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...Position Summary:
The Utilization Reviewer (UR) is a strong advocate for clients to access medically necessary care by pursuing insurance... ...need for the recommended length of treatment.
Schedule:
REMOTE
Full-time, 40 hours/week
Monday-Friday, 8am-4:30pm...
Remote job
Full time
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 of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide...
Suggested
Job Description:
Remote UR Nurse for level II Trauma Center. Schedule will be Monday through Friday and expected need until November.
Must Have:
-Recent experience in Utilization Review 2 years or more.
-Proficient in MCG, InterQual, and experienced with Epic....
Remote job
Monday to Friday
Job Description:
Remote UR Nurse for level II Trauma Center. Schedule will be Monday through Friday and expected need until November.
Must Have:
-Recent experience in Utilization Review 2 years or more.
-Proficient in MCG, InterQual, and experienced with Epic....
Remote job
Holiday work
Shift work
Day shift
Monday to Friday
...UTILIZATION REVIEW NURSE
~Sign On Bonus Potential: $15,000
~ Baltimore, MD
~SINAI HOSPITAL
~UTILIZATION REVIEW
~Full-time - Weekends - Day shift-Weekends - 8:00am-6:30pm
~RN Other
~83231
~ Posted: Yesterday
Apply Now Save Job Saved...
Suggested
Full time
Relocation bonus
Weekend work
Day shift
...providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
The Utilization Review Nurse will be responsible for substantiating medical necessity and clinical appropriateness of services in order to achieve...
Suggested
...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...
Suggested
Permanent employment
Temporary work
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...providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
The Utilization Review Assistant is responsible for taking the data provided to their department and using it to communicate necessary information...
Suggested
...Work Shift:
Day (United States of America)
Responsible for Utilization Management, Quality Screening and Delay Management for assigned... ...on Departmental standards.
• While performing utilization review identifies areas for clinical documentation improvement and contacts...
Suggested
Permanent employment
Shift work
...never be found wanting for entertainment and experiences to call your own in Columbus. Learn more at
About the job:
The Utilization Review Nurse ensures that authorization requests and provider or member inquiries are handled appropriately within established...
Remote job
Full time
Relocation package
Flexible hours
Shift work
...Scotland 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...
Suggested
Hourly pay
Permanent employment
Shift work
...the h 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...
Suggested
Relocation
Night shift
Weekend work
.... This is a full-time position with competitive benefits.
The Physician Reviewer will perform all reasonably necessary functions to ensure the quality of care and appropriate utilization in the most cost-effective, appropriate, and professional manner, which meets...
Suggested
Full time
...****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 (...
Suggested
Hourly pay
Local area
Flexible hours
Shift work
About the job Utilization Review Specialist
About Us
Congress Billing is a sophisticated Billing Management Company that strongly... ...compliance activities.
Other duties as assigned
Pay: 60,000-70,000
Schedule: Full time
Location: Remote
Apply today!
Remote job
Full time
Title: RN Utilization Review II
Description: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This RN is responsible for performing a variety...
Permanent employment
Immediate start
...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...
Remote job
Local area
...dignity, respect, responsibility and clinical excellence.
Utilization Physician Reviewer position details:
Facility: St. Joseph's Hospital... ...: Varies
Weekend Work: Occasional
On Call: No
Remote, must reside in the state of Florida
The role of the...
Remote job
Relief
Shift work
Weekend work
...Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site.
The Utilization Review Physician is the lead clinician for the health plan. Responsible for the...
Remote job
...Location - Remote
Hours are 8 hour shifts, with hours of operation from 7:30am until 6:30pm, No holidays... ...5th weekend.
Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient...
Remote job
Holiday work
Full time
Shift work
Monday to Friday
