and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation... care experience in a Medical Surgical or Inpatient setting IRR or annual competency testing in Utilization Review...
Description Care Manager RN - Emergency Department @ Swedish First Hill Full time Night Shift Fantastic... effective utilization and monitoring of healthcare resources and assumes a leadership role to achieve desired clinical...
Description Care Manager RN - Emergency Department @ Swedish First Hill Full time Night Shift Fantastic... effective utilization and monitoring of healthcare resources and assumes a leadership role to achieve desired clinical...
a smooth and well-prepared transition for new residents. *Lead the team review of all new patient admissions and readmissions... and ensuring accurate reporting and goal setting. *Manage specialty support surfaces, ensuring appropriate utilization...
role The Pre-Certification Review Nurse – Pharmacy is responsible for reviewing and processing coverage determinations... and utilization management reviews for specialty medications, to include site of care assessments, for enrollees of Quantum Health...
and personal growth, we encourage you to apply for our RN Case Manager opening. We promptly review all applications. Highly... as a(an) RN Case Manager today with HCA HealthONE Swedish. Benefits HCA HealthONE Swedish offers a total rewards package...
management or utilization review preferred InterQual experience preferred For more than 100 years, Wesley Healthcare... opportunity to make a real impact. As a(an) RN Case Manager Lead you can be a part of change. Benefits Wesley Medical Center...
management or utilization review is preferred InterQual experience is preferred For more than 100 years, Wesley Healthcare... opportunity to make a real impact. As a(an) RN Case Manager you can be a part of change. Benefits Wesley Medical Center...
case management/utilization review experience preferred. OASIS experience preferred. Practical trach and/or ventilator...Description RN Case Manager (RNCM) - Home Health Our Registered Nurse Case Managers (RNCM) have been called to care...
be based outside of the greater Chicagoland area. The Manager of Utilization Review (UR) provides leadership and oversight... of utilization review activities across the health system, including the academic medical center and affiliated community hospitals...
review of pre-admission, perioperative, and post operative surgical cases. Performs other utilization management tasks... AND/OR CERTIFICATIONS State of Work Location: Illinois Registered Professional Nurse (RN) - Illinois Department of Financial...
Job Category: Health Information Management Job Description: RN Utilization Review at Irvine, CA. This position... is Part- time and will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization...
and utilization review. Review admissions and service requests within assigned unit for prospective, concurrent and retrospective... statistical analysis and utilization review reports as necessary. Oversee and coordinate compliance to federally mandated...
Job Title: Utilization Review RN - Critical Care Location: Buckhead, GA (on-site position) Schedule: Monday–Friday... Review Registered Nurse (RN) to join our team. In this role, you will ensure appropriate care by conducting precertification...
Job Title: Utilization Review RN - Critical Care Location: Buckhead, GA (on-site position) Schedule: Monday–Friday... Review Registered Nurse (RN) to join our team. In this role, you will ensure appropriate care by conducting precertification...
Job Title: Utilization Review RN Location: Remote - Wisconsin Employment Type: Part-Time Schedule - Day shift M -F.... Wisconsin RN licensure required Position Summary The Utilization Review RN is responsible for performing accurate and timely...
Holiday/year). Day Shift. Pay Range $34.90 - $52.35 Job Title: Utilization Review RN Location: Remote - Wisconsin... Friday Week 12: Off (1 Holiday/year). Day Shift. Wisconsin RN licensure required Position Summary The Utilization...
of utilization management / utilization review / case management experience is must RN License in GA or Compact License is Mandatory...Immediate Hiring for "UM RN" in Atlanta ,GA Must be Located closer to Atlanta, GA Daily Onsite work and rotating...
of utilization management / utilization review / case management experience is must RN License in GA or Compact License is Mandatory...Immediate Hiring for "UM RN" in Atlanta ,GA Must be Located closer to Atlanta, GA Daily Onsite work and rotating...
The USPI Utilization Review/Appeals RN is responsible to facilitate effective resource coordination to help patients... achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources...