- Huron Consulting Group (Chicago, IL)
- …quality patient care. Position is located in Annapolis, MD + Staff Acquisition and Support : Leads and manages the utilization review staff and function for the ... expert you are now and create your future. The Manager of Utilization Management is responsible for planning, organizing, developing, and directing implementation of… more
- University of Utah Health (Salt Lake City, UT)
- …advancement, and overall patient outcomes. **Responsibilities** + Applies approved utilization criteria to monitor appropriateness of admissions with associated ... stay. + Discusses with physicians the appropriateness of resource utilization . + Tracks length of stay (LOS) and resource...Required** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one… more
- Actalent (Rancho Cordova, CA)
- Utilization Review Nurse About the Role We're looking for a Utilization Review (UR) Nurse to join our team and support high‑quality, cost‑effective ... to ensure appropriate levels of care. Key Responsibilities + Conduct utilization reviews for inpatient, outpatient, and ancillary services using established clinical… more
- Saint Francis Health System (OK)
- …placement in various levels of care and receipt of necessary services. The Utilization Management (UM) Registered Nurse will communicate with providers the ... day Friday, Saturday, Sunday 7a-7p.** Job Summary: Provides administrative and clinical support to the hospital and treatment teams throughout the review of patients… more
- US Tech Solutions (Chicago, IL)
- …Medicare). + Independently coordinates the clinical resolution with internal/external clinician support as required. + Processes and evaluates complex data and ... 3+ years of experience as an RN + Registered Nurse in state of residence + Must have prior...in state of residence + Must have prior authorization utilization experience + Experience with Medcompass **Skills:** + MUST… 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 ... continued stay reviews and related activities as needed to support UR Nurse team. **Other Information** Other...3-5 years of applied clinical experience as a Registered Nurse required. + 2 years utilization review,… more
- Sanford Health (Rapid City, SD)
- …time **Weekly Hours:** 40.00 **Department Details** Join our team as a Utilization Review and Case Management Manager and lead a high-impact, data-driven program ... while optimizing value across the care continuum. You'll shape and execute utilization strategies that become the standard for how we coordinate care, authorize… more
- CVS Health (Baton Rouge, LA)
- …do it all with heart, each and every day. **Position Summary** The Utilization Management Nurse Consultant (UMNC) for Prior Authorization conducts high-acuity, ... escalate complex cases, and participate in interdisciplinary rounds as needed. * Support discharge planning and transition of care, engaging with families to address… more
- CVS Health (Baton Rouge, LA)
- …do it all with heart, each and every day. **Position Summary** The Utilization Management Nurse Consultant (UMNC) for NICU Concurrent Review conducts ... escalate complex cases, and participate in interdisciplinary rounds as needed. * Support discharge planning and transition of care, engaging with families to address… more
- CVS Health (Phoenix, AZ)
- …promote high-quality healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this ... and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed, ensuring… more