Pre-Admission Utilization Management Nurse
A company is looking for a Pre-Admission Utilization Management Nurse.Key ResponsibilitiesApply utilization management principles for patient admission assessmentsCollaborate with interdisciplinary teams to support the pre-admission processEvaluate the efficiency and medical necessity of treatments and services on a case-by-case basisRequired QualificationsBachelor's degree in healthcare or related fieldMinimum of two years of experience in Case Management, Utilization Management, or Utilization ReviewKnowledge of medical terminology, anatomy, and basic disease processesActive California Nursing License (RN) without restrictionsExperience with MCG and / or InterQual criteria
Pre-Admission Utilization Management Nurse
A company is looking for a Pre-Admission Utilization Management Nurse. ...
Utilization Management Nurse Consultant
Precertification nurses use specific criteria to authorize procedures/services or initiate a Medical Director referral as needed. Sedentary work involves periods of sitting, talking, listening and computer useRequired Qualifications1+ year varied Utilization Management experience within an Inpatient...
Utilization Management Nurse - TX Licensed
A company is looking for a Utilization Management Review Nurse who will work remotely from Texas. ...
Utilization Management Nurse Consultant
Precertification nurses use specific criteria to authorize procedures/services or initiate a Medical Director referral as needed. Utilization Management experience within an inpatient/Outpatient setting, concurrent review or prior authorization. Applies critical thinking, evidenced based clinical cr...
Utilization Management Nurse Reviewer
A company is looking for a Utilization Management Nurse Reviewer for a weekend shift. ...
Travel Nurse RN - Case Manager - $2,711 to $2,889 per week in Tuba City, AZ
TravelNurseSource is working with Host Healthcare to find a qualified Case Manager RN in Tuba City, Arizona, 86045!. ...
Preservice Review Nurse RN - Remote
Collaborate with applicable internal stakeholders as needed to drive the clinical coverage review process (e. RN) in the applicable state, as indicated in the function description and/or job title. Licensure includes RN, depending on grade level, with current unrestricted licensure in applicable sta...
Remote Preservice Review Nurse RN
A company is looking for a Preservice Review Nurse RN to review medical necessity requests and manage case documentation. ...
Utilization Review Specialist
The UR Authorization (Auth) Coordinator is the key position for reviewing admissions and utilization authorizations throughout Sanctuary facilities. The UR Auth Coordinator secures and monitors pre-certifications, concurrent reviews, retro reviews, and appeals to ensure that the members are getting ...
Utilization Review Nurse
We're hiring a Utilization Review Registered Nurse to join our Clinical Review team. As the Utilization Nurse you will perform frequent case reviews, check medical records and speak with care providers regarding treatment. You will report to the Utilization Review Supervisor. Complete medical ne...