- Providence Health and Services (Tumwater, WA)
- Description The Utilization Review ( UR ) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), ... we must empower them. Required Qualifications: Upon hire: Washington Registered Nurse License 3 years of Nursing Preferred Qualification: Bachelor's Degree Or… more
- Katmai (Fort Carson, CO)
- **SUMMARY** Provide a comprehensive utilization review ( UR ) and utilization management (UM) program for all TRICARE eligible beneficiaries within the CMHS. ... link between the providers, staff, and civilian sectors regarding UR guidelines. + Determine if the services requested are...active, and unrestricted license to practice as a registered nurse . + Must be a graduate from a college… more
- Katmai (Fort Carson, CO)
- …provide direction in care management. + Plan and prioritize utilization review ( UR ) activities to ensure identified patient needs are addressed promptly. + ... last two (2) years as a practical or vocational nurse . + Current, full, active, and unrestricted license as...American Red Cross. + Must understand the principles of UR and UM and be able to apply knowledge… more
- Highland Hospital (Rochester, NY)
- **17449BR** **Title:** ASPN II- West 7 Quality and Flow Nurse **Department/Cost Center:** 610 - West 7 **Job Description:** **The W7 Quality & Flow Nurse is to ... 10am-6pm or 8am-6pm** **West 7 - General Medicine/Surgical** **Partnered with the UR Medicine Complex Care Center,** **providing specialized care for patients with… more
- Advantis Medical Staffing (East Rochester, NY)
- Advantis Medical, the 1 rated travel nurse agency, is currently seeking an experienced CT Tech clinician for an exciting new travel job in Rochester, NY 14623. This ... care to patients ensuring their well-being and recovery. Job Details Facility: UR Medicine Imaging - East River Road Location: Rochester, NY 14623 Contract… more
- AlliedTravelCareers (Rochester, NY)
- …$2,834 per week About The Position Advantis Medical, the #1 rated travel nurse agency, is currently seeking an experienced CT Tech clinician for an exciting ... care to patients ensuring their well-being and recovery. Job Details Facility: UR Medicine Imaging - East River Road Location: Rochester, NY 14623 Contract… more
- Stony Brook University (Stony Brook, NY)
- …to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR from the Emergency Room or on the unit to ensure guidelines are ... and other duties as required. **Qualifications** **Required** : A Bachelor's degree or a nurse working on their degree with an RN license and working history of 5… more
- CDPHP (Latham, NY)
- …and appropriate exceptions, coordinating with Medical Directors on denials. In addition, the UR nurse is responsible for completing inpatient level of care ... DME requests and inpatient readmissions. In collaboration with management, the UR nurse identifies potentially high-cost admissions and extended stays.… more
- UNC Health Care (Kinston, NC)
- …admission, and continued stay reviews and related activities as needed to support UR Nurse team. **Other Information** Other information: + **EDUCATION** + ... documentation specialists and Patient Financial Services. Supports the Utilization Review Nurse team when necessary by applying established criteria to evaluate the… more
- Beth Israel Lahey Health (Exeter, NH)
- …outcomes. 3. Serves as a liaison among the patient, family members, physicians, nurse , social worker, UR nurse , insurance representative and community ... Registered Nurse Case Manager + Full Time + Exeter,...weekend per month (may change), alternating holiday rotation The Nurse Case Manager/Discharge Planner collaborates, facilitates and negotiates the… more
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