Search Results: 577,877 vacancies
...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... ...and all levels of care as required by the payer. Work with physician advisor to better manage denials and downgrades.
CONNECTING...
Suggested
...Social Work
Work Shift:
Day (United States of America)
Utilization Review Nurse
Salary Range: $31.28 - $51.61 per hour... ...patient information, in addition to hospital and individual physician practice pattern data. Provides information and inservices as...
Suggested
Hourly pay
Shift work
...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
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...
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...Registered Nurse RN - Utilization Review
Details
* Department: Utilization Mgt
* Schedule: M-F 8 hr days, ONSITE, exempt
* Hospital: Ascension Sacred Heart Pensacola
* Location: Pensacola, Florida
Benefits
Paid time off (PTO)
Various health insurance options & wellness...
Suggested
Temporary work
Relief
Local area
...Position Purpose : Works in partnership with physicians, nurse case managers, and other... ...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
Overview:
Performs admission and continued stay utilization reviews and discharge screening to assure the medical necessity of hospital... ...inpatient to the next level of care. Collaborates with attending physicians, advanced practice providers, and/or Department Medical...
Suggested
Permanent employment
Immediate start
...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
...POSITION SUMMARY
The Utilization Review Nurse is responsible for ensuring the medical necessity and appropriate level of care of all hospital admissions and extended hospital stays, including psychiatry; affirming compliance with CMS’ Conditions of Participation regarding...
Suggested
...general supervision of the Director of Case Management, the Utilization Review Nurse provides a clinical review of cases using medical necessity... ...communication with the health plan, clinical providers (HMH Physicians/NPs) and care coordination departments regarding medical...
Suggested
Permanent employment
Temporary work
Overview:
As a Utilization Review Nurse, you will work under the direct supervision of the Supervisor, Utilization Review and Clinical Documentation... ...care services. This includes facilitation of appropriate physician documentation of care to accurately reflect patient severity...
Suggested
Permanent employment
...Perinatal Care Hip- and Knee- Replacement.
Responsibilities:
Utilization Review RN - remote position
Position Summary:
The incumbent is... ....
Works in collaboration with the attending physician, consultants, second level physician reviewer and the Care Coordination...
Suggested
Permanent employment
Remote job
Flexible hours
...Belong.
Join us at Emory Healthcare's Utilization Team!
Behavioral Health Experience Needed... ...:
JOB DESCRIPTION:
The Utilization Review Nurse (UR RN) is responsible for:... ...judgement, and discussions with the attending physician and/or physician advisor.
The UR RN...
Suggested
Permanent employment
Temporary work
Outdoor
Shift work
Overview:
Performs clinical review of patient records to evaluate the utilization of acute care services. Communicates to third party payors to support the... ...of stay requirements for all patients. Facilitates physician documentation through concurrent interaction with...
Suggested
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
...UTILIZATION REVIEW NURSE (RN)
~ Randallstown, MD
~NORTHWEST HOSPITAL
~NW CARE MANAGEMENT
~Full-time - Day shift - 8:00am-4:30... ...Hospital and Grace Medical Center, as well as our Community Physician Enterprise, Center for Hope, Practice Dynamics, and business...
Full time
Day shift
...determinations for inpatient and outpatient services by applying utilization management (UM) criteria, clinical judgment, and internal... ...and procedures. Regardless of the final determination, the Physician Reviewer is responsible for ensuring medically appropriate care is...
Full time
...skills.
ESSENTIAL DUTIES
The primary responsibility of the Utilization Review Specialist is to review medical records and prepare clinical... ...during treatment team meetings and through individual physician contact. The UR Specialist chairs treatment team meetings and...
Permanent employment
Full time
Temporary work
Part time
Work experience placement
...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
