Utilization Review Jobs
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Search Results - Utilization Review Jobs
Northwestern Memorial Healthcare-Palos Heights
Job Description
Schedule: Full-time day shift. Monday-Friday hours.
This is a great opportunity for a dynamic candidate to work in different utilization review projects. Heavy emphasis on patient accounts and billing, ensuring that denials...
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Christus Health-Alexandria (LA)
Description
Summary:
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 is responsible for performing...
Exact Billing Solutions-Lauderdale Lakes
Brief Description
Utilization Review Manager – Exact Billing Solutions
Lauderdale Lakes, FL
About Exact Billing Solutions
Exact Billing Solutions is a unique team of medical billing professionals specializing in the substance use disorder...
mindmatch.ai -
Integrated Resources, Inc-Bakersfield
Utilization Review Nurse II represents the fully experienced level in utilization review and discharge planning activities " Obtains and evaluates medical records for in-patient admissions to determine if required documentation is present.
" Obtains...
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Exact Billing Solutions-Lauderdale Lakes
Brief Description
Utilization Review Clinical Manager – Exact Billing Solutions
Lauderdale Lakes, FL
About Exact Billing Solutions
Exact Billing Solutions is a unique team of medical billing professionals specializing in the substance use...
mindmatch.ai -
J. Edward Staffing LLC-Aurora
Job Title: Registered Nurse - Utilization Review
Location: Colorado Military Health System ? Buckley AFB and Peterson AFB.
Labor Category: Registered Nurse ? Utilization Management
Current POP ends 11/30/25. TO POP ends 11/30/27. This assignment...
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Beth Israel Deaconess Medical Center-Boston
In conjunction with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission status based on the regulatory and reimbursement requirements of various commercial and government payers.
Partners...
Supplemental Health Care-Syracuse
Supplemental Health Care is seeking a travel nurse RN Utilization Review for a travel nursing job in Syracuse, New York.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: ASAP
• Duration: 13 weeks
• 40...
University of Michigan Health-Sparrow-Lansing
Kirby Bates Associates has been exclusively retained by University of Michigan Health-Sparrow(UMH-Sparrow) to conduct their search for the new Director, Case Management and Utilization Review.
UMH-Sparrow, Mid-Michigan’s only community-owned...
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Medical Solutions-Indianapolis
Travel Nurse RN - Case Manager, Utilization Review - $1,808 per week at Medical Solutions summary:
The Travel Nurse RN - Case Manager, Utilization Review provides essential healthcare services by overseeing patient cases and managing utilization...
Capital Health (US)-Pennington (NJ)
and basis for expectation of a 2 midnight stay). Refers cases as appropriate, to the UR physician advisor for review and determination.
• Gathers clinical information to conduct continued stay utilization review activities with payers on a daily basis...
Medical Solutions-Tacoma
Travel Nurse RN - Case Manager, Utilization Review - $2,004 per week at Medical Solutions summary:
The Travel Nurse RN - Case Manager specializing in Utilization Review focuses on assessing and coordinating patient care during a temporary...
St. Mary's General Hospital-Passaic (NJ)
intermediary etc.; gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and use sound judgment.
Knowledge...
Martin County Hospital District-Stanton (TX)
OF RESPONSIBILITIES:
Case Manager is responsible for evaluating the appropriateness, medical necessity and efficiency of healthcare services. Review of medical records to determine if the services provided meet the criteria for admission. Ensure that patients...
Baptist Health South Florida-South Miami
of this position is to conduct initial, concurrent, retrospective chart review for clinical financial resource utilization. Coordinates with healthcare team for optimal/efficient patient outcomes, while decreasing length of stay (LOS) and avoid delays and denied...
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