- Medical Center Hospital (Odessa, TX)
- Position Summary: The Utilization Review Specialist /Outcomes Specialist conducts concurrent and retrospective review functions in support of the ... hospital Utilization Review Program and makes appropriate referrals to designated Physician...Advisors. Education: Holds a current Texas license as a Registered Nurse . Training and Experience: Three years… more
- Emory Healthcare/Emory University (Duluth, GA)
- …+ Ongoing mentorship, _development,_ and leadership programs + And more **Description** The Utilization Review (UR) Specialist is responsible for conducting ... the attending physician and/or physician advisor. + The UR Specialist will perform utilization review ...with a strong background in healthcare, either as a Registered Nurse ( RN ) or a… more
- BriteLife Recovery (Englewood, NJ)
- What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is ... responsible for overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving substance use disorder (SUD)… more
- HonorHealth (Scottsdale, AZ)
- …different here -- because it does. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors ... 1 year experience in UR/UM or Case Management Required Licenses and Certifications Registered Nurse ( RN ) State And/Or Compact State Licensure Required more
- Great River Health (West Burlington, IA)
- …browser Qualifications + 4-6 years clinical experience Required + Previous experience in Utilization Review Preferred + Knowledge of the structure and content of ... maintaining compliance with the CMS Conditions of Participation for Utilization Management.What you will do + Review ...identify and understand the speech of another person. + Registered Nurse Iowa Board of Nursing (IBON)… more
- Nuvance Health (Danbury, CT)
- …LVL DGRE Preferred- Two Years Utilization Review Experience Required- Registered Nurse ( RN ) Working Conditions: Manual: significant manual ... Summary: Required- Registered Nurse ( RN ) The purpose of the Utilization Management...marked evidence-based criteria (ie, InterQual/MCG). Responsibilities: 1)Ensures that Admission Review using InterQual, or MCG is completed within 24… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Behavioral Health Utilization Review Specialist you want with your current ... group of colleagues. Do you want to work as a Behavioral Health Utilization Review Specialist where your passion for creating positive patient interactions… more
- Catholic Health Initiatives (Omaha, NE)
- **Responsibilities** Are you a skilled and experienced Utilization Review Specialist looking for a rewarding opportunity to impact patient care and optimize ... Review experience.** Medical Coding experience is a plus! As our Utilization Review RN , you will be responsible for conducting comprehensive reviews of… more
- LifePoint Health (Las Cruces, NM)
- …**Nursing* **Organization:** **Memorial Medical Center* **Title:** * Registered Nurse ( RN ) - Utilization Review - Full Time* **Location:** *New ... as an employee, but as a person. As a registered nurse ( RN ) joining our...the lives of those we serve. *Connect with our RN recruiting specialist * Not ready to complete… more
- Banner Health (Mesa, AZ)
- …your future. If you're looking to leverage your abilities - apply today. **As a Registered Nurse Support Operations Specialist , you will provide support for ... Our Endoscopy Unit maintains 6 procedural rooms, along with utilization of the OR, as needed. Nursing careers are...when applicable** **.** If you are a New Graduate Nurse with less than 12 months of experience, please… more
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