Workers Comp
Location - King of Prussia, PA
Job Purpose:
Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine the medical necessity of the treatment utilizing clinical expertise and...
Suggested
Immediate start
...personal, convenient and affordable.
Position Summary:
This Utilization Management (UM) Nurse Consultant role is fully remote and employee can live in... ...and state regulated turn-around times. This includes reviewing written clinical records.
The UM Nurse Consultant job...
Suggested
Hourly pay
Holiday work
Full time
Temporary work
Remote job
Shift work
Weekend work
Afternoon shift
Monday to Friday
...Responsibilities
Foundations Behavioral Health is currently hiring a full-time Utilization Review Coordinator to support our UM Department in Doylestown, PA. This is a Monday-Friday full-time position offering full-time benefits and competitive pay.
The...
Suggested
Full time
Local area
Currently hiring
Monday to Friday
...more personal, convenient and affordable.
Position Summary
* Utilizes clinical experience and skills in a collaborative process to assess... ...Qualifications
* 3+ years of experience as a Registered Nurse
* Must have active current and unrestricted RN licensure in state...
Suggested
Hourly pay
Holiday work
Full time
Temporary work
Monday to Friday
...Utilization Management RN
Responsibilities
004005
Join the mission of Improving Lives as a Utilization Management RN at Jefferson... ...optimal outcomes and patient care.
Qualifications
* Bachelors of Nursing
* Three (3) + years case management experience
* Must be...
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...level of care prior to hospitalization utilizing medical necessity criteria and third party... ...of care management, utilization review changes, authorization changes, contract... ...for currently employed UR's)
2-3 years nursing experience with 1 year in Utilization Management...
Suggested
Full time
Contract work
Local area
Immediate start
Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase revenue to the health plans and internal organization. This function requires...
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...Description A-Line Staffing is now hiring in Hybrid Auditor Review Registered Nurse in Harrisburg, PA 17105. If you are interested in this... ...care. MDS, Clinical experience, hospital, nurse auditor, Utilization review, medical fraud, Research Nurse, Nurse reviewer, Prior...
Hourly pay
Full time
Contract work
Immediate start
Remote job
...business needs, flexibility is required.
Job Summary:
The Utilization Management Nurse role is to ensure health care services provided to... ...cost efficiency, and within compliance. By continuously reviewing and auditing participant treatment files, the Utilization...
Holiday work
Full time
Temporary work
Local area
Relocation
Flexible hours
Monday to Friday
...excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in... ...of a patient's ability to pay for health care.
The Utility Worker will wash all pots, pans, and utensils; assist in the dish...
Part time
Shift work
...excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in... ...of a patient's ability to pay for health care.
The Charge Review Specialist, Physician Billing is responsible for all revenue capture...
...Certified Orthopaedic Spine Surgeon, Neurosurgeon, Neurologist, and Physical Medicine & Rehabilitation physician to process utilization reviews . Worker's Compensation experience is preferred but, not required. This telework opportunity provides the ability to customize...
For contractors
Remote job
Monday to Friday
