Overview
The Utilization Review RN serves as a leader resource in the Utilization Review process. They collaborate with physicians and other members of the healthcare team to promote and adhere to regulatory compliance.
The UR RN coordinates and conducts initial, concurrent, and retrospective medical necessity reviews. All Utilization Review activities are performed in accordance with the current policies and procedures, mission, vision, and values of Novant Health.
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At Novant Health, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families and communities.
Therefore, we invite applicants from all group dynamics to
Utilization Review Nurse - RN
A company is looking for a Utilization Review Nurse - RN, LPN, or LCSW (Remote) in Tampa, FL. ...
Utilization Review Nurse- Evening Shift
Utilization Review, including managed care/commercial payers and governmental regulatory requirements. As well as compliance to established internal and external policies and procedures and practice standards. Utilization Review or other applicable certification. Utilizes established criteria to con...
RN Utilization Management Nurse
A company is looking for a RN Utilization Management for a remote position. ...
Utilization Management Nurse, Concurrent Review
The Utilization Management Nurse performs daily medical necessity reviews. Proficient in Utilization Review process including benefit interpretation, contract language, medical and policy review. JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claim...
RN Utilization Review - Oregon Licensed
A company is looking for a Utilization Review Registered Nurse (RN) for a remote position. ...
Utilization Review Nurse RN
The Utilization Review RN serves as a leader resource in the Utilization Review process. The UR RN coordinates and conducts initial, concurrent, and retrospective medical necessity reviews. All Utilization Review activities are performed in accordance with the current policies and procedures, missio...
Travel Registered Nurse - Utilization Review - Relocation to Memphis, TN
Do you thrive in a dynamic, fast-paced environment and enjoy the flexibility of travel nursing? If so, we have an exciting opportunity for you! We are seeking a dedicated Travel RN specializing in Utilization Review to join our team. Are you an experienced Registered Nurse (RN) with a passion for en...
Utilization Review Nurse
Case ManagementFull TimeDays8a-430pReq# 9554Complete utilization management functions for assigned patients as outlined in the Utilization Review Plan for Randolph Hospital. Review patient record and plan of care at admission or placement into observation utilizing the criteria set approved and adop...
Utilization Review Nurse (PRN), Utilization Review
Under the direction of the Utilization Review Manager and Physician Advisor, the Utilization Review Registered Nurse (UR-RN) assists in administration of utilization review functions. The UR RN will apply utilization review criteria, clinical knowledge/assessment, and application of payer specific r...
Utilization Review Coordinator Level II - RN (48223)
Review medical records to determine appropriateness and medical necessity of admission, continued hospital stay and use of ancillary services. Registered Nurse licensed in North Carolina. ...