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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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...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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Overview:
Mesa Springs
Utilization Review Specialist
Mesa Springs is a 72-bed behavioral hospital located in Fort Worth, TX. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At Mesa...
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Flexible hours
..., 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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Area: HPUtilization Mgmt 7065 / 1346
Class: RN Utilization Review
Shift: 1
Start: 08:00:00
End: 17:00:00
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...Utilization Review Authorization Coordinator - REMOTEClick Here to Apply OnlineJob DescriptionLocation: Steward Health CarePosted Date: 1/8/2024Job Type: Full TimeSalary: $20.01-$25.00Department: 1301.40601 Centralized URThe Utilization Review Authorization Coordinator...
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...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
...PLC, LMFT, LMHP**
**Position Purpose:** Performs a clinical review and assesses care related to mental health and substance abuse... ...+ Analyzes BH member data to improve quality and appropriate utilization of services
+ Provides education to providers members and their...
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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...
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Full time
Immediate start
...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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...Job Description
Job Description The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and retrospective review of inpatient admissions and services. This position will obtain...
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Full time
...challenges seem to big to handle alone, Mayhill Hospital is here to help.
Website:
Position Summary
The Director of Utilization Review is responsible for directing and overseeing the Utilization Review Program for In Patient and Out Patient services. This includes...
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Local area
...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:...
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...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...
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...Case Mgt Utilization Review RN - REMOTEClick Here to Apply OnlineJob DescriptionLocation: Steward Health CarePosted Date: 10/10/2023The Care Manager assumes primary responsibility for documentation of appropriate medical necessity for the inpatient status or placement...
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Job Title: Registered Nurse Utilization Review
Location: Irving, TX, 75038
Duration: 13 Weeks
Shift: Monday - Friday 8 am - 5 pm
Pay Rate: $30/hr. - $35/hr.
Notes: Temp to Perm - Local Candidates only. Current RN Compact license required
Summary:
The RN Utilization...
Permanent employment
Full time
Temporary work
Local area
Shift work
Monday to Friday
$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... ...setting and minimum of 2 years Utilization Management/Review in an acute care setting, Minimum of 2 years experience working...
For contractors
Flexible hours
ezURs is a URAC accredited Independent Review Organization. ezURs affords our clients true nationwide physician reviewer coverage.... ...Physician Consultants to perform a wide variety of world-class utilization review, disability, peer reviews products in multiple lines of...
Full time
Immediate start
Remote job
Flexible hours
...authorization for stay is required
Fax numbers to Send clinical reviews
Follow up on each account during the stay and on... ...Other duties as assigned
Responsibilities
Utilization Management
The Authorization Coordinator validates patient...
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Full time
Local area
Immediate start
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Weekend work
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
