- Community Health Systems (Bentonville, AR)
- …planning by coordinating patient care activities under the supervision of a Registered Nurse or physician. This role involves reviewing medical records for ... **Job Summary** The Care Manager - LPN supports effective utilization management...as needed to the Physician Advisor or Utilization Management ( UM ) committee. + Identifies avoidable hospital days and communicates… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …Utilization Review Clinician PAY RANGE: LVN/LPT $31.50-37.50 Per Hour RN /LCSW/LMFT/LPCC $54.00-64.00 Per Hour REPORTS TO: Director of Utilization Review ... part of the greater Santa Rosa and Northern California mental health system of care . Conveniently located in the North Bay, this hospital consists of 144 acute… more
- AmeriHealth Caritas (Philadelphia, PA)
- …; **Education/ Experience:;** + Bachelor's degree or equivalent relevant experience + Unrestricted Registered Nurse ( RN ) or Physical Therapist (PT) + Valid ... Assists with daily operations of professionals in the LTSS UM Review Department. + Monitors staff work...travel required + 3 years of experience in Managed Care Utilization Review + Minimum of 1-3… more
- University of Michigan (Ann Arbor, MI)
- …contact Nurse Recruitment at ###. **Required Qualifications + Current licensure as a Registered Nurse in the State of Michigan + Bachelors degree in Nursing ... Unit is currently seeking a Cardiac Electrophysiology Arrhythmia Clinical Care Coordinator. The Arrhythmia office nurse provides...care for our patients. He or she will review patient medical records from referring physicians and establish… more
- University of Michigan (Ann Arbor, MI)
- …contact Nurse Recruitment at ###. **Required Qualifications + Current licensure as a Registered Nurse in the State of Michigan. + Master's degree in Nursing ... care of their children. The Pediatric Cardiothoracic Intensive Care Unit nurse cares for patients in...consistent with the hospital quality assurance program. Through this review process, evaluate and recommend changes and improvements in… more
- Dignity Health (Chandler, AZ)
- …Coordinators and other stakeholders regarding review outcomes. + Collaborates with facility RN Care Coordinators to ensure progression of care . + Engages ... of Care Management, performs criteria-based concurrent and retrospective utilization review to support and encourage the efficient and effective use of… more
- Dignity Health (Gilbert, AZ)
- …Coordinators and other stakeholders regarding review outcomes. + Collaborates with facility RN Care Coordinators to ensure progression of care . + Engages ... of Care Management, performs criteria-based concurrent and retrospective utilization review to support and encourage the efficient and effective use of… more
- Saint Francis Health System (Tulsa, OK)
- …field. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License, or Clinical Social Worker (LCSW), or ... in the Patient Care Committee for patient care reviews, and in Utilization Review Staff...Care Behavioral Health standards in the area of UM procedures and documentation to permit accreditation for Laureate… more
- HCA Healthcare (Englewood, CO)
- …Licensure/Certification/Registration: o Current licensure in the State of Colorado as a Registered Nurse , or current active multistate nursing licensure, or LCSW ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Veterans Affairs, Veterans Health Administration (Las Vegas, NV)
- …and analytical review of clinical information. Responsibilities The Revenue Utilization Review (RUR) Registered Nurse is under the supervision of ... of revenue reimbursement processes and under moderate supervision and instruction by the registered nurse manager. Responsibilities of the RUR nurse include,… more