- US Tech Solutions (Chicago, IL)
- …you have experience with Utilization Review ? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions is a global ... policy, regulatory and accreditation guidelines. + Responsible for the review and evaluation of clinical information and documentation. +...3+ years of experience as an RN + Registered Nurse in state of residence + Must have prior… more
- Albany Medical Center (Albany, NY)
- Department/Unit: Care Management/Social Work Work Shift: Day ( United States of America) Salary Range: $71,612.39 - $110,999.20 Responsible for Utilization ... documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and contacts… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry ... and concurrent medical record review for medical necessity and level of care using...**LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure -… more
- US Tech Solutions (May, OK)
- …clinical policy, regulatory and accreditation guidelines. . Responsible for the review and evaluation of clinical information and documentation. . Reviews ... . 1+ years of inpatient hospital experience . Registered Nurse in state of residence . Must have prior...knowledge. . MUST HAVE UM experience, inpatient utilization management review . . MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT… more
- Zurich NA (Schaumburg, IL)
- Medical Bill Review Senior Nurse 127127 Zurich Insurance is...As an insurance company, Zurich is subject to 18 US Code | 1033. A future with Zurich. What can ... currently looking for a **Medical Bill Review Senior Nurse ** to work from our...of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues,… more
- George C. Grape Community Hospital (Hamburg, IA)
- Quality/Utilization Review Nurse Position Summary: The Quality/Utilization Review Nurse is responsible for evaluating the medical necessity, ... and cost-effective care. Additionally, this position oversees the Infection Control Nurse to ensure adherence to infection prevention protocols and regulatory… more
- UNC Health Care (Kinston, NC)
- …the clinical documentation specialists and Patient Financial Services. Supports the Utilization Review Nurse team when necessary by applying established criteria ... 3-5 years of applied clinical experience as a Registered Nurse required. + 2 years utilization review ,...Friday 8:00 am - 4:30 pm) Location of Job: US :NC:Kinston Exempt From Overtime: Exempt: No Qualified applicants will… more
- Huron Consulting Group (Chicago, IL)
- …in effect and may be implemented in the future._ **Position Level** Manager **Country** United States of America At Huron, we're redefining what a consulting ... for planning, organizing, developing, and directing implementation of the Utilization Review Plan and the overall operation of the Utilization Management Department… more
- Emory Healthcare/Emory University (Decatur, GA)
- …_,_ and leadership programs + And more **Description** We're seeking a **Clinical Utilization Review Nurse Preceptor (Registered Nurse / RN)** . This ... responsible for training, mentoring, and coaching for the Utilization Review Department and must be an expert in the...that one week's advance notice is preferred. **Connect With Us !** Connect with us for general consideration!… more
- UCLA Health (Los Angeles, CA)
- Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery of high-quality, evidence-based care. This ... to prior authorization requests for medical services. The UM Review Nurse applies clinical judgment, regulatory standards,...origin or disabilities, and we proudly look to each person's unique achievements and experiences to further set us … more