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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...
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Permanent employment
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...only. Current RN Compact license required
Summary:
The RN Utilization Review II is responsible for determining the clinical... ...approved certification for services.
The RN Utilization Review Nurse collaborates as necessary with other members of the health care...
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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...
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Title: RN Utilization Review II
Description: The RN Utilization Review II is responsible for determining the clinical appropriateness of care... ...certification for services. The RN Utilization Review Nurse collaborates as necessary with other members of the health care...
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Permanent employment
Immediate start
Area: HPUtilization Mgmt 7065 / 1346
Class: RN Utilization Review
Shift: 1
Start: 08:00:00
End: 17:00:00
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Shift work
...Overview
Join our team as a PRN, day shift, Utilization Review Registered Nurse in Tyler, TX.
Fulfilling your purpose begins here:
People First, Always. Here's how we take care of our people:
~ Competitive salaries, support teams and growth opportunities...
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Relief
Day shift
Overview:
Mesa Springs
Utilization Review Specialist
Mesa Springs is a 72-bed behavioral hospital located in Fort Worth, TX. The... ...LOS, report appropriately.
Work with Director of Nursing to ensure documentation requirements are met
Interface with...
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Flexible hours
...Job Description
TRS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Irving, Texas.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: 05/06/2024
~ Duration: 12 weeks
~40...
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Shift work
...Description Description: Job Summary
Responsible for analyzing medical records for medical-legal reviews. After analyzing provided clinical documentation, Utilization Review Nurses must create a professional executive report that includes a summary, appropriate criteria/...
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...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in El Paso, Texas.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 13 weeks
~36 hours per week
~ Shift: 8...
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..., non-clinical, and/or provider data for pre-certification via phone, fax, inter/intranet, Eldorado/Case Pac computer programs
* Review service requests and manage the requests as efficiently as possible involving the appropriate department as needed
* Perform data...
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Flexible hours
...Utilization Review Authorization Coordinator - REMOTEClick Here to Apply OnlineJob DescriptionLocation: Steward Health CarePosted Date: 1/... ...multispecialty medical groups, urgent care centers, skilled nursing facilities and behavioral health centers.Based in Dallas, Steward...
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...Position Purpose:** Performs a clinical review and assesses care related to mental health... ...data to improve quality and appropriate utilization of services
+ Provides education to... ...Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 4 years of...
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$80k - $90k
...We are seeking an experienced Utilization Management RN to join our esteemed surgical center... ...in the one and only, Dallas, TX!
This Nurse should have a minimum of 5 years INPATIENT... ...of 2 years Utilization Management/Review in an acute care setting, Minimum of 2 years...
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...to help.
Website:
Position Summary
The Director of Utilization Review is responsible for directing and overseeing the Utilization... ...Qualifications
QUALIFICATIONS
Education: Degree in nursing, social work, mental health/behavioral sciences, or related...
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Local area
...Job Description
Job Description The Utilization Review Case Manager is responsible for working with insurance companies and managed care... ....*
Requirements
Education: Clinical degree such as nursing, social work, psychology, health information management or other...
Full time
...Case Mgt Utilization Review RN - REMOTEClick Here to Apply OnlineJob DescriptionLocation: Steward Health CarePosted Date: 10/10/2023The Care... ...multispecialty medical groups, urgent care centers, skilled nursing facilities and behavioral health centers.Based in Dallas,...
Remote job
...Medical Solutions is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Carlsbad, New Mexico.
Job Description & Requirements
~ Specialty: Labor and Delivery
~ Discipline: RN
~ Duration: 13 weeks
~36 hours per week
~ Shift: 12 hours,...
Weekly pay
Holiday work
Shift work
Night shift
...health, access to care and appropriate utilization of resources, balanced with the patient'... ...screening and submission for Physician Advisor review,
b) securing and documenting... ...EDUCATION: Graduate of an accredited School of Nursing
PREFERRED EDUCATION: Associates in...
Local area
...required
Fax numbers to Send clinical reviews
Follow up on each account during... ...assigned
Responsibilities
Utilization Management
The Authorization... ...Preferred: Paramedic, EMT or Certified Nursing Assistant
#LI-NS1
Tenet complies...
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Full time
Local area
Immediate start
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