- Beth Israel Lahey Health (Burlington, MA)
- …Rotation **Job Description:** 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 ...collaboratively with RN Case Managers to expedite patient discharge On- site in Burlington. + Maintains current knowledge of hospital… more
- Beth Israel Lahey Health (Burlington, MA)
- …difference in people's lives.** 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 ...and directed. **Qualifications:** _Required_ + Licensure as a Registered Nurse (RN), Massachusetts + Three years of recent clinical… more
- Trinity Health (Maywood, IL)
- …location is Loyola campus. Position is hybrid, local candidates preferred. The **Regional Utilization Review Documentation Specialist** nurse works with the ... **Employment Type:** Full time **Shift:** Day Shift **Description:** Utilization Review - RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal… more
- Beth Israel Lahey Health (Burlington, MA)
- …you're making a difference in people's lives.** Joint role of Case Manager and Utilization Review Nurse **Job Description:** The Inpatient Registered ... Nurse (RN) Case Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality assurance for Lahey… more
- US Tech Solutions (Columbia, SC)
- …mental health/chemical dependency, orthopedic, general medicine/surgery. OR, 4 years utilization review /case management/clinical/or combination; 2 of 4 years ... promote quality, cost effective outcomes. Performs medical or behavioral review /authorization process. Ensures coverage for appropriate services within benefit and… more
- Wellpath (Fort Lauderdale, FL)
- …training, education, and point of care support. **How you make a difference** The Utilization Management Registered Nurse works under the guidance of the ... accordance with applicable state and local laws. Quick Apply (https://careers-wellpath.icims.com/jobs/172920/ utilization -management-registered- nurse /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336175207) **Need help finding the right job?**… more
- Katmai (Usaf Academy, CO)
- …for inpatient/outpatient precertification. **ESSENTIAL DUTIES &** **RESPONSIBILITIES** + Review precertification requests for medical necessity, referring to the ... Medical Director those that require additional expertise. + Review clinical information for concurrent reviews. + As part...Minimum of two (2) years of prior experience in Utilization Management. + Must possess a current, active, full,… more
- Ochsner Health (New Orleans, LA)
- …interpersonal and conflict resolution skills. **Job Duties** + Lead and directs Utilization Review (UR) staff and functions, including staffing, staff ... reviews to identify escalation issues regarding Providers, other facility issues, individual utilization review staff skills, payor-based concerns and to provide… more
- Munson Healthcare (Traverse City, MI)
- …interdisciplinary team members, payers and external case managers Why work as a Utilization Review Specialist at Munson Healthcare? + Our dynamic work ... **PRN, variable hours/week Position is ON- SITE Find more than your next job. Find...+ Minimum of three years clinical experience required. Previous utilization review and/or case management in a… more
- Providence (Olympia, WA)
- …+ Previous healthcare administration and/or delivery of healthcare services + Utilization Management/ Review **Preferred Qualifications:** + Bachelor's Degree in ... **Description** The Supervisor for Utilization Management provides a key role in leading,...prevention and patient care delivery to each task, clinical review and or quality improvement project. Responsible for success… more