Utilization Review Nurse Jobs
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Search Results - Utilization Review Nurse Jobs
Ampcus Incorporated-Los Angeles
Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team.
Job Title: Utilization Review Nurse
Location(s): Los Angeles...
resume-library.com -
iCallidus-Bethesda (MD)
iCallidus is seeking a LPN Utilization Management Nurse Reviewer (Referral Management Review). This individual will participate in direct, referral management review activities within the Integrated Referral Management and Appointing Center (IRMAC...
jobvertise.com -
Integrated Resources, Inc-Richardson
this is full time remote, but candidates must reside in IL or TX
RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. This Position Is...
resume-library.com -
Dane Street, LLC-United States
The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine...
workable.com -
US Tech Solutions, Inc.-Columbia
office environment. Employee may work from one's/out of one's home. May involve some travel within one's community.
Education:
Associate Degree - Associate Degree - Nursing, or Graduate of Accredited School of Nursing.
Required License/Certificate...
resume-library.com -
Dane Street, LLC-United States
The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine...
workable.com -
E-Talent Network-Los Angeles
Utilization Review Nurse
Remote
2 month contract with probable extension
Job Description:
Ensuring appropriate, cost-effective, and high-quality care for New Century Health Plan members
Conducting utilization management (UM) activities...
resume-library.com -
Roanoke (VA)
and development appropriate to age group served and incorporate plan to meet needs into plan of care.
• Collaborates with Utilization Review Nurse.
• Facilitates an interdisciplinary approach to patient care.
• Coordinates care and services within the case...
tiptopjob.com -
Sellersville
as it applies.
• Escalate any patient questions regarding the MOON and/or IMM timely to the care coordinator and/or utilization review nurse.
• Support and assist with clerical duties as needed within the department by:
• Receiving and relaying messages to/from...
gvh.org -
Edison (NJ)
and referrals, abuse/neglect, psychosocial assessment and referrals to ICMS or PACT Programs as needed.
• Completes all other necessary duties with attention to detail and in a timely manner.
• Collaborates with Utilization Review Nurses.
• Referrals:
a. Primary...
icims.com -
Brighton Health Plan Solutions, LLC-Buffalo
team nurses on appropriateness of care and services through the care continuum including hospitals, skilled nursing facilities, and home care to ensure quality, cost-efficiency, and continuity of care; Informs the UR Nurse of certification decisions...
appcast.io -
Dane Street, LLC-United States
The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine...
workable.com -
Brighton Health Plan Solutions, LLC-Rochester
team nurses on appropriateness of care and services through the care continuum including hospitals, skilled nursing facilities, and home care to ensure quality, cost-efficiency, and continuity of care; Informs the UR Nurse of certification decisions...
appcast.io -
Roanoke (VA)
Collaborates with Utilization Review Nurse.
• Facilitates an interdisciplinary approach to patient care.
• Coordinates care and services within the case managed population.
• Performs face:to:face assessments of patients/families when appropriate to identify...
tiptopjob.com -
Orlando
and Family Counselors/ Social Workers and the UR nurses to engage the patient/family to collaborate, advocate and problem solve, to support and enhance their functional ability, while ensuring an appropriate and timely discharge plan.
• Daily monitoring...
orlandohealth.com -
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