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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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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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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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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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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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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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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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MedPro Healthcare Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Santa Rosa, California. 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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MedPro Healthcare Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Philadelphia, Pennsylvania. 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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MedPro Healthcare Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Baltimore, Maryland. Work is administered in a variety of settings, including HMOs, community health organizations, long-term care facilities, behavioral health programs, rehabilitation centers, schools, and case management companies.
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MedPro Healthcare Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Bethel, Alaska. Posted job title: Case Manager Registered Nurse Nursing: Case Manager.
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MedPro Healthcare Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Warrenton, Virginia. Specialty: Case Management.
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MedPro Healthcare Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Boston, Massachusetts. Access to our Clinical Nurse Liaison Team.
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MedPro Healthcare Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Oklahoma City, Oklahoma. Access to nationwide travel assignments.
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management utilization review case rn travel nurse high paying jobs Title: travel rn Company: Medical Solutions in AZ, Australia
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