- Penn Medicine (Plainsboro, NJ)
- …+ Coordinates discharge planning and communicates plan clearly to patient, family and Utilization Review Nurse , Financial Counselor and outpatient treatment ... + Communicate effectively the essential clinical features of each case with utilization reviewers and monitors patient attendance in scheduled program and length of… more
- New York State Civil Service (New York, NY)
- …Nurse 1 Psychiatric (NY HELPS), New York State Psychiatric Institute, Utilization review , P26749 Occupational Category Health Care, Human/Social Services ... York State NY Zip Code 10032 Duties Description The selected candidate will provide Utilization Review services, including but not limited to conducting daily … more
- Ventura County (Ventura, CA)
- …Under direction, scheduled as needed to assist with patient care coordination and utilization review . The incumbent will be responsible to assist with evaluation ... Per Diem Registered Nurse II/III - Utilization Management VCMC...risk and/or patient safety which are identified during case review or other activities; + Reviews, analyzes and identifies… more
- Bear Mountain Health Care (Worcester, MA)
- …accurate bills to residents, families, responsible parties. * Communicates regularly with Utilization Review Nurse , Admissions and Social Services to ... maintain accurate billing information. * Reconcile Personal Needs Account bank statements, ensure withdrawal and deposits are processed daily, and quarterly statements are mailed, and complete annual reconciliation for resident Personal Needs Accounts. *… more
- Ventura County (Ventura, CA)
- …the general and specialized principles, practices, techniques and methods of utilization review /management, discharge planning or case management. + utilize ... Senior Registered Nurse - Hospital Management Utilization Print...risk and/or patient safety which are identified during case review or other activities; + Reviews, analyses & identifies… more
- Crouse Hospital (Syracuse, NY)
- …while maintaining the quality of care. + Demonstrates proficiency with standard Utilization Review processes. + Responsible for concurrent and continued stay ... outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track and manage data and client care as… more
- Access Dubuque (Dubuque, IA)
- …Conduct reviews inclusive of physician referrals, medication reviews, admissions, utilization review updates, investigating alternatives to hospitalization such ... Utilization Management Nurse **Medical Associates** 1...Dental Insurance, etc. **What You Will Be Doing:** + Review requests from providers or members for approval of… more
- ERP International (Barksdale AFB, LA)
- **Overview** ERP International is seeking a ** Utilization Management Registered Nurse (RN)** for a full-time position supporting the 2d Medical Group, Barksdale ... identification of types ofhealthcare services for which preauthorization or concurrent review will be required.Reviews previous and present medical care practices as… more
- AdventHealth (Daytona Beach, FL)
- …reviews within 24 hours of admission; and when warranted by length of stay, utilization review plan, and/or best practice guidelines, on a continuing basis. + ... 32117 **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is...to the Physician Advisor or designated leader for additional review as determined by department standards. Additionally, the UM… more
- CVS Health (Richmond, VA)
- … Management Nurse Consultant (UMNC) position is 100% remote. As a Utilization Nurse Consultant, you will utilize clinical skills to coordinate, document and ... MS Office suites experience including Outlook and Excel **Preferred Qualifications** + Utilization Review experience + Managed Care experience + Strong customer… more