- Baptist Memorial (Jackson, MS)
- Summary The Utilization Review Nurse is...Summary: Position: 19738 - RN - Utilization Review Facility: MBMC - Hospital Department: HS ... appropriateness of healthcare services and treatment as prescribed by utilization review standards. The UR Nurse...Case Mgmt Administration Corporate Category: Nurse RN Type: Clinical Work Type: Full Time Work Schedule:… more
- Providence (Mission Hills, CA)
- …empower them. **Required Qualifications:** + Associate's Degree Nursing. + Upon hire: California Registered Nurse License + 2 years Experience working in a ... Management, medical necessity, and patient status determination. The Utilization Management RN must effectively and efficiently...hospice and home care, and even our own Providence High School . Providence is proud to be… more
- Marshfield Clinic (Marshfield, WI)
- …weekend. **JOB QUALIFICATIONS** **EDUCATION** _For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be ... Three years' experience in a medical facility. **Preferred/Optional:** Discharge Planning, Utilization Review or Case Management experience in a clinic/hospital… more
- Northern Light Health (Pittsfield, ME)
- …direction and manages workflow and time. Credentials:Essential:* Registered Nurse Education:Essential:* High School Diploma/General Educational ... a $10,000 (minus tax) sign on bonus that is paid out incrementally. Summary:The Registered Nurse II is a fully competent practitioner of nursing. The incumbent… more
- Northern Light Health (Pittsfield, ME)
- …direction and manages workflow and time. Credentials + Required Registered Nurse Education + Required High School Diploma/General Educational Development ... on bonus that is paid out incrementally.** Summary: The Registered Nurse II is a fully competent...care. * Resource Management o Identifies opportunities to improve utilization of resources. * Professional Development o Takes responsibility… more
- Northern Light Health (Pittsfield, ME)
- …direction and manages workflow and time. Credentials + Required Registered Nurse Education + Required High School Diploma/General Educational Development ... Department Work Type: PRN Work Schedule: Variable Summary: The Registered Nurse II is a fully competent...+ Resource Management + + Identifies opportunities to improve utilization of resources. + Professional Development + + Takes… more
- Elevance Health (Irvine, CA)
- …relatively complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians. Primary duties may ... a minimum of 6 years of clinical experience and/or utilization review experience. + Current active, valid...review experience. + Current active, valid and unrestricted RN license and/or certification to practice as a health… more
- MTC (Marion, OH)
- …are documented accurately and completely. **Qualifications:** + Graduation from an accredited ** high school or equivalent (GED).** + **Degree in nursing and ... use of appropriate sanitation methods. 6. Practice basic cost containment and utilization management for patient care and facility operations. 7. Maintain absolute… more
- Stanford Health Care (Palo Alto, CA)
- …to identify trends and make recommendations for improvement. **Licenses and Certifications** + Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... (if applicable), HIPAA and compliance policies. **Education Qualifications** + High School Diploma or GED High...to deal with technical queries. + Demonstrated ability to review utilization reports and data. + Ability… more
- Hackensack Meridian Health (Hackensack, NJ)
- …appropriate. 7. Checks admission and discharge dates. 8. Enters LAD into EPIC. 9. Keeps Utilization Review RN current on updates needed for payors. 10. ... information, inclusive of free text fields, to support the case management, utilization review process. 5. Retrieves information for the Physician Advisors… more