Utilization Review Specialist Part time\weekends
Vidant Medical Center - Greenville, NC
Utilization Review Specialist Part time\weekends The Utilization Review Specialist will ensure regulatory compliance with CMS Conditions... of Participation with regard to Utilization Management. Perform Utiliztion Review according to CMS and commercial payor guidelines. Participate in denial...
RN Case Manager / Discharge Planner
Kaiser Permanente Northwes - Antioch, CA
& management. • Demonstrated experience in utilization review, case management, & discharge planning preferred (usually 2 years). • BSN or BA in health...-effective protocols, and develops guidelines for care. Essential Functions: Utilization Management • Performs daily preadmission, admission...
Kindred Hospital - La Mirada - Case Manager RN - Exempt - Full-time - Days
Kindred HealthCare System - USA
continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing... of functions of case management, utilization review and management and discharge planning. IT'S SIMPLE. You want to work in a hospital setting...
Registered Nurse- Utilization Management
. Registered Nurse, Utilization Management (BMC Fallon, NV). One (1) RN, Utilization Manager is required at BMC, Fallon, NV, to provide services... for a Registered Nurse, the RN, Utilization Manager will possess two years of experience within the last 3 years as Registered Nurse providing Utilization...
Competitive salary- RN CASE MANAGER-Hiring Now
recruiting/staffing/contractor - Salem, NH
and cost benefit analysis.8. Acts as a resource to Utilization Review, Behavioral Health, Disability and Case Management team members, committees... as a case manager with basic Utilization Review skills, Managed Care Software knowledge.4. Knowledge of the insurance industry, benefits coverage...
Remote RN Utilization Review Coordinator - WY, CO, MT, UT
Work from home as an RN Utilization Review Coordinator in the Wyoming, Colorado, Montana, or Utah area. Candidate will be responsible... a Utilization Review/Clinical Consultation... Telecommute in the Lake Mary, Florida area as a full-time utilization review RN. Evaluate needs...
Utilization Management Frontline Leader
seeks a Remote Utilization Management Nurse. Candidate will perform review services to determine if... Company seeks a Virtual Commercial Case...Company seeks a Virtual Utilization Management Frontline Leader. Candidate will hire, lead, and develop clinical and non-clinical...
Clinical Director Hospice Registered Nurse RN
CSI Health - Bradenton, FL
to payroll department 7 Ensures all patient documentation is complete accurate and timely and ensures appropriate utilization of SunCoast Systems... Facilitates the Interdisciplinary Team Review process in collaboration with the team physician and provides overall supervision of the IDT staff 11...
Remote Sr Utilization Management Nurse - AZ
A Remote Sr Utilization Management Nurse is needed. Candidate will be responsible for utilization management, utilization review... a Remote Utilization Management Nurse. Candidate will perform review services to determine if... A managed care organization needs a utilization...
, outcomes and cost benefit analysis.* Acts as a resource to Utilization Review, Behavioral Health, Disability and Case Management team members... success as a case manager with basic Utilization Review skills, Managed Care Software knowledge.* Knowledge of the insurance industry, benefits...
Community Health Systems - Crestview, FL
The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization... Review and Resource Management, including but not limited to daily review of medical records to determine appropriateness and medical necessity...
Sedgwick - Chicago, IL
Utilization Review RN Utilization Review Registered Nurse CLAIM YOUR FUTURE AS A GREAT PERFORMER!Continuing double-digit revenue growth... effective alternatives to acute care.ESSENTIAL FUNCTIONS and RESPONSIBILITIESDelivers utilization review services; i.e., administrative continued...
Director of Risk, Utilization Review, Healthcare Legal Compliance, Hospital, RN, Nursing Director
Southern Medical Recruiters - Memphis, TN
Director of Risk, Utilization Review, Healthcare Legal Compliance, Hospital, RN, Nursing Director Director of Risk, Compliance, Legal..., Healthcare Compliance, RN.Director of Risk Management must have CPHRM or LHRM, RN, BS, Masters highly preferred, strong healthcare/hospital...
Case Manager (RN),Utilization Review Nurse (RN)
Randstad Healthcare - Coral Gables, FL
This facility has been one of South Florida’s most respected hospitals for more than 60 years. This award winning, Magnet hospital and its surrounding affiliates is the largest not-for-profit health care organization in the region. This hospital itself is constructed in Italian R...
Utilization Review Nurse (RN),Case Manager (RN),Hospital Case Manager (RN)
Randstad Healthcare - Palmer, MA
This 52-bed facility is affiliated with a large teaching hospital and is currently expanding. The 58,000 square foot addition is on its way to completion and will replace the inpatient and ambulatory care units as well as add a new entrance for admissions. With it will bring stat...
Health Integrity - Easton, MD
that demonstrates expertise in utilization review, ICD-9 coding, CPT coding, and Medicare or Medicaid claims data. Prior successful experience with CMS... for an experienced RN Claims Analyst Lead for our Easton, MD office. Summary This senior level professional performs high-level medical record and claims...
RN - Utilization Review Nurse - Managed Care
Nurse Resolutions - Seattle, WA
services procedures and facilities. Licensed RN responsible for clinical review of all acute and subacute services for appropriateness based... department, physicians and members to coordinate timely discharges. Job Requirements: Current State RN license Certified Professional Utilization...
RN with Utilization Review Experience Preferred
Occupational Health Connections - Wakefield, MA
RN with Utilization Review Experience Preferred Job # 12-019Position: RN with Utilization review experience preferredLocation: Wakefield... compensation utilization reviewQualifications: • Registered Nurse • Prior Utilization Management is very helpful.• Working knowledge of diagnosis...
RN- Utilization Review Nurse - Managed Care
Nurse Resolutions - Seattle, WA
department, physicians and members to coordinate timely discharges. Current State RN license Certified Professional Utilization Review... services procedures and facilities. Licensed RN responsible for clinical review of all acute and subacute services for appropriateness based...
Aerotek - San Marcos, TX
Job Classification: Contract Our client, a reputable company located in Austin, is currently hiring Utilization Review LVN/RN. Individuals... would be responsible for review workman's compensation claims. Candidates must have Utilization Review experience to be considered for this opportunity...