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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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Conducts review of all inpatient, partial hospitalization, and outpatient records as outlined in the Utilization Review/Case Management plan to (1) determine appropriateness and clinical necessity of admissions, continued stay, and or rehabilitation, and discharge; (2) determine timeliness of assessments and evaluations; i.e. H&Ps, psychiatric evaluation, CIA formulation, and discharge summaries; and (3) identify any under-, over-, and/or inefficient use of services or resources.
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The Utilization Review – RN is a registered nurse who is responsible for facilitating appropriate lengths of stay and reimbursement for all hospital admissions in accordance with its goals and objectives.
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Baylor Scott & White Medical Center - Sunnyvale is seeking a Case Manager, RN to assess, plan, implement and evaluate the needs of patients for discharge planning and utilization review.
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1 year of utilization management/prior authorization review experience required. The Medical Case Manager (LVN) (Pre-Authorization Nurse Reviewer) will be responsible for reviewing and processing requests for authorization and notification of medical services from health professionals, clinical facilities and ancillary providers.
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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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Foreign Medical Graduate; and, two (2) years of medical records review or utilization and case management experience; or. Under the supervision of the leadership of the Director of Health Information Management or designee, is responsible to review medical records for appropriate documentation that will assist to enhance appropriate documentation that will enhance reimbursement, and improve documentation in order to be in compliance with regulatory agencies and reduce denials.
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AMN Healthcare Nursing is seeking a travel nurse RN Case Management for a travel nursing job in WASHINGTON, District of Columbia. Posted job title: Registered Nurse – Case Management- Case Manager - Travel - (CM RN.
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Responsible for all aspects of the Case Management department functions including quality, productivity, utilization performance, and educational needs to address established policies and procedures and job responsibilities.
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Job Description 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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Current working knowledge of discharge planning, utilization management, case management, performance improvement, disease or population management and managed care reimbursement.
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MedPro Healthcare Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Seattle, Washington. The role of the case management nurse (RN) is to coordinate continuity of care for patients often as a liaison between the patient’s family and healthcare organization.
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The Foster Care Case Manager promotes effective utilization of support services to achieve permanency for children and families. Provide full case management services to children and their families in the MO foster and adoptive care system from the time of assignment until case closure or transfer.
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To be considered you must be a RN Case Management qualified with five years direct inpatient case management manager experience! Review/Audit of client files (hard files and HMIS) to ensure case management plans address identified needs, are up-to-date and that data quality is maintained.
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The Case Management process facilitates communication and care coordination along a continuum through effective transitional care management and utilization management.
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management utilization review case rn helping jobs Title: travel rn Company: Medical Solutions in AZ, Australia
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