- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure -...work experience in a hospital or insurance company providing utilization review services + Knowledge of Medicare,… more
- State of Connecticut, Department of Administrative Services (New Haven, CT)
- Utilization Review Nurse (40 Hour)...Hours), First Shift ( 8:30 AM - 5:00 PM), Monday - Friday + FACILITY: Connecticut Mental Health Center ( ... is seeking a highly motivated and compassionate U tilization Review Nurse (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5612FP&R1=&R3=) to join our team!… more
- Ascension Health (Wichita, KS)
- …Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service requests ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
- AmeriHealth Caritas (LA)
- …ability to meet productivity standards in a fast-paced, high-volume utilization review environment. + Availability to work Monday through Friday, 8:00 AM ... Degree in Nursing (BSN) preferred. + An active Registered Nurse (RN) license in good standing is required. +...document and assess patient cases. + Strong understanding of utilization review processes, including medical necessity criteria,… more
- AmeriHealth Caritas (Washington, DC)
- …efficiently document and assess patient cases. + Strong understanding of utilization review processes, including medical necessity criteria, care coordination, ... 10th Floor, Washington DC 20024 + Availability to work Monday through Friday, 8:00 AM to 5:00 PM, flexible...ability to meet productivity standards in a fast-paced, high-volume utilization review environment. + Current driver's license… more
- Ascension Health (Baltimore, MD)
- …Provide health care services regarding admissions, case management, discharge planning and utilization review . Responsibilities: + Review admissions and ... **Details** + **Department:** Utilization Management + **Schedule:** Part-time. Monday -Friday,...healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee… more
- BJC HealthCare (St. Louis, MO)
- … experience performing care for hospitalized patients. + 2 years of utilization review (UR) experience reviewing hospital admissions for medical necessity ... **Schedule** PRN (As needed) + Shifts will fall between Monday -Friday 8 am - 4:30 pm with assigned Sunday...medical services provided by the medical team. Ensure appropriate utilization , which includes the evaluation of potential under and… more
- Adecco US, Inc. (Minneapolis, MN)
- …under the direct supervision of an RN or MD. . Performs utilization review activities, including pre-certification, concurrent, and retrospective reviews ... $43.25 per hour based on experience **Responsibilities of the Utilization Management Nurse ** : . Responsible for...turn around times. . Reviews, documents, and communicates all utilization review activities and outcomes including, but… more
- Veterans Affairs, Veterans Health Administration (Houston, TX)
- Summary The Registered Nurse Utilization Management Registered Nurse delivers fundamental knowledge-based care to assigned clients while developing technical ... Duties (To include but not limited to): The Registered Nurse Utilization Management Registered Nurse ...development in practice with increased levels of self-direction. Uses Utilization Management criteria to perform basis review … more
- ERP International (Barksdale AFB, LA)
- **Overview** ERP International is seeking a ** Utilization Management Registered Nurse (RN)** for a full-time position supporting the 2d Medical Group, Barksdale ... ERP is an Equal Opportunity Employer - Disability and Veteran. **Responsibilities** **Schedule:** Monday - Friday, 9 hours between 7:00am and 5:00pm, with a one-hour… more
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