- Trinity Health (Ann Arbor, MI)
- **Employment Type:** Part time **Shift:** Day Shift **Description:** **POSITION PURPOSE** + The Utilization Review Specialist is a Registered Nurse that is ... clinical, age specific, developmental, cultural and spiritual needs. Facilitates utilization management documentation and appropriate communication with external agencies.… more
- Community Health Systems (Naples, FL)
- …improvement programs + Addresses facility and departmental communication through daily review of all correspondence, including incoming email messages. + Performs ... products required. + Demonstrates a patient-focused attitude. Committed to providing excellent service to all patients. + Willingness to assist with genuine interest… 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)
- …Provide health care services regarding admissions, case management, discharge planning and utilization review . + Review admissions and service ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
- Ascension Health (Baltimore, MD)
- …health care services regarding admissions, case management, discharge planning and utilization review . Responsibilities: + Review admissions and ... planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance… more
- Ascension Health (Tulsa, OK)
- …planning needs with healthcare team members. + May prepare statistical analysis and utilization review reports as necessary. + Oversee and coordinate compliance ... range at the time of the offer._ **Responsibilities** + Review admissions and service requests within assigned...hire. **Additional Preferences** + 5+ years RN experience + Utilization Review experience preferred **Why Join Our… 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 ... clinical experience in the hospital setting + Experience with utilization management within the last 3 years required +...of the severity of an array illnesses, intensity of service , and care coordination needs + Ability to identify… more
- Ochsner Health (New Orleans, LA)
- …hospital-based experience in discharge planning, case management or utilization review . **Certifications** Required - Current registered nurse license in ... and implement discharge plans based on patient's individualized needs. Registered Nurse (RN) Case Manager - Case Management OMC...of the conditions of participation as it relates to utilization review and discharge planning. + Maintains… more
- Beth Israel Lahey Health (Burlington, MA)
- …difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered Nurse (RN) Case Manager ... Leads the multidisciplinary team to ensure a timely process. Registered Nurses (RNs) with utilization review...holiday and beeper rotation as needed. 10) Supports all service line activities related to utilization and… more
- Houston Methodist (Houston, TX)
- …determinations + Recent work experience in a hospital or insurance company providing utilization review services + Knowledge of Medicare, Medicaid, and ... At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and… more