team, and The Power of Every One. Job Title Concurrent Denial Nurse BU - Utilization Management Location Cleveland... healthcare organizations in the world. As a Concurrent Denial Nurse, you will support the Utilization Management Department...
world. As a Concurrent Denial Nurse, you will support the Utilization Management Department by reviewing concurrent... team, and The Power of Every One. Job Title Concurrent Denial Nurse BU Location Cleveland Facility Remote Location...
Acute/Critical Care Nursing (Adult, Pediatric & Neonatal). MCG. ABMCM Certified Managed Care Nurse. ACMA Case Management... Administrator Certification. CCMC Case Manager. ACMA ACM Certification. ANCC Nursing Case Management. Registered Nurse...
to be part of Mass General Brigham. Staff Nurse - 40hr Variable Day - BWH Utilization Management Job Summary The Insurance... sound knowledge of utilization management, the nurse is able to assess a patient's level of care after review of the medical...
utilization management processes, level‑of‑care determinations, concurrent reviews, denials management, and appeals Collaborate... Qualifications Master’s degree (MSN or related healthcare field) Experience in utilization management, denial management...
Utilization Management Nurse Job Description Responsible for reviewing and documenting prior authorization...’s degree in nursing. 3-5+ years of clinical experience. 1+ year of previous utilization management experience employed...
to be part of Mass General Brigham. Staff Nurse - 40hr Variable Day - BWH Utilization Management Job Summary The Insurance... sound knowledge of utilization management, the nurse is able to assess a patient's level of care after review of the medical...
Job Title: Utilization Management NurseJob Description As a Utilization Management Nurse - Post Acute...’s degree in nursing. 3-5+ years of clinical experience. 1+ year of previous utilization management experience employed...
Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals that meet established... Required: At least 5 years of varied RN clinical experience in an acute hospital setting. At least 2 years of Utilization Management/Case...
to be part of Mass General Brigham. Staff Nurse - 40hr Variable Day - BWH Utilization Management Job Summary The Insurance... sound knowledge of utilization management, the nurse is able to assess a patient's level of care after review of the medical...
The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical, financial... and resource utilization. Coordinates with healthcare Team for optimal efficient patient outcomes, while decreasing length of stay...
) admission in the acute setting. Works with UM leadership, including the Utilization Management Medical Director, on requests... to have a strong understanding of Utilization Management/Case Management practices including, but not limited to, placement (with level of care...
Newport News, Virginia Overview Responsible for Inpatient Utilization Management function for Riverside Health... including monitoring all admissions, concurrent, retrospective and denial reviews, and communicating the patient's plan of care...
from the Centralized Utilization Management Manager, is responsible for the hospital-wide Utilization Management Programs.... Communicates as needed with the utilization management physician advisors and/or medical directors on problematic cases...
as a leader of positive change. The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team... for a designated patient caseload; the Care Coordinator, Utilization Management plans effectively in order to manage length of stay...
. *Performs utilization review activities, including concurrent and retrospective reviews as required. 3. *Determines the... methodology, utilization management, payer/reimbursement practices and regulations and participates in resource stewardship. 10...
And more! Description: Job Summary: The Utilization Review (UR) Specialist is a Registered Nurse responsible for conducting thorough medical necessity..., admission (episode day one) and concurrent utilization reviews as guided by InterQual Criteria and UR Department workflows...
Description Job Summary: The Utilization Review (UR) Specialist is a Registered Nurse responsible for conducting... appropriate and accurate initial, admission (episode day one) and concurrent utilization reviews as guided by InterQual Criteria...
of services including: · Utilization Management services supporting medical necessity and denial prevention · Coordination... and appropriate utilization of resources, balanced with the patient's resources and right to self-determination. The individual...
is responsible for providing data-driven insights and reports to leadership, monitoring key metrics related to Utilization Management.... Minimum of 3 years of utilization review experience required. Minimum of 2 years recent case management experience...