Utilization Review Nurse Jobs in USA

General Summary:Responsible for supporting the utilization review system including data analysis report writing and program improvement.UR Specialist will develop and maintain a VOD Tracking and Receipt system.UR Specialist will maintain an expert level review of client entitlements and billing auth...

General Summary:Responsible for supporting the utilization review system including data analysis report writing and program improvement.UR Specialist will develop and maintain a VOD Tracking and Receipt system.UR Specialist will maintain an expert level review of client entitlements and billing auth...

Job Title: Registered Nurse (RN) Case Manager / Utilization Review / CDILocation: Syracuse NY Duration: 13 WeeksJob SummaryWe are seeking an experienced Registered Nurse Case Manager with a strong background in Utilization Review and Clinical Documentation Improvement (CDI). The RN will be responsi...

SummaryOversees the accurate processing of claims that have been deferred for medical necessity review. Ensures compliance with nationally recognized standards and local state and federal laws and regulations. Identifies and implements process improvement opportunities.DescriptionWhy should you join...

SummaryOversees the accurate processing of claims that have been deferred for medical necessity review. Ensures compliance with nationally recognized standards and local state and federal laws and regulations. Identifies and implements process improvement opportunities.DescriptionWhy should you join...

DescriptionPRN Position for Inpatient and Outpatient (PHP/IOP) Utilization.Your experience mattersMesa Springs is part ofLifepoint Health a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide...

The RN Utilization Specialist reflects the mission vision and values of NM adheres to the organizations Code of Ethics and Corporate Compliance Program and complies with all relevant policies procedures guidelines and all other regulatory and accreditation standards.The RN Utilization Specialist (RN...

Overview Be part of a dynamic and creative team with a mission to make Vermont the best state in which to grow old or to live with a disability - with dignity respect and independence. As part of the Department of Disabilities Aging and Independent Living (DAIL) Adult Services Division youll work wi...

Job Title: Registered Nurse - Utilization Review Location (On-site Remote or Hybrid): Everett WA (onsite) Contract Duration: 13 weeks Working hours:Day 5x8-Hour (08:00 - 16:30) Total hours: 40 Start date: ASAP Shift:5x8 Days Monday-Friday Years of Experience Required: 1 year First-timers a...

Primary Location: Peace - LouisvilleAddress: 2020 Newburg Rd. Louisville KY 40205 Shift: Varied (United States of America)Job Description Summary: UofL Health is a fully integrated regional academic health system with five hospitals four medical centers nearly 200 physician practice location...

This is a casual (non benefited) position supporting our Case Management UR department at Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital. This role would be working remotely and would require some weekend coverage. **The Case Manager RN UR/Bed Planner Part Time reflects the missi...

Sign on bonus may apply up to $15000 Position Summary: Reviews patient admissions for appropriateness efficiency of resource utilization and compliance with third party payer requirements. Duties include analyzing medical charts determining whether care provided is within established parameters....

DescriptionYour experience mattersCopper Springs is part of Lifepoint Health a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Utilization Review Specialis...

OverviewBe inspired. Be rewarded. Belong. At Emory Healthcare.At Emory Healthcare we fuel your professional journey with better benefits valuable resources ongoing mentorship and leadership programs for all types of jobs and a supportive environment that enables you to reach new heights in your care...

Fusion HCR is hiring! Direct Hire Utilization Review Nurse this is an onsite position working with our client in Acute Care. OverviewSeeking an experienced Utilization Review Nurse (RN) to review patient admissions for medical necessity appropriate level of care and compliance with payer guidelines...

Primary Responsibilities include but are not limited to:1. Acts as the responsibility centers point of contact for the Corrective Action Program (CAP) issues and implementation. This includes:Maintains a thorough working knowledge of the CAP process.Monitor the timely processing of condition reports...

Job DescriptionThe primary objective of this position is to promote Continuing and Professional Educations (CPE) objectives for providing a quality experience for program participants through the management and implementation of conferences short courses training programs institutes workshops and ot...

OverviewKey Rehab is looking for a Full time Program Coordinator- Physical Therapist or PTAto join our team in providing excellent care in the Wichita/Goddard KS area in a SNF setting.Apply today to qualify for a $5000 sign on bonus!PTA pay range $34-38/hr RPT pay range $44-50/hrApply today to quali...

OverviewKey Rehab is looking for a Full time Program Coordinator- OT or PT- to join our teamin the Macy NE area in a SNF setting.Education:-Required: Completion of an accredited PT OT or SLP program Experience:-Preferred: Prior experience in long term care setting and service coordination Licenses/C...

About UsAtCooper University Health Careour commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities equipment technologies and research protocols. We...