A company is looking for a Utilization Review Nurse to perform utilization review work for emergency admissions and continued stay reviews.
Key ResponsibilitiesReview electronic medical records of emergency department admissions for medical necessity using InterQual or MCG criteriaParticipate in telephonic discussions with emergency department physicians regarding documentation and admission statusEnter clinical review information into the system for transmission to insurance companies for authorizationRequired QualificationsCurrent RN licensureAt least 3 years of clinical experience in an acute care setting (emergency room, critical care, or medical / surgical nursing)At least 2 years of utilization management experience in acute admission and concurrent reviewsIntermediate level experience with InterQual and / or MCG criteria within the last two yearsProficiency in medical record review in an electronic medical record (EMR)
Travel Nurse RN - Case Manager, Utilization Review - $1,986 per week
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Miami, Florida. Posted job title: Case Management (Utilization Review). What do we do? Medical Solutions is one of the nation’s largest providers of total workforce solutions in the heal...
Travel Nurse RN - Case Manager, Utilization Review - $1,986 per week
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Miami, Florida. Posted job title: Case Management (Utilization Review). What do we do? Medical Solutions is one of the nation’s largest providers of total workforce solutions in the healthcare...
Utilization Review RN - NY Licensed
A company is looking for a Remote Utilization Review RN with a New York license. ...
Registered Nurse - Utilization Review
The Utilization Review Specialist is responsible for assisting in the facilitation of critical criteria reviews on patient for behavioral medicine admissions and continued stays, completion of. The Utilization Review Case Management specialist. Maintains recognition and acceptance of accountability ...
RN Coordinator - Utilization Review
A company is looking for a RN Coordinator-Utilization Review to oversee service appropriateness and resource utilization in a remote setting. ...
Registered Nurse Utilization Review, Case Management, FT, 8:30A-5P
The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical financial resource utilization. Additional Qualifications:* RNs hired prior to 2-2012 (10/1/2017 at Bethesda or 7/1/2019 at BRRH) with an Associates Degree in Nursing are not required to have a BS...
California RN Clinical Review Nurse
A company is looking for a RN Clinical Review Nurse - Concurrent Review to perform concurrent reviews and evaluate the necessity of care for members. ...
Utilization Review Case Management Associate Administrator (RN), Case Management, Full Time, Days
Department: Jackson Memorial Hospital - Utilization Review Case Management Leadership. Ensures that information processes are appropriate for the Designated Service Area(s) and compatible with internal and external information systems and standards. At least five (5) years's experience in utilizatio...
Registered Nurse Utilization Review, Case Management, FT, 8:30A-5P
The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical financial resource utilization. RNs hired prior to 2-2012 (10/1/2017 at Bethesda or 7/1/2019 at BRRH) with an Associates Degree in Nursing are not required to have a BSN to continue their non-lead...
Case Manager RN, Utilization Review Case Management, Per Diem, Days
At least two years Utilization Review Case Manager RN experience, strongly preferred. Department: Jackson Memorial Hospital- Case Management, Utilization Review . The Case Manager RN acts as a resource to all levels of staff in defining/educating/implementing and evaluating patient care and nursing ...