A company is looking for a RN-Utilization Review to ensure payors receive clinical information to support services provided by the hospital.
Key ResponsibilitiesReview electronic medical records and screen clinical information using nationally recognized criteriaDiscuss criteria and payor decisions with payors and escalate denials for peer-to-peer considerationDocument outcomes in the electronic medical record and participate in team improvement opportunitiesRequired Qualifications and EducationGraduate of an accredited school of nursing or equivalent education for licensingTwo years of registered nurse experience, with inpatient experience preferredRegistered Professional Nurse (RN) license in the state of work location (IL, MO, OK, or WI)Multistate licensure required if living in MO, OK, or WI;
individual state licensure required if living in IL
Travel Nurse RN - Case Manager, Utilization Review - $2,496 per week
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Marietta, Georgia. Posted job title: Case Management (Utilization Review). Those that want flexibility and high pay, we have the positions for\n you!. Paid, Private, Fully Furnished, Pet-Frien...
RN Utilization Review - IL
A company is looking for a RN-Utilization Review to ensure payors receive clinical information to support services provided by the hospital. ...
Clinical Review/Utilization Nurse (RN) -PRN
Gathers and reviews relevant medical information and documents utilization review process outcome based on system accepted utilization criteria on the accepted current review forms and in computer systems. Initiates and facilitates physician communications relative to utilization review process when...
Utilization Review Nurse - RN
A company is looking for a Utilization Review Nurse - RN, LPN, or LCSW (Remote) in Tampa, FL. ...
Travel Nurse RN - Case Manager, Utilization Review - $2,496 per week
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Marietta, Georgia. Posted job title: Case Management (Utilization Review). Those that want flexibility and high pay, we have the positions for you!. Paid, Private, Fully Furnished, Pet-Friendl...
Utilization Review RN
Key Responsibilities:Complete medical necessity and level of care reviews using clinical judgment and guidelinesObtain necessary information to assess member's clinical conditionRefer members for further care engagement when neededRequired Qualifications:Active, unrestricted RN licensure in the Unit...
Clinical Review/Utilization Nurse (RN) -PRN
Gathers and reviews relevant medical information and documents utilization review process outcome based on system accepted utilization criteria on the accepted current review forms and in computer systems. Initiates and facilitates physician communications relative to utilization review process when...
Utilization Management Review Nurse - RN/SNF required
Become a part of our caring community and help us put health firstThe Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management R...
Travel Nurse Rn - Case Manager, Utilization Review - $2,496 Per Week
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Marietta, Georgia. Posted job title: Case Management (Utilization Review). Those that want flexibility and high pay, we have the positions for. Paid, Private, Fully Furnished, Pet-Friendly Hou...
Utilization Review Nurse (RN) - PRN
Gathers and reviews relevant medical information and documents utilization review process outcome based on system accepted utilization criteria on the accepted current review forms and in computer systems. Initiates and facilitates physician communications relative to utilization review process when...