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...
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...
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...
, 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...
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...
)** We are seeking Virtual Utilization Review Specialists to join our team. The schedules we are offering include: Weekday work... and medical staff regarding utilization review program. Maintains a calm, rational, professional demeanor when dealing...
and seeking a full-time Outpatient Utilization Review Coordinator. This position is responsible for working with insurance... of their benefits through the utilization review process. Requirements Education: Master’s Degree in a relevant field (e.g., mental...
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...
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...
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...
! 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...
include: Current unencumbered clinical license (LMSW, LCSW, LPC, RN) Previous utilization review experience in a psychiatric.... How you'll contribute A Utilization Review Specialist who excels in this role: Displays knowledge of clinical criteria...
: 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...
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...
Role Overview The Supervisor Behavioral Health Utilization Management Review manages a remote team of 10 Behavioral... Health Utilization Management Reviewers who process prior authorization requests and concurrent reviews across multiple...
of medical management experience in a managed care setting including utilization review RN experience in a clinical setting... utilization review clinical team, in the areas of authorization requests, organizational determinations/ disputes, and auditing...
Utilization Review Specialist is responsible for managing and coordinating the utilization review process for inpatient.... This position requires a minimum of three years of utilization review experience within a behavioral health hospital setting...
: 8 am- 4 pm Summary: The Registered Nurse (RN), Utilization Review, as an active member of the Middle Revenue Cycle... levels of care and to facilitate movement of the patient through the continuum. The Utilization Review RN identifies...