Average salary: $93,217 /yearly
More stats ...Work Shift:
Day (United States of America)
Responsible for Utilization Management, Quality Screening and Delay Management for... ...based on Departmental standards.
• While performing utilization review identifies areas for clinical documentation improvement and contacts...
Suggested
Shift work
...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 and Delay...
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Hourly pay
Shift work
Job Title: Utilization Review Nurse
Come join our team at Santiam Hospital & Clinics! We are a 4-star rated Hospital and voted Best of the Mid-Valley for Best Hospital, Best Surgery Center, Best Medical Facility, Best Place to Have a Baby, and Best Women’s Clinic....
Suggested
Holiday work
Full time
Remote job
...Description
Oversee utilization management and review of patients care delivery while in the hospital and provide clinical reviews and denial... ...Required Qualification:
Bachelor's Degree in Nursing (BSN). Must obtain a Bachelor’s degree in Nursing or higher...
Suggested
Full time
Contract work
Local area
Shift work
...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...
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...incentives, bonuses, overtime, shift differential, etc.)****
Utilization Reviewer
Pathway Family Services, LLC. provides resources for... ...care services.
Qualifications:
Bachelor's degree in nursing, social work, psychology, or a related field.
A minimum...
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Local area
Flexible hours
Shift work
...Most of our positions require at least 2 years of nursing experience, with an active RN license and BLS and/or ACLS (if required) certified by the American Heart Association.What makes Mindlance Health different?Mindlance Health has thousands of rewarding travel assignments...
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Weekly pay
Flexible hours
Candidate criteria:
Willing to work weekends (expectation is they work a minimum of at least 4 weekend shifts in a 6 week period. These weekends can be all Saturdays, all Sundays, back to back Saturday/Sunday. We try to have them off together but they also have to understand...
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Holiday work
Full time
Remote job
Shift work
Weekend work
Sunday
Day shift
Saturday
...health first
Humana Healthy Horizons in Ohio is seeking a Utilization Management Nurse 2 who utilizes clinical nursing skills to support the... ...recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be...
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Weekly pay
Holiday work
Full time
Temporary work
Apprenticeship
Home office
Monday to Friday
...Summary: Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination... ...degree requirement: Bachelor of Science in Nursing.
~ Must possess strong critical thinking skills,...
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...Health Center's mission.
We are looking for a Full Time Utilization Review Coordinator . In this role you will assist in screening patients... ...Requirements:
Graduate of an accredited school of nursing, OR bachelor's degree in related field (clinical area).
Minimum...
Suggested
Full time
Local area
...Primary Function:
Under CNO supervision, the Utilization Coordinator provides utilization review, Amkai chart surveillance and denials management for... ...Educational requirements:
~ Bachelors of Nursing Degree or equivalent required
Licensure:...
Suggested
Part time
Worldwide
...Ink Staffing is currently seeking compassionate Utilization Review RN for positions in Chico, California for a 40 Hrs.; 5 x 8 Day Shift, 07:... ...will possess a current California license. This is a Registered Nurse position in Chico. You must have a valid License and at least...
Suggested
Shift work
Day shift
...Compensation : $60 - $60 Hourly
Client Job Ref ID : 138329
Shift Description : 06/01/2023
Travel Registered Nurse - Utilization Review
San Diego, California, United States - 91911
Job Title: Travel Nurse - Utilization Review
Shift:...
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Weekly pay
Contract work
Locum
Local area
Shift work
Night shift
Rotating shift
Weekend work
Afternoon shift
...Description The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing and...
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Full time
Shift work
...Overview
Join our team as a day shift, PRN, Utilization Review Case Management Acute Care Rgistered Nurse in Albuquerque, NM.
Fulfilling your purpose begins here:
People First, Always. Here's how we take care of our people:
~ Competitive salaries...
Relief
Day shift
.... Our culture, values and people create an environment of sustained medical excellence.
Position Summary
The Utilization Review Nurse monitors utilization practices from preadmission to discharge to assure cost-effective, quality patient care and to ensure...
Full time
Part time
Local area
...depending upon education and experience
Job Summary
The Utilization Review Specialist will examine medical and behavioral health... ..., billing procedures, and disputes.
Works directly with nursing department, care coordination department and finance department...
Contract work
...clinical treatment team.
Conducts clinical reviews in accordance with certification... ...pay attention to detail, problem solve, utilize critical thinking skills, prioritize, and... ...of: Social Work, Psychology, Psychiatric Nursing, Marriage and Family and Child Counseling...
Flexible hours
...Description:
As a part of the Utilization Management team the Utilization Review RN is a member of the Care Coordination team. The goal of care coordination... ...setting - Monitors the patients in Skilled Nursing Facilities and out of network admissions using...
Contract work
...dignity, respect, responsibility and clinical excellence.
Utilization Physician Reviewer position details:
Facility: St. Joseph's Hospital... ...appropriate documentation allowing Utilization Review Nurses to efficiently execute Secondary Review Outcomes and Payor...
Relief
Remote job
Shift work
Weekend work
...performing initial clinical appropriateness reviews of requests for services that require... ...position is responsible for managing utilization and, if necessary, discussing the utilization... ...s interior. We have a strong patient to nurse ratio, a culture of Shared Leadership,...
Relocation package
Flexible hours
Shift work
...Compensation Range: $19.25/hr.
Utilization Review Specialist-Residential Program
Joinour mission to provide a comprehensive continuum... ...medical records to established criteria andconfer with medical, nursing, and other professional staff to determinelegitimacy of...
Full time
Temporary work
Monday to Friday
...serving the pediatric and adolescent population, is seeking a Utilization Review Coordinator (RN)
ESSENTIAL FUNCTIONS:
1. Responsible for... ...means.
LICENSEAND CERTIFICATION:
•Currentstate Registered Nurse or Licensed Vocational Nurse license is required.
•...
...Overview:
Phoenix Medical Psychiatric Hospital is looking for a Utilization Review Coordinator to coordinate patients services across the... ...VP of Care Management and Team .
Provides education to nursing staff. ;eadership team, and providers regarding documentation...
Shodair is looking to hire a new Utilization Review Specialist. Utilization Review primarily focuses on evaluating and managing the utilization... ...health. Bachelor's degree in social work, psychology, nursing or related field preferred.
Working knowledge of regulatory...
...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...
...Description
Utilization Review Analyst
Job Summary
This position helps to ensure clinical documentation integrity and ICD... ...with interdisciplinary teams including, physicians, nurse practitioners, PA's, and the department managers for revenue...
Shift work
...request to ****@*****.*** .
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Required Skills & Experience
-HS Diploma
-One year experience
-Data Entry...
...Responsibilities
UTILIZATION REVIEW COORDINATOR
Arbour Counseling Services, a subsidiary of Universal Health Services, provides trusted quality and experience throughout our continuum of behavioral health and substance use treatment programs. Individualized care...
Temporary work
Local area
Flexible hours