• Northeast Georgia Health System, Inc (Gainesville, GA)
    …members as needed to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure patients ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia...patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the healthcare team… more
    JobGet (05/16/24)
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  • A-Line Staffing Solutions (Cleveland, OH)
    …Case Management, Certified Case Manager, Medical Coding, BSN, Medical Management, Utilization Review, Utilization Management, Registered Nurse , MCO, ... Case Management, Certified Case Manager, Medical Coding, BSN, Medical Management, Utilization Review, Utilization Management, Registered Nurse , MCO,… more
    JobGet (05/18/24)
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  • Medical Solutions (Glendale, CA)
    Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Glendale, California.Job Description & ... RequirementsSpecialty: Utilization ReviewDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8...travelers. Hospital in California is seeking a travel ER nurse . Qualified candidates must have at least 2 years… more
    JobGet (04/29/24)
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  • A-Line Staffing Solutions (Harrisburg, PA)
    …Healthcare Specialist, case manager, long term care. MDS, Clinical experience, hospital, nurse auditor, Utilization review, medical fraud, Research Nurse , ... A-Line Staffing is now hiring in Hybrid Auditor Review Registered Nurse in Harrisburg, PA 17105. If you are interested in this Hybrid Auditor Review Registered … more
    JobGet (05/18/24)
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  • A-Line Staffing Solutions (Tampa, FL)
    …Case Management, Certified Case Manager, Medical Coding, BSN, Medical Management, Utilization Review, Utilization Management, Registered Nurse , MCO, ... RN, HMO, Concurrent Review, Retrospective Review, Managed Care, Medical Claims, Appeals, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Patient Counselor, Healthcare, Inbound Calls, Outbound Calls. more
    JobGet (05/18/24)
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  • University of New Mexico - Hospitals (Algodones, NM)
    This is a Utilization Review position. We review all admissions and continued stay to the hospital for Medical necessity and manage the insurance authorization ... throughout the stay . Department: Utilization Management - UH FTE: 0.05 Casual Pool (as...materials is negligible. Working conditions: Essential: * Minor Hazard - physical risks, dirt, dust, fumes, noise Department: Registered Nurse… more
    Radancy (05/17/24)
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  • University of New Mexico - Hospitals (Rio Rancho, NM)
    …MISCELLANEOUS - Perform miscellaneous job-related duties as assigned * UTILIZATION - Facilitate between hospital/system administration, departments, and medical ... staff ensuring cost-effective utilization of products, services, processes and resources * COMPLIANCE...on all departments on responsible shifts, meeting with Charge Nurse to evaluate unit needs * PATIENT CARE -… more
    Radancy (05/17/24)
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  • CHRISTUS Health (Alamogordo, NM)
    …monitoring, and reporting individual cases and/or trends to the infection control nurse . Performs utilization management functions as required by payer source. ... Director when there are actual or potential sources of under- or over- utilization . Collaborates with providers, nurses, patients, families, and other care providers… more
    JobGet (05/14/24)
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  • The University of Vermont Health Network (Plattsburgh, NY)
    …achievement of an acceptable outcome.QUALIFICATIONS:1. Current New York State Registered Nurse license required.2. CCM Preferred. Utilization review and ... at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY.GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data and evaluates… more
    JobGet (04/12/24)
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  • University of New Mexico - Hospitals (Albuquerque, NM)
    Department: Utilization Management FTE: 1.00 Full Time (30 - 40 hours per week) Shift: Days Position Summary: Function as a department educator, master teacher, ... - Assist in identifying the educational needs for both nurse and social work staff including needs identified for...physical risks, dirt, dust, fumes, noise * May be required to travel to various work sites Department: Registered Nurse… more
    Radancy (05/17/24)
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