in nursing or LPN certification preferred or related field 3+ years of experience in utilization review in emergency or acute... processes and triage for other potential issues related to physician advisor case review or hospitalist teams). Triage case...
to conduct continued stay utilization review activities with payers on a daily basis. Performs concurrent and retrospective... of clinical nursing or two years quality management, utilization review or discharge planning experience. Other Credentials...
effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the... Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute care nursing...
outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical... Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute care nursing experience...
Position Summary: Must have previous utilization management experience. A care manager is vital to the patient... utilization management and the transition to the next appropriate level of care. Essential Functions Initially...
Nature and Scope: This multifaceted role will focus on discharge planning, utilization review, and swing bed... of patients from the acute care setting to appropriate post-acute care options, while also managing utilization and assisting...
Job Description: Position Summary Must have previous utilization management experience. A care manager is vital... utilization management and the transition to the next appropriate level of care. Essential Functions Initially...
just invest in our patients—we invest in our people. About the Role: The Utilization Review Specialist plays a critical.... Ultimately, the Utilization Review Specialist contributes to the integrity and sustainability of healthcare delivery systems...
as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse is responsible for ensuring the receipt... for retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use appropriate governmental...
Description : What to expect The Utilization Review Clinical Specialist provides timely, comprehensive utilization... reviews for behavioral health services for Sheppard Pratt patients. Collaborating closely with the Utilization Review team...
Job Description: Responsibilities Utilization Review Case Coordinator Opportunity: Full Time, Day Shift The... regarding the provision of utilization management for continued stay reviews. Actively participates in treatment team and works...
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 Description: Responsibilities Utilization Review Case Coordinator Opportunity: Full Time, Day Shift The... regarding the provision of utilization management for continued stay reviews. Actively participates in treatment team and works...
while optimizing healthcare resources? Bayside Marin, a premier addiction and mental health treatment center, is seeking a Utilization... Review Specialist to join our dedicated team. What You’ll Do Monitor and evaluate patient services to ensure appropriate...
Overview: PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize reimbursement.... Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified...
RN- Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* Must reside within the New York Tri... is looking for a self-motivated and passionate RN as Utilization Review Nurse for a Full-Time position. This is an exciting and dynamic...
balance, continuous learning, and career development. Summary We are seeking a skilled Utilization Review Nurse to conduct... documentation, accurately documenting findings, and ensuring policy compliance. Your role in our mission Review admissions...
RN- Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* Must reside within the New York Tri... is looking for a self-motivated and passionate RN as Utilization Review Nurse for a Full-Time position. This is an exciting and dynamic...
to secure timely payment for patient charges. 3. Participates in the utilization review and/or quality assurance programs. 4... and rehabilitation. 5. Implements utilization review policies and procedures. 6. Reviews to determine appropriateness and medical...
abuse utilization review process preferred. Experience working with providers and healthcare teams to review care services... perspective on workplace flexibility. Position Purpose: Performs a clinical review and assesses care related to mental health...