Behavioral Health Utilization Review RNVirtualVocations • Abilene, Texas, United States
serp_jobs.error_messages.no_longer_accepting
Behavioral Health Utilization Review RN
VirtualVocations • Abilene, Texas, United States
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Behavioral Health Utilization Review RN for a full-time remote position.
Key Responsibilities
Review and evaluate electronic medical records for emergency admissions and assess medical necessity
Apply clinical guidelines to ensure proper utilization of healthcare resources and participate in discussions with physicians
Enter clinical review information for insurance authorization and analyze utilization patterns and trends
Required Qualifications
Current and unrestricted RN license
Behavioral Health Acute Care Experience
At least 3 years of clinical experience in an acute care setting
At least 2 years of utilization management experience in acute admission and concurrent reviews
Intermediate experience with InterQual and / or MCG criteria within the last two years
serp_jobs.job_alerts.create_a_job
Rn Behavioral Health • Abilene, Texas, United States
Job_description.internal_linking.related_jobs A company is looking for an Outcomes Specialist.Key Responsibilities Identify and implement operational performance improvement projects aligned with organizational goals Collaborate with variou...serp_jobs.internal_linking.show_more A company is looking for a Manager of Prior Authorization UM - Aetna Medicaid Texas - RN.Key Responsibilities Lead and manage the prior authorization team, including hiring, training, and perform...serp_jobs.internal_linking.show_more A company is looking for a Senior Clinical Administrative Coordinator RN - Remote in MST.Key Responsibilities Manage the initial patient intake process, ensuring timely verification, assessment, ...serp_jobs.internal_linking.show_more A company is looking for a Utilization Review Specialist.Key Responsibilities Review and process Independent Review (IR) requests for potential conflicts of interest Request and organize additio...serp_jobs.internal_linking.show_more A company is looking for a Behavioral Health Care Manager (Bilingual, Spanish and English).Key Responsibilities Accept patient handoffs and continue care efficiently Guide patients in developing...serp_jobs.internal_linking.show_more A company is looking for a Utilization Review Nurse.Key Responsibilities Perform prospective, concurrent, and retrospective utilization reviews using evidence-based guidelines Evaluate severity ...serp_jobs.internal_linking.show_more A company is looking for a Member Health Assessor to engage with members and conduct health risk assessments.Key Responsibilities Conduct health risk assessments by gathering information from mem...serp_jobs.internal_linking.show_more A company is looking for a Utilization Management Nurse to review and monitor healthcare service utilization for members.
Key Responsibilities Conducts concurrent and retrospective reviews of faci...serp_jobs.internal_linking.show_more A company is looking for a Program Coordinator for Behavioral Health.Key Responsibilities Demonstrates knowledge of hospital and department standards for adult partial hospitalization programs C...serp_jobs.internal_linking.show_more 
TravelNurseSource is working with Prime Time Healthcare to find a qualified Endoscopy RN in Abilene, Texas, 79601!.Now Hiring : RN Endoscopy - Abilene, TX.
Contact us for Pay Information.Actual amoun...serp_jobs.internal_linking.show_more A company is looking for a Utilization Management Nurse RN.Key Responsibilities Compose well-structured appeal letters using data extraction and appropriate medical literature references Ensure ...serp_jobs.internal_linking.show_more A company is looking for a Utilization Review Clinician - Behavioral Health.Key Responsibilities Evaluate member's treatment for mental health and substance abuse to ensure medical appropriatenes...serp_jobs.internal_linking.show_more A company is looking for a Utilization Review Nurse - Remote.Key Responsibilities : Review prior authorization requests for medical necessity and manage claims disputes Collaborate with healthcar...serp_jobs.internal_linking.show_more A company is looking for a Utilization Management Nurse RN - Remote.Key Responsibilities Validates authorization for procedures and manages concurrent cases to resolution Conducts medical necess...serp_jobs.internal_linking.show_more A company is looking for a Behavioral Health Utilization Management Reviewer.Key Responsibilities Conduct medical necessity reviews for inpatient and outpatient services Collaborate with members...serp_jobs.internal_linking.show_more A company is looking for an Intake Manager in Pediatric Home Health.Key Responsibilities Oversee day-to-day operations of the intake department Coordinate patient placement and ensure appropriat...serp_jobs.internal_linking.show_more A company is looking for a Utilization Management Intake Coordinator.Key Responsibilities Handles incoming authorization requests efficiently and accurately Determines authorization requirements...serp_jobs.internal_linking.show_more A company is looking for a School Based Behavioral Health Care Manager.Key Responsibilities Coordinate behavioral health care for patients by collaborating with psychiatry, families, and schools ...serp_jobs.internal_linking.show_more A company is looking for a Behavioral Health Case Manager - Remote.Key Responsibilities : Assist consumers using clinical skills and provide appropriate psychiatric and community referrals Manage...serp_jobs.internal_linking.show_more A company is looking for a Sales Lead - Behavioral Health Counseling Services.Key Responsibilities Own the go-to-market and sales strategy for behavioral health counseling offerings Build, quali...serp_jobs.internal_linking.show_more
RN Outcomes Specialist
VirtualVocations • Abilene, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Texas Licensed RN Manager
VirtualVocations • Abilene, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
RN Clinical Coordinator
VirtualVocations • Abilene, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Utilization Review Specialist
VirtualVocations • Abilene, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Bilingual Behavioral Health Manager
VirtualVocations • Abilene, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Licensed Utilization Review Nurse
VirtualVocations • Abilene, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Member Health Assessor
VirtualVocations • Abilene, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Utilization Management Nurse
VirtualVocations • Abilene, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Licensed Behavioral Health Coordinator
VirtualVocations • Abilene, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Travel Nurse RN - Endoscopy - $1,845 to $2,062 per week in Abilene, TX
TravelNurseSource • Abilene, TX, US
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Utilization Management Nurse RN
VirtualVocations • Abilene, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Licensed Behavioral Health Clinician
VirtualVocations • Abilene, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Maine Licensed Utilization Review Nurse
VirtualVocations • Abilene, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Maine Licensed Utilization Management Nurse
VirtualVocations • Abilene, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Licensed Behavioral Health Reviewer
VirtualVocations • Abilene, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Pediatric Home Health Intake Manager
VirtualVocations • Abilene, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Utilization Management Coordinator
VirtualVocations • Abilene, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
South Carolina Licensed Behavioral Health Manager
VirtualVocations • Abilene, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Licensed Behavioral Health Case Manager
VirtualVocations • Abilene, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Sales Lead - Behavioral Health
VirtualVocations • Abilene, Texas, United States
serp_jobs.job_card.full_time
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted