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The Utilization Review Nurse performs prospective and retrospective reviews for post-acute care services. The Utilization Review Nurse will comply with all standard operating procedures, and all departmental and organizational policies.
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BSN Degree from an accredited nursing program or proven success as Registered Nurse Utilization Review I role. Three to Five years experience in case management or utilization review or proven success as Registered Nurse Utilization Review I role.
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VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Manhattan, New York. Posted job title: Rn Utilization Review, Clinical.
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The Utilization Review Specialist will also perform pre-certification reviews, concurrent reviews and will perform appeal reviews as needed. Three to Five (5) years experience in Case Management/Utilization Review (as either CADC, LAADC, LCSW, LMHC, LMFT, Case Manager, or Utilization Review Coordinator.
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Kaiser Permanente is seeking a Registered Nurse (RN) Clinic Maternal - Newborn Director for a nursing job in San Francisco, California. Registered Nurse License (California) required at hire.
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Overview The Manager of Utilization Management is responsible for day to day operations of the utilization review program at multiple Dartmouth Health system hospitals covering a range of settings from the Academic Medical Center to Critical Access Hospitals.
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Psychiatric Nurse practitioners may participate in utilization review activities as needed to ensure patients are able to access necessary care + The Psychiatric Nurse Practitioner will fulfill all duties in compliance with Pioneer Rural Health procedures including 42 CFR, Part 2 (privacy regulations.
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The Oncology Nurse Navigator 2 is a registered nurse (RN) who works with physician practices and multi-disciplinary teams to promote the effective utilization of services and coordination of care for patients within the Cancer Center service line.
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Registered Nurse (RN) licensure or Licensed Practical Nurse (LPN). Are you an experienced MDS nurse interested in the next step? - Is prepared to conduct PPS meetings maintaining MDS assessments per Medicare schedule and maintains PPS board for monitoring of Medicare days and RUGs utilization in the absence of the Care Management Coordinator.
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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.
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The Utilization Review Nurse will assist with complex admissions, identify quality concerns, and support the FHCP Behavioral Health Team. Care should be approached in a cost-effective manner as this position bears risk for financial impact to the organization.
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Quality Assurance and Utilization Review Physicians)Individuals without CPHQ. licensure as a Registered Nurse. Specialized services include a new Surgical Center featuring the latest da Vinci robotic systems, a multiphase expansion to include new private patient rooms, an accredited Diagnostic Sleep Lab, Florida Bariatric Center, behavioral health, digital mammography, Health 4 Seniors, inpatient & outpatient rehabilitation services, orthopedics, women’s health and wound and hyperbaric medicine.
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Knowledge of applicable State and Federal regulations, Medicare COPs, DPH State licensing regulations, Utilization review, and CHAP accreditation. Principal Responsibilities:Workflow / ProcessAssume responsibility and have authority for maintaining the quality of patient care for all clinical services, in accordance with the Agencys mission, vision and values, policies, procedures, and standards of nursing practice, through utilization review and evaluating the services rendered to patients.
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Enhancements will include a split flow model of care to expedite and enhance patient experience of care, an integrated EmPATH psychiatric patient space, super track/imaging/results lounge and improved connectivity and utilization of the ED observation unit.
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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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registered nurse utilization review jobs Company: University Of New Mexico Hospitals in Cameron, Arizona
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