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Three to Five (5) years experience in Case Management/Utilization Review (as either CADC, LAADC, LCSW, LMHC, LMFT, Case Manager, or Utilization Review Coordinator). The Utilization Review Specialist will also perform pre-certification reviews, concurrent reviews and will perform appeal reviews as needed.
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The RN Utilization Review Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio.
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VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Manhattan, New York. Minimum three years progressive professional experience in health care, including a minimum of two years in a grievance and appeals or related area such as medical or utilization management required.
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Case management, utilization review, or discharge planning experience in an acute, rehabilitation, skilled nursing or outpatient setting is required. Preferred - Health plan experience in utilization review and case management will be considered.
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The Utilization Management Nurse will work closely with ED providers to review medical necessity and collaborate for discharge planning, as appropriate. Christiana Care Hospital currently recruiting a Registered Nurse (RN) for our Weekend Incentive Program (WIP) with experience in Utilization Management in an Acute Care Hospital Setting.
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Hill International, with more than 3,200 professionals in over 100 offices worldwide, provides program management, project management, construction management, project management oversight, dispute resolution, advisory, facilities management, and other consulting services to clients in a variety of market sectors.
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3 RN Case Managers, 1 Social Worker, 1 Lead Case Manager, 1 Case Manager assistant and 1 Utilization Review Nurse. Utilization Review RN's. Previous discharge planning and Acute Care Case Management experience, progression of care, experience meeting with families and discussing plans of care.
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Hill International is seeking a Senior Civil/MEP Construction Inspector to join our City of Columbus, Department of Water, Program Management Team. The qualified candidate will have extensive construction inspection experience on large industrial projects, preferably on water/wastewater treatment projects.
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The Utilization Management Nurse will be responsible for ensuring the delivery of efficient and effective health care while evaluating the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provision of the applicable health benefits plan.
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Case Manager (RN) – Utilization Management – Weekend Incentive Program (WIP) Works collaboratively with the Utilization Management team, Denial Manager, Physician Advisor, Physician staff, Nursing staff, Case Management, Finance, Clerical Support staff and payer liaisons.
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Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN. MedPro Healthcare Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Oklahoma City, Oklahoma.
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Bravera Health Brooksville is designated as an Accredited Chest Pain Center with PCI (Percutaneous Coronary Intervention) TGH Spring Hill features a Level II neonatal intensive care unit (NICU.
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Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Utilization Review Nurse BH WFH opening.
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Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly payment estimates are intended for informational purposes only and include a gross estimate of hourly wages and reimbursements for meal, incidental, and housing expenses.
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MedPro Healthcare Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Albany, Georgia. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 10/21/2024 Duration: 13 weeks 36 hours per week Shift: 12 hours, days Employment Type: Travel MedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel assignment with one of our top healthcare clients.
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review utilization management hill jobs Company: Kaiser
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