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STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING Strategic Staffing Solutions is currently looking for Utilization Review RNs for a contract opportunity with one of our largest clients located in Detroit, MI Title: Utilization Review RN - multiple openings Location: Detroit, MI Duration: 12 Months Role Type: W2 contract engagement ROLE SUMMARY UM - Utilization Management.
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Utilization RN - Utilization Review RN - Travel Utilization Review RN, Part-Time, Contract, Travel, Temporary, 13 Weeks, Temp. Tier5, Travel Utilization Review RN Registered Nurse.
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Focus Staff is seeking a Travel Utilization Review RN Registered Nurse to review and audit behind the scenes to maximize the quality and cost efficiency of health care services. We currently have a client in Hartford, CT looking for a Travel Utilization Review RN Registered Nurse.
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Ensures compliance with principles of utilization review, hospital policies and external regulatory agencies, Peer Review Organization (PRO), Joint Commission, and payer defined criteria for eligibility.
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Utilization Review Specialist Job DescriptionUnique opportunity to join Maryhaven, Central Ohio’s largest and most comprehensive behavioral services provider specializing in addiction recovery.
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UTILIZATION REVIEW / CASE MANAGEMENT RN - Part Time, Weekends. Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information.
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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. RN, Registered Nurse Utilization Review - Case Management - PRN.
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Attend and/or participate in facility meetings as directed by Center Manager (may include utilization review, infection control, disaster preparedness, etc.) They implement ABA programs and Behavior Intervention Plans directed by a Board Certified Behavior Analyst (BCBA)/Case Manager.
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Behavioral Health RN - Utilization Review - FULLY REMOTE POSITION. Chart Review Experience (Utilization Management, Levels of Care, OP Services, HCPCs Codes) We are currently hiring for a FULLY REMOTE Behavioral Health Claims Review RNs to support a large healthcare organization in Phoenix.
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Utilization Review in Medicare NOMNC/ABN Letters, Medicare Certifications, hospital referral review, evaluation of hospital records for ICD10 coding, setting of ARD dates, etc., of admissions and readmissions, OBRA scheduling, Part B Authorization as needed, CMI Picture Date.
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Attend and/or participate in facility meetings as directed by the center manager (may include utilization review, infection control, disaster preparedness, etc.) Throughout the country we operate primarily as Select Physical Therapy, NovaCare Rehabilitation, Physio, Kessler Rehabilitation Center, KORT, Saco Bay Physical Therapy, Concentra, SSM Physical Therapy and Keystone Physical Therapy.
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The Case Manager (CM) / Utilization Review (UR) nurse staff augmentation full time role will temporarily fill in for Optum care management teams for short term staffing as well as provide consultative support to the front-line care management team, as appropriate.
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Follows all cases throughout the duration of the admission, working with Utilization Review (UR) Department every few days in Ontrac to send concurrent review clinicals. Determines eligibility for admission/treatment in compliance with hospital policy, utilization review criteria, and State and Federal regulations and/or guidelines.
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Position Summary: Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Candidates must have Utilization Review and Discharge Planning experience.
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Throughout the country we operate primarily as NovaCare Rehabilitation, Select Physical Therapy, Champion Sports Medicine, Banner, Physio, RUSH, Kessler Rehabilitation Center, KORT, Saco Bay Physical Therapy, Concentra, SSM Physical Therapy and Keystone Physical Therapy.
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utilization review jobs Title: regulatory Company: Unitedhealth Group
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