• OU Health (Oklahoma City, OK)
    Position Title:Manager Case Management Utilization Review - OU Medical CenterDepartment:Case ManagementJob Description:General Description: Under direction, the ... to promote cost-effective outcomes.Assists in developing and implementing the Utilization Plan, departmental goals, and departmental policies and procedures.Evaluates… more
    JobGet (05/03/24)
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  • The University of Vermont Health Network (Plattsburgh, NY)
    …at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY.GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data and evaluates ... variances of resource utilization , complications and overall quality of care based on...care based on benchmarked criteria or established practices. The Utilization Review RN in utilizing these skills assists the… more
    JobGet (04/12/24)
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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...amount to be determined. Posted job title: Case Management ( Utilization Review)About Medical SolutionsAt Medical Solutions, we're people who… more
    JobGet (04/29/24)
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  • The Laurels of West Columbus (Columbus, OH)
    …schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator. Remains current with ... American Association of Nursing Assessment Coordinators (AANAC) requirements. Qualifications Licensed Practical Nurse (LPN) licensure. AANC certification a plus. RAC-CT. Knowledge of the Resident Assessment Instrument (RAI) process, including the principles… more
    Radancy (05/13/24)
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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...are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate… more
    Radancy (05/17/24)
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  • Sunbelt Rentals, Inc. (Columbus, OH)
    …in equipment shipping and receiving Clear understanding of equipment utilization and safety requirements Personal and professional integrity Demonstrated use ... of tools and equipment Physical Demands: Must be able to bend, squat, crouch and/or reach and lift up to 25 pounds or more, as required by the job. Some Sunbelt jobs may require driving for long periods of time, loading and unloading heavy equipment,… more
    JobGet (05/03/24)
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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 - Ensure compliance with all regulatory agencies, governing… more
    Radancy (05/17/24)
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  • A-Line Staffing Solutions (Cleveland, OH)
    …skills with MS Word, Outlook, & Excel Preferred Experience: 1-2+ years of utilization review experience. Case Management certification (CCM) is a plus. Tru Care ... Case Management, Certified Case Manager, Medical Coding, BSN, Medical Management, Utilization Review, Utilization Management, Registered Nurse, MCO, RN, Nurse,… more
    JobGet (05/18/24)
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  • US Tech Solutions, Inc. (Columbia, SC)
    …. Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or ... guidelines. Provides support and review of medical claims and utilization practices. May provide any of the following in...the following in support of medical claims review and utilization review practices: Performs medical claim reviews and makes… more
    JobGet (05/09/24)
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  • RestoraCare Staffing (Houston, TX)
    …Clinic (FQHC), skilled nursing facility, or wound clinic). Experience in utilization management, case management, discharge planning or other cost/quality management ... and PC skills Current working knowledge of discharge planning, utilization management, case management, performance improvement, disease or population management… more
    JobGet (04/25/24)
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