A company is looking for a Utilization Management RN to oversee utilization management activities in a healthcare setting.
- Key ResponsibilitiesFacilitate Utilization Review (UR) compliance and optimal reimbursement during patient hospital staysServe as a resource for UM clinical and support staff, providing guidance on complex casesParticipate in a collaborative team approach while managing daily assignments for timely reviewsRequired QualificationsBachelor's degree in Nursing or obtained within five years of hire;
- RN with 15+ years may be considered in lieu of educationAdvanced Degree in Nursing (MSN, PhD, DNP, ARNP) preferredCurrent Registered Nurse license in Washington State or Multistate License endorsement (MLS)Five years of clinical experience required;
utilization management and / or insurance industry experience preferred
Supervisor Utilization Management RN
Key Responsibilities:Oversee daily operations of the Clinical Team, ensuring data integrity and compliance with regulatory standardsConduct reviews of inpatient and outpatient services to determine medical appropriateness and coordinate care plansEngage with members to assess needs and support them ...
Utilization Management RN Post Acute
A company is looking for a Utilization Management RN: Post Acute. ...
Utilization Management RN
A company is looking for a Utilization Management RN to oversee utilization management activities in a healthcare setting. ...
Travel Registered Nurse - Oncology - $1,945 per week in Tuscaloosa, AL
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Ready to learn more? Apply today to start your Travel Adventure with LRS Healthcare!. ...
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