care for hospitalized patients 2 years of Utilization Review (UR) experience reviewing hospital admissions for medical...-time orientation for 2 full weeks, Monday - Friday from 8am-4:30pm. Requirements: 2 years of RN experience performing...
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...
management team to validate the medical necessity of the hospital care. Using the concepts of utilization review, clinical... care. Using the concepts of utilization review, clinical documentation improvement and revenue integrity, these...
and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience... perspective on workplace flexibility. Position Purpose: Performs a clinical review and assesses care related to mental health...
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...
, review agencies and healthcare team, Identify delays in treatment or inappropriate utilization and serves as a resource... to tolerate high volume production standards. Minimum Required Experience: 3 Years of Utilization Review experience...
Job Title: Utilization Review RN Location: Buckhead, GA (on-site position) Schedule: Monday–Friday, 8:30 AM–5:00 PM...). Required Qualifications Active RN license in Georgia or Compact State. BSN degree required. Minimum 1 year of utilization review...
. Minimum Required Experience: 3 Years of Utilization Review in an acute care setting required...The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical financial...
team, Director of Utilization Management, and the Medical Director. Review charts at identified review points and attend... and discharge planners regarding transition to alternative levels of care. Perform concurrent utilization review applying...
of State and Federal regulatory requirements as it pertains to the utilization review process. Identifies dynamics of neglect... in-services staff meetings and formal educational settings in areas of utilization management. Demonstrate current knowledge...
Overview: Harbor Oaks Hospital is looking for a Utilization Review Manager to join our team! Harbor Oaks Hospital..., New Baltimore's leading Mental Health and Addiction Treatment Center is seeking a passionate Utilization Review Manager...
Overview: Director of Utilization Review (RN) – Midland/Odessa, Texas Signet Health is seeking an experienced... Director of Utilization Review (RN) for a BRAND NEW hospital – Permian Basin Behavioral Health Center, located between Midland...
Job Description JOB TITLE Utilization Review Nurse REPORTS TO Utilization Review, Manager STATUS FT, Exempt WAGE RANGE... and applying nursing knowledge to support utilization review and care decisions. Utilization Management: Proficient in InterQual...
The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the... and that utilization review processes are aligned with patient needs. Provide guidance to clinical staff regarding documentation...
just invest in our patients—we invest in our people. About the Role: The Utilization Review Coordinator plays... compliance with healthcare regulations. The Utilization Review Coordinator works closely with insurance companies, clinicians...
just invest in our patients—we invest in our people. About the Role: The Utilization Review Coordinator plays... compliance with healthcare regulations. The Utilization Review Coordinator works closely with insurance companies, clinicians...
! What will you be doing in this role? The Utilization Review Case Manager validates the patient's placement to be at the most appropriate... Case Manager follows the UR process as defined in the Utilization Review Plan in accordance with the CMS Conditions...
: Registered Nurse -Utilization Review Case Manager - 8 Hour Days Department : Utilization Management Business Entity : Cedars...'s Best Hospitals. Summary of Essential Duties: The Utilization Management (UM) Registered Nurse - Medicare Short Stay & Concurrent...
Description Job Purpose: - The Utilization Review Manager - RN at LIFESTREAM BEHAVIORAL CENTER is responsible... for overseeing the utilization review process to ensure that patient care services are delivered efficiently and effectively...
: Job Summary The Utilization Review RN Specialist reviews and monitors utilization of health care services with the goal... Required Licenses and Certifications Registered Nurse (RN) State And/Or Compact State Licensure Required Responsibilities...