- Emory Healthcare/Emory University (Atlanta, GA)
- …mentorship, _development,_ and leadership programs + And more **Description** We're seeking an ** Inpatient Registry Utilization Review Nurse (PRN)** who is ... physician and/or physician advisor. This individual will: + Perform utilization review by completing a timely and... review by completing a timely and comprehensive review of all new observation and inpatient … more
- Beth Israel Lahey Health (Boston, MA)
- …lives.** Position Summary: In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission ... billed. Conducts concurrent reviews as directed in the hospital's Utilization Review Plan and review ...health care team to determine the appropriate hospital setting ( inpatient vs. outpatient) based on medical necessity. 3. Actively… more
- Beth Israel Lahey Health (Burlington, MA)
- …the medical necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue integrity, these specialized ... the medical necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue integrity, these specialized… 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...the patient does not meet the medical necessity for Inpatient hospitalization; interacts with the family, patient and other… 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 ...the patient does not meet the medical necessity for inpatient hospitalization. They interact with the family, patients, and… more
- Bassett Healthcare (Cooperstown, NY)
- …the care team plays a pivotal role in our success on the units. The Inpatient Pediatric unit is consistently hiring for Registered Nurses with various shift and ... you'll do The Registered Professional Nurse (RN), Acute Care in the Inpatient Pediatrics unit is accountable for the delivery of safe patient care utilizing the… more
- Crouse Hospital (Syracuse, NY)
- …while maintaining the quality of care. + Demonstrates proficiency with standard Utilization Review processes. + Responsible for concurrent and continued stay ... offers a full range of general and specialty care, inpatient and outpatient services, as well as community health...programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track… more
- Beth Israel Lahey Health (Plymouth, MA)
- …using Interqual criteria. + Integrates clinical knowledge with billing knowledge to review , evaluate, and appeal clinical denials related to the care provided to ... years recent, broad clinical experience in the hospital setting + Experience with utilization management within the last 3 years required + An understanding of the… more
- Bassett Healthcare (Cobleskill, NY)
- …healthcare. Founded in 1956, Cobleskill Regional Hospital is a 25-bed acute inpatient , not-for-profit hospital accredited by The Joint Commission. CRH provides ... inpatient care for general medical conditions, an ...County and the surrounding region" What you'll do The Registered Professional Nurse I, Acute Care is accountable for… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print...OPTION II: Two (2) years of experience as a registered nurse, of which one year must be in ... (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE SUPERVISOR I Salary $111,656.88 - $167,136.48 Annually… more
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