- Saint Luke's (Kansas City, MO)
- **Job Description** The Utilization Review RN is responsible for assuring the receipt of high quality, cost efficient medical outcomes through ... utilization review and management . This...billing. **Job Requirements** Applicable Experience: Less than 1 year Registered Nurse - Various Associate Degree **Job… more
- Covenant Health (Nashua, NH)
- …the health care team. + Annual goals are achieved. + Attends pertinent case management / utilization review programs to maintain current knowledge of UR ... Summary Conducts medical necessity reviews in accordance with the Utilization Management (UM) plan for patients that...to work remotely as needed Education and Experience + Registered Nurse licensed in New Hampshire required… more
- Trinity Health (Fort Lauderdale, FL)
- …years acute hospital clinical experience is required.** Recent experience in case management , utilization review , discharge planning, ongoing monitoring and ... Care Plans to ensure authorization for hospital stay. Hybrid Position **_Position Purpose:_** ** Utilization Review (UR) Nurses play a vital role in healthcare by… more
- Trinity Health (Wilmington, DE)
- …Type:** Part time **Shift:** **Description:** ** RN Care Manager - Utilization Management ** **Location:** Saint Francis Hospital **Department:** Care ... Management / Utilization Review **Schedule:** Per Diem | 1...post-acute care services. **Minimum Qualifications** + **Licensure:** Current Delaware RN license or eligibility for licensure. + **Experience:** +… more
- Guthrie (Binghamton, NY)
- …services regarding admissions, case management , discharge planning and utilization review . Responsibilites: Reviews admissions and service requests within ... planning needs with healthcare team members. May prepare statistical analysis and utilization review reports as necessary. Oversees and coordinates compliance to… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …more **Description** We're seeking under the direction of the ** Utilization Management Appeals Professional, Registered Nurse ** is responsible for ... + License - Must have a valid, active unencumbered Registered Nurse license or temporary permit approved...Experience - At least 3 years of experience in Utilization Review or Care Management … more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …the appropriate utilization of resources, coordination of payer communication, and utilization review and management . Responsible for carrying out duties ... *_SUMMARY:_* We are currently seeking a* Utilization Review Manager* to join ourTransitional...in confidentiality, integrity, creativity, and initiative */License/Certifications:/* * Current Registered Nurse licensure upon hire * National… more
- Corewell Health (Southfield, MI)
- …degree. + Preferred Bachelor's Degree in nursing or related field. + Hospital utilization review / utilization management experience. Preferred + Clinical ... Scope of Work This role includes accountability for utilization review (UR) and may include...2 years of experience in clinical/hospital setting. Required + Registered Nurse ( RN ) - State… more
- Adecco US, Inc. (Minneapolis, MN)
- …**Pay** : $40.00 - $43.25 per hour based on experience **Responsibilities of the Utilization Management Nurse ** : . Responsible for reviewing proposed ... Generally work is self-directed and not prescribed. . The Utilization Management Nurse works under...of an RN or MD. . Performs utilization review activities, including pre-certification, concurrent, and… more
- BriteLife Recovery (Englewood, NJ)
- …assigned What we need from you? + Minimum of 2-3 years of experience in utilization review , case management , or insurance coordination in a behavioral health ... What you will be doing? The Utilization Review (UR) Specialist is a...Maintain compliance with payer policies, HIPAA regulations, and internal utilization management protocols. + Monitor trends in… more