- UpvoteDownvoteShare Job
- Suggest Revision
Participates in utilization review of medical records as assigned. Advanced Nursing Concepts (ANC) - Are you a Registered Nurse (RN) seeking an exciting new opportunity? Are you a Registered Nurse (RN) looking for a place where you can focus on patient care and make a real difference.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Monitors medical necessity of admissions, continued hospitalization, and surgical procedures using criteria approved by the medical staff and evaluates appropriate level of care for patient and notified the Utilization Review staff of necessary changes Utilizes principles of quality improvement in every aspect of performance by participating in unit and organizational quality improvement activities to develop strategies to reduce or resolve variations in practice.
Full-timeExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The duties involve responsibility for: 1) tracking/communicating key patient throughput metrics on a regional basis; 2) developing/overseeing a regional length-of-stay multi-disciplinary team (e.g. care management, utilization review, finance, etc.
$42.69 - $67.36 an hourFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Incumbent serves as an Outpatient/Inpatient Case Manager/Utilization Review Registered Nurse (CM/UR RN) for TCRHCC and is responsible for direct supervision and supportive contact for the specific group of identified patient assignments and high-risk patients.
Full-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Mobile Health Team Inc., a staffing agency has an opening for an RN - Utilization Review Case Manager. Mobile Health Team Inc., staffing agency has openings for UTILIZATION REVIEW CASE MANAGER.
ExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
- Suggest Revision
These responsibilities may include utilization review, pharmacy oversight and care coordination. Knowledge of URAC standards, ODG, Utilization review, state workers compensation guidelines.
Full-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Case Management experience including utilization review and discharge planning preferred.is required. Must be an Informatics RN. Current working knowledge of Rules/Regulations CMS (CoPs), ORYX Core Measures, and accreditation bodies (TJC & HFAP) preferred.
$79 - $84 an hourFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
- Suggest Revision
Insure TMH compliance with federally mandated Utilization Review functions. Supervises: RN/Case Management; Social Worker/Case Management; Case Management/Referral Coordinator (JC: 244802, 242002.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
- Suggest Revision
Collaborates with healthcare team members, liaises with physicians, and participates in utilization review, discharge planning, and case management. Must have a current, unrestricted license to practice as a Registered Nurse (RN) in the state of practice, or be eligible for same through reciprocity with other states.
$38 - $42 an hourFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
What qualifications you will need: RN with current state licensure; BSN preferredThree years’ clinical, hospital nursing experience required with preference given to those with 2 years of case management experience or 2 years of critical care experienceCertification in case management or utilization review preferredInterQual experience preferred HCA Florida Raulerson Hospital is a 100-bed acute care facility in Okeechobee County.
Part-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
- Suggest Revision
Participate in leadership team by actively contributing in decision making, grievance follow up, building and company-wide initiatives and attending leadership team meetings such as stand up, Managing Acute Care Conditions (MACC), Nutrition at Risk (NAR), Utilization Review (UR), Quality Assurance Performance Improvement (QAPI) and other meetings as required.
Full-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
Participates in leadership team by actively contributing in decision making, grievance follow up, building and company-wide initiatives and attending leadership team meetings such as daily stand up, Managing Acute Care Conditions (MACC), Nutrition at Risk (NAR), Utilization Review (UR), Quality Assurance Performance Improvement (QAPI) and other meetings as required.
ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
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.
Part-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
- Suggest Revision
Assures the most economical utilization of time, materials, and resources through the review of workflow and staffing patterns in order to achieve optimal productivity and to provide cost-effective staffing patterns that ensure appropriate utilization of staff and skill mix to provide patient care.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Plan, develop, organize, implement, evaluate and direct the Nursing Services Department, as well as related programs and activities including, but not limited to - Infection Control practices, Utilization review and Triple check, Upkeep of all QA logs, PAE and PASSR log, physicians orders, physician visits, recertifications, etc.
Full-timeExpandApply NowActive JobUpdated Yesterday
utilization review rn jobs
FEATURED BLOG POSTS
Looking for New Candidates?
Before the turn of the century, recruiters could put their "help wanted" ads in the newspaper, and applications would pour in. Since then, recruiting has turned a new page. The use of the internet and other technologies allows recruiters to broaden their candidate pool for the simple reason being
Decline a Job Offer Professionally: When to Rescind
Your job search has finally paid off! After countless job applications, numerous emails, and several interviews, the hiring manager and other stakeholders have decided that you’re the right person for the job! All you have to do now is accept the offer and walk into the sunset, right?
Resume Job Description Samples - 8 Tips to Follow
When looking for a job, your resume becomes a crucial element. From making a great first impression to showcasing all your achievements and potential, your resume has to portray your professional story in minutes.
Internship Cover Letter Tips with Examples
Until now, college has been about learning, absorbing, and experiencing. It’s not until you become eligible for an internship that things start getting real—real-world experiences using real-life scenarios. Applying for internships takes time, and there’s no college course on “how to apply for jobs.” (We’d sign up immediately if there was, though!) But here's a spoiler alert: most internships require a cover letter. And while this may seem like a burden, it’s actually a blessing.
5 Practical Ways to Remove Bias from your Hiring Process
Many employers think their hiring process is perfect. However, research shows that the hiring processes are generally impartial and unfair, especially if you are part of certain demographics. Women, people of color, people with disabilities, or even people in lower socioeconomic status are more likely to be subject to implicit bias. As diversity and employer branding become major aspects of business, it is important that employers take the lead to identify and remove bias from the hiring process. So, here are 5 practical ways to get you started.
Tips to Get Your First Job Confidently
Whether you’re a recent graduate or you still have a few exams left, you may be itching to put your polished leather shoes on and join the workforce. After all, your first job is an entryway into the professional life you’d lead for the decades to come.
Tips for a Good Character Reference Letter with Examples
Hiring managers love a resume laden with relevant skills and qualifications. Hard skills specific to the role, like SEO strategy or Java programming languages, are easy to qualify using achievements or facts and figures. But how exactly can they verify personality traits, work ethic, relationship management skills, or curious nature during an interview when they barely know you?