A company is looking for a Utilization Review RN - Medicare to collaborate with the Medical Director and drive improvements in care management.
Key ResponsibilitiesAssist in building and implementing care management review processesCollaborate with medical management team to enhance healthcare outcomes for membersEducate stakeholders to improve processes and strengthen network relationshipsRequired QualificationsCurrent unencumbered RN licensure with the appropriate state boardThree years of healthcare clinical experienceBachelor's Degree in Nursing or currently enrolled in a BSN programExperience with Medical Management for Medicare and / or Medicaid populationsUtilization Review experience preferred
Utilization Review RN - WV Licensed
A company is looking for a Utilization Review RN - Medicare to collaborate with the Medical Director and drive improvements in care management. ...
RN Utilization Review II
Description: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. Title: RN Utilization Review . This RN effectively communicates with internal and external clinical prof...
Behavioral Health Utilization Review Clinician - State Licensed
A company is looking for a Utilization Review Clinician - Behavioral Health. ...
Case Mgt Utilization Review RN - REMOTE - Utilization Review
Case Mgt Utilization Review RN - REMOTE. Assists in the development of physician profiles to identify over/under utilization patterns. Identifies and plans strategies to optimize inpatient length of stay and resource utilization. Certification/Licensure: RN license required; Certification in Case Ma...
RN Utilization Review - Oregon Licensed
A company is looking for a Utilization Review Registered Nurse (RN) for a remote position. ...
Rn Utilization Review Ii
The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This RN effectively communicates with internal and external clinical professionals, efficiently organizes the financial...
Case Mgt Utilization Review Rn - Remote
Case Mgt Utilization Review RN - REMOTEClick Here to Apply OnlineJob DescriptionLocation: Steward Health CarePosted Date: 12/6/2023The Care Manager assumes primary responsibility for documentation of appropriate medical necessity for the inpatient status or placement in observation. Assists in the d...
Case Management Utilization Review RN - REMOTE
Assists in the development of physician profiles to identify over/under utilization patterns. Identifies and plans strategies to optimize inpatient length of stay and resource utilization. RN license required; Certification in Case Management (CCM) strongly preferred. ...
Case Mgt Utilization Review RN - REMOTE
Assists in the development of physician profiles to identify over/under utilization patterns. Identifies and plans strategies to optimize inpatient length of stay and resource utilization. RN license required; Certification in Case Management (CCM) strongly preferred. ...
Case Mgt Utilization Review RN - REMOTE
Assists in the development of physician profiles to identify over/under utilization patterns. Identifies and plans strategies to optimize inpatient length of stay and resource utilization. RN license required; Certification in Case Management (CCM) strongly preferred. ...