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The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. The Utilization Management Nurse III is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services.
$33.3 - $44.49 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Three to Five years experience in case management or utilization review or proven success as Registered Nurse Utilization Review I role. 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.
$31.7 - $42.35 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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UTILIZATION REVIEW / CASE MANAGEMENT RN - Part Time, Weekends. Position Summary: Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information.
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Job Summary:The Utilization Review Specialist is responsible for the pre-certification, concurrent, and discharge review process for clients at all levels of care, resulting in the approval of their admission and continued treatment.
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Ensure that both effective utilization review management and client experience standards are maintained. Under the direction of the Director of Admissions & Director of Utilization Review, the Utilization Review Specialist will coordinate Medicaid Managed Care benefits and approvals for clients receiving behavioral healthcare services from Odyssey House’s Part 820 residential programs.
$60,000 - $70,000 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Candidates must have Utilization Review and Discharge Planning experience. LifeBridge Health includes Sinai Hospital of Baltimore, Northwest Hospital, Carroll Hospital, Levindale Hebrew Geriatric Center and Hospital and Grace Medical Center, as well as our Community Physician Enterprise, Center for Hope, Practice Dynamics, and business partners: LifeBridge Health & Fitness, ExpressCare and HomeCare of Maryland.
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Lead Tenet Utilization Review Teams market structure and operations management to effectively support utilization review and authorization confirmation functions to promote an appropriate level of care and prevent payer denials.
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All Utilization Management activities are performed in accordance with the mission vision and values of UVA Medical Center. Under general direction: The Utilization Management RN serves as a leader resource in the Utilization Management process.
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Must possess strong critical thinking skills, have an ability to perform clinical/chart review and abstract information efficiently. Please note: As a condition of employment, if not already completed, all new hires are required to receive the first dose of the COVID-19 Vaccination Series prior to their Occupational Health pre-employment assessment, and scheduled to complete the Vaccine Series within the first thirty (30) days of employment.
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RN Coordinator - Utilization Management & Discharge PlanningSummaCare - 1200 E Market Ave, Akron, OHPart-Time / 20 Hours / Days (2 days one wk / 3 days next wk)RemoteSummary:While taking direction from the Manager of UM, the UM Coordinator helps daily to prioritize, coordinate, and implement utilization, discharge planning, regulatory and compliance activities with the UM team.
$33.66ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Summary:The Utilization Management Nurse is responsible for determining and managing medical necessity of acute inpatient admissions utilizing clinical criteria. At least 1 year Utilization Review or Case Management experience preferred.
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Confirm with the GM that weekly inventory is completed by store management before the first scheduled shift on Sunday. Assist in ensuring daily pre-shift “huddles” are being completed by store management.
$15 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Utilization Review Nurse provides clinical review for different healthcare services requiring authorization- including acute inpatient, skilled nursing facility, acute rehab, home nursing as well as others.
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Example of Job Duties: Under the direction of the Supervisor, the Enrollment Management Specialist is accountable for contributing to the enrollment, registration, and retention operations of the College through these essential duties: Assists the Campus Supervisor in delivering a comprehensive, one-stop enrollment services experience to all credit students within their campus of CT State Community College.
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Peraton's DSCM program encompasses technical, engineering, data analytics, cyber security, management, operational, logistical and administrative support to aid and advise DoS Cyber & Technology Security (CTS) Directorate.
$66,000 - $106,000 a yearFull-timeExpandApply NowActive JobUpdated Today
Title: utilization management Company: Southwestern Health Resources Cin
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