JOB SUMMARY The Utilization Review Registered Nurse (RN) provides a clinical review of cases using medical necessity... outpatients) or type of service. Alerts and collaborates with appropriate Utilization Review, Physician leadership...
Utilization Review RN with Acute Care Experience - PRN - Monday-Friday Days Epic/MCG Experience Required Three (3...) years of utilization review experience in hospital/acute care setting required JOB SUMMARY Conduct medical certification...
across organizational lines. Responsibilities Care Coordination and Clinical Review Performs clinical utilization reviews of pre... for further review, as appropriate. Performs utilization management functions competently and adheres to the guidelines...
. Collaborates with Social Work, Utilization Review, Clinical Documentation Specialists, and others as necessary to maximize... experience as an RN Case Manager in acute care hospital setting JOB DUTIES Leads multidisciplinary team developing, refining...
. Collaborates with Social Work, Utilization Review, Clinical Documentation Specialists, and others as necessary to maximize... experience as an RN Experience in acute care hospital setting JOB DUTIES Leads multidisciplinary team developing, refining...
and related legal/medical issues; and utilization review and quality assurance procedures. Please note that specific state...Location: Highland Springs by Erickson Senior Living Join our team as a RN Case Manager (also known as Care...
is being delivered. Participates in the Outcomes Management and annual program review. Performs utilization review... utilization of resources by every patient to assure cost effective delivery of services. Controls and is accountable...
is being delivered. Participates in the Outcomes Management and annual program review. Performs utilization review... utilization of resources by every patient to assure cost effective delivery of services. Controls and is accountable...
utilization of preference cards and ability to anticipate your surgeons needs Coordinate and oversee your room during a case... and medication, including assistance with anesthesia Consistently review your charts for completeness, in accordance...
and increasing utilization of contracted products and services. They are responsible for driving results, meeting deliverables... and accuracy of Category contracts by working with the Sourcing and Contracting Specialist, Legal for contract review, Value...
and standard processes and workflows across all surgical hospitals related to case management and utilization review and partner..., utilization review, and reporting dashboards. Coordinating with the sites to ensure appropriate staffing of case management teams...
/Registration/Licensure Must have current RN license or valid temporary permit with the Texas Board of Nursing; or, valid Compact... RN license. Must have a current Heartsaver CPR course completion card within 90 days of hire and/or placement...
review, or related field. 3. 1+ years of experience in a leadership role preferred. 4. Registered Nurse (RN) or Licensed... services, coordination of patient care, patient access, utilization management, and discharge planning. Directs the management...
a personalized holistic approach for each claim. These responsibilities may include utilization review, pharmacy oversight and care..., are medically necessary and appropriately delivered. Perform Utilization Review activities prospectively, concurrently...
a personalized holistic approach for each claim. These responsibilities may include utilization review, pharmacy oversight and care... level, are medically necessary and appropriately delivered. Perform Utilization Review activities prospectively...
satisfaction is essential. Experience in case management, quality, utilization review, transitional care, or post-acute services... looking for someone with: A minimum of two years of acute care nursing experience is required. Applicants must hold an active RN licensure in good...
experience required, preferably ICU, CCU or strong med/Surg. CDI, coding or utilization review experience.... Bachelor degree preferred. RN – required; CCDS, CDIP, CCS - preferred Basic computer skills Critical thinking/problem...
as a Center of Excellence in Robotic Surgery by the Surgical Review Corporation (SRC), a leading organization dedicated... and guidance to support the utilization of evidence based practice standards. Identify and utilize processes and resources...
’s Robotic Surgery program was recently accredited as a Center of Excellence in Robotic Surgery by the Surgical Review... with other hospital departments and leadership to accomplish this purpose. Provide resources and guidance to support the utilization...