as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse is responsible for ensuring the receipt... of emergent hospital admissions, completes inpatient concurrent review, establishes discharge plans, coordinates transitions...
in-house utilization review with emphasis on determining medical necessity for prospective, concurrent, retrospective.... Job Category Claim, Nurse - Medical Case Manager Compensation Overview The annual base salary range provided for this position...
review experience. Education: Graduate of an accredited school of nursing. Certifications: active Registered Nurse license...Job Category: Support/Clinical Degree Level: Bachelor's Degree (±16 years) Job Description: The individual...
RN- Utilization Review Nurse Inpatient *Hybrid* Must reside within the New York Tri-State Area - NY, NJ, or CT... and passionate RN as Utilization Review Nurse for a Full-Time position. This is an exciting and dynamic position from the comfort...
RN- Utilization Review Nurse Inpatient *Hybrid* Must reside within the New York Tri-State Area - NY, NJ, or CT... and passionate RN as Utilization Review Nurse for a Full-Time position. This is an exciting and dynamic position from the comfort...
authorization, concurrent and retrospective reviews Use clinical documentation and clinical review criteria to make determinations... more, visit . PCG is currently seeking a Utilization Review Nurse. The Utilization nurse will also be responsible for utilizing...
balance, continuous learning, and career development. Summary We are seeking a skilled Utilization Review Nurse to conduct... prior authorization, prospective, concurrent, and retrospective reviews for medical necessity and appropriateness...
of concurrent review process for individual cases. 2. Coordinates clinical documentation to third-party payers and state agencies... to secure timely payment for patient charges. 3. Participates in the utilization review and/or quality assurance programs. 4...
balance, continuous learning, and career development. Summary We are seeking a skilled Utilization Review Nurse to conduct... prior authorization, prospective, concurrent, and retrospective reviews for medical necessity and appropriateness...
The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical, financial... communication and negotiation skills. Strong critical thinking skills and the ability to perform clinical chart review abstract...
's Best Hospitals. Summary of Essential Duties: The Utilization Management (UM) Registered Nurse - Medicare Short Stay & Concurrent... of concurrent payer denials. * This role ensures timely, accurate, and compliant clinical validation in accordance with CMS...
foundational nursing clinical skills Utilization Review nurse collaborates with the interdisciplinary team to maintain appropriate...: 8 am- 4 pm Summary: The Registered Nurse (RN), Utilization Review, as an active member of the Middle Revenue Cycle...
, coordinates, and performs daily activities to provide utilization review services. Utilizes current trends and developments... in utilization review using federal, state, and other regulations for guidance. This position is responsible for establishing...
, coordinates, and performs daily activities to provide utilization review services. Utilizes current trends and developments... in utilization review using federal, state, and other regulations for guidance. This position is responsible for establishing...
. Strong critical thinking skills & the ability to perform clinical chart review abstract information efficiently. Strong analytical... on experience. Qualifications Degrees: Bachelors. Licenses & Certifications: AAMCN Utilization Review Professionals. AACN...
admission and concurrent stay medical record review to determine appropriateness of admission, continued stay, and setting.... Required Certifications/Licensure: Registered Nurse currently licensed in the State of South Carolina Required Training: None. Essential...
all, equitably and effectively. You Are: Perform prospective, concurrent and retrospective review of inpatient, outpatient... applications. · Ability to apply clinical criteria/guidelines for medical necessity, setting/level of care and concurrent patient...
services. EDUCATION/EXPERIENCE REQUIRED: Registered Nurse required. Minimum 3-5 years of clinical experience... of hospital resources and the quality of patient care rendered. Combines clinical, business, regulatory knowledge, and skill...
Perform concurrent reviews for appropriateness of utilization to optimize clinical and financial outcomes. Communicate...Work From Home Work From Home Work From Home, Indiana 46544 The Utilization Review Coordinator performs admission...
. #Healthproof #CB #LI-AL1 #LI-Remote Skills: utilization management,utilization review,registered nurse,clinical knowledge... to join our team. As a Utilization Review RN, you will perform prospective, concurrent and retrospective review of inpatient...