- AmeriHealth Caritas (Washington, DC)
- …Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient services, ... in a fast-paced environment. The Clinical Care Reviewer - Utilization Management will also be counted upon...document and assess patient cases. + Strong understanding of utilization review processes, including medical necessity criteria,… more
- HCA Healthcare (Nashville, TN)
- …of nursing experience required + 1 - 3 years of relevant case management / utilization review experience preferred + Registered Nurse - Currently licensed ... Do you want to join an organization that invests in you as a Utilization Review Services Registered Nurse? At Parallon, you come first. HCA Healthcare has… more
- HCA Healthcare (Nashville, TN)
- …years of nursing experience required + 1-4 years of relevant case management / utilization review experience preferred + Registered Nurse - Currently ... **Description** **Introduction** Do you have the career opportunities as a(an) Utilization Review Services RN you want with your current employer? We have an… more
- Ochsner Health (New Orleans, LA)
- …experience in discharge planning, case management or utilization review . **Certifications** Required - Current registered nurse license in state of ... and implement discharge plans based on patient's individualized needs. Registered Nurse (RN) Case Manager - Case Management...of the conditions of participation as it relates to utilization review and discharge planning. + Maintains… more
- LifePoint Health (Louisburg, NC)
- Registered Nurse (RN) Utilization Review Job Type: Full Time | Day Your experience matters At Maria Parham Hospital, we are driven by a profound commitment ... select a valid job field* **Organization:** **Maria Parham Franklin* **Title:** * Registered Nurse Utilization Review Coordinator* **Location:**… more
- Ascension Health (Manhattan, KS)
- …time of the offer._ **Responsibilities** Provide health care services regarding admissions, case management , discharge planning and utilization review . + ... **Details** + **Department:** Utilization Management + **Schedule:** FT Days;...healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee… more
- Ascension Health (Baltimore, MD)
- …the offer._ **Responsibilities** Provide health care services regarding admissions, case management , discharge planning and utilization review . ... **Details** + **Department:** Utilization Management + **Schedule:** Part-time. Monday-Friday,...healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee… more
- Aspen Medical (Aurora, CO)
- JOB AD: Registered Nurse- Utilization Management Introduction : Aspen Medical has an exciting opportunity for Registered Nurses to partner with us in ... in a direct patient care clinical setting. Must have utilization management , utilization review...full, active, and unrestricted license to practice as a Registered Nurse as required in the TO Core Duties:… more
- Dartmouth Health (Lebanon, NH)
- Overview Utilization Management 30 hours per week Works with physicians and multidisciplinary team members to develop a plan of care for assigned patients. ... leadership, communication and computer skills desired. Required Licensure/Certifications - Licensed Registered nurse with NH eligibility * Remote:Fully Remote * Area… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Utilization Management RN, to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of ... Inc. at https://www.mdwise.org/ . **Position** **Summary:** This position is responsible for utilization management functions. This includes but is not limited… more
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