- Select Medical (Newport News, VA)
- …On Bonus** _Requires a current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical Social Work (license per ... compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with Quality Management to assure all licensure and… more
- Select Medical (Chicago, IL)
- …per hour** _Requires a current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW (potential license per state ... compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with Quality Management to assure all licensure and… more
- Cleveland Clinic (Cleveland, OH)
- …team. + Document appropriately in UM notes to provide evidence that the UR process for the case was followed. Minimum qualifications for the ideal future ... of Nursing + Current state licensure as a Registered Nurse (RN) + Basic Life Support (BLS) Certification through...years of equivalent full-time clinical experience as a Registered Nurse + Analytical ability required to gather data, decide… more
- Rising Medical Solutions (Chicago, IL)
- …Set up files in all appropriate systems; assign files, when applicable, to the nurse + Facilitate and schedule appointments as needed, and keep the Telephonic ... Nurse Case Manager (TCM), clients, claimants, providers, and employers...the allotted timeframe, vs. a reconsideration, vs. a new UR + Basic invoicing + Continually improve job skills… more
- HCA Healthcare (Kansas City, MO)
- …in department are using IQ criteria appropriately. + Conduct reviews with the UR physician to adhere to the self-denial process. **What qualifications you will ... need:** + (RN) Registered Nurse + Registered Nurse Diploma, or Associate Degree, or Bachelors Degree + 2+ years experience in case management OR 3+ years… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …monitoring, oversees all Workers' Compensation (WC) Case Management and Utilization Review ( UR ) Programs. + Collaborates with the Chief Medical Officer on evaluation ... all WC State Reporting and audits. Essential Qualifications + Currently licensed Registered Nurse (RN), Nurse Practitioner (NP), or Physician Assistant (PA) with… more
- Sharp HealthCare (San Diego, CA)
- …**Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse (RN) - CA Board of Registered Nursing; Bachelor's Degree **Hours** **:** ... experience, preferably in a managed care setting + California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED **Preferred Qualifications**… more
- Nuvance Health (Danbury, CT)
- …Days, Evenings, Nights available* *Summary:* The purpose of the Denial Prevention Nurse is to ensure that all patient admissions are appropriately status within ... to resolve, escalate to the PA and Utilization Review ( UR ) Leadership. * Coordinate with the care team in...* Minimum of 2-3 years experience as Utilization Management Nurse in an acute care setting required, minimum of… more
- University of Rochester (Canandaigua, NY)
- …Scheduled Weekly Hours: 40 Department: 500674 Urology Offsite Ambulatory Work Shift: Range: UR URCC 204 H Compensation Range: $19.08 - $25.77 _The referenced pay ... individual, and internal equity considerations._ **Responsibilities:** Under general direction from Nurse Leader, Nurse Manager or designee assists providers… more
- Virtua Health (Mount Holly, NC)
- …over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques ... 3 years clinical nursing (RN) experience and 1 year UR /CM/QM experience or 3 years experience as Clinical Social...State of New Jersey as a MSW or Registered Nurse .Case Management Certification (requirement within one year of hire… more