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Utilization Review RN Case Management. As a Utilization Review Nurse/Integrated Care Manager RN with Sentara, you work together intensely with the patients, families, and members of the medical team to provide patients with the resources they need and help prevent them from being readmitted to the hospital.
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The Utilization Review Specialist manages daily operations, which include supervising the staff performing benefit enrollments and utilization management activities. The Utilization Review Specialist participates in department development and unit performance improvement.
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During this individual supervision a chart review should be completed using the updated Utilization Review sheet with particular attention paid to whether or not a PGP exists to cover the time period since the last CBH review.
$57,000 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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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Utilization RN - Utilization Review RN - Travel Utilization Review RN, Part-Time, Contract, Travel, Temporary, 13 Weeks, Temp. Tier5, Travel Utilization Review RN Registered Nurse.
$10,500 a monthExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred.
$40.58 - $58.84 an hourExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Position Purpose The Utilization Review Nurse I provides first level clinical review for all outpatient and ancillary services requiring authorization. Provides first level RN review for all outpatient and ancillary prior authorization requests for medical appropriateness and medical necessity using appropriate criteria, referring those requests that fail review to the medical director for second level review and determination.
$25.97 - $46.68 an hourFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Pay Information $2,580 per week About The Position Client in OR seeking RN - Discharge Planning and Utilization Review (RN) to work 8 hour days Oregon is a unique state that emcompasses the coast as well beings known for its diverse landscape of forests, mountains, farms.
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Included in the general supervision duties is the requirement that every effort be made to provide weekly individual supervision to each assigned staff and that these sessions will be documented for review.
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The Case Management process facilitates communication and care coordination along a continuum through effective transitional care management and utilization management. 2 years of experience in Case Management (Care Coordination or Utilization Management) or successful completion of the Transitions in Practice (TIP) program for Care Manager.
$52.46 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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MedPro Healthcare Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Edgewood, Kentucky. 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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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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VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Hoboken, New Jersey. Posted job title: Rn Utilization Review, Clinical.
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MedPro Healthcare Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Farmington, New Mexico. The role of the case management nurse (RN) is to coordinate continuity of care for patients often as a liaison between the patients family and healthcare organization.
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AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; Driver's License - CA Department of Motor Vehicles; Master's Degree in Nursing; Accredited Case Manager (ACM) - American Case Management Association (ACMA); Bachelor's Degree in Nursing; California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager Certification.
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utilization review case rn weekly pay jobs Title: travel rn Company: Medical Solutions in AZ, Australia
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