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Christiana Care Hospital currently recruiting a Registered Nurse (RN) for our Weekend Incentive Program (WIP) with experience in Utilization Management in an Acute Care Hospital Setting.
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The Utilization Management Nurse will work closely with ED providers to review medical necessity and collaborate for discharge planning, as appropriate. The Utilization Management Nurse will be responsible for ensuring the delivery of efficient and effective health care while evaluating the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provision of the applicable health benefits plan.
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Minimum of 3 years recent experience as a Registered Nurse in acute care, adult care setting. Case Manager (RN) – Utilization Management – Weekend Incentive Program (WIP.
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Works collaboratively with the Utilization Management team, Denial Manager, Physician Advisor, Physician staff, Nursing staff, Case Management, Finance, Clerical Support staff and payer liaisons.
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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. CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio.
$31.7 - $42.35 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Actively involved in the continued management of patient status/LOC. Provides consultative role as utilization management nurse to clinical and non-clinical departments. Description POSITION SUMMARY: Registered Nurse uses approved screening criteria (MCG/CMS Inpatient List) to determine the medical necessity of a requested hospitalization and the appropriate level of care for that patient.
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Requirements: Seasoned professional knowledge; equivalent to a Master's degree; knowledge in more than one discipline MSN in Nursing Education 5-7 years related experience Maryland Registered Nurse License.
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Registered Nurse License (California) Additional Requirements: Demonstrated knowledge of operations and healthcare management; TJC, Title XXII, Medicare, MediCal and other local, state and federal regulations.
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This is an acute care hospital-based Nurse Manager that supports Case Management. Qualifications: Minimum three (3) years of experience in utilization management and discharge planning in an acute care setting to also include supervisory or management experience.
$175,000ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Essential Responsibilities: Assists in developing and maintaining policies and procedures for the Service Area or Medical Center related to Utilization Management. Provides direction to staff regarding utilization review, care coordination, discharge planning, and other services across the continuum of care.
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Experience: Three years of full-time registered nurse experience in a managed care or acute care setting that included experience in Case Management and Utilization Review.
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RN (Registered Nurse) - Case Management (Utilization Review) - Travel. RN (Registered Nurse) - Case Management (Utilization Review) - Travel. Non-taxable Pay (weekly): 1400.0.
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Three to Five years experience in case management or utilization review or proven success as Registered Nurse Utilization Review I role. BSN Degree from an accredited nursing program or proven success as Registered Nurse Utilization Review I role.
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A Utilization Review or Case Management Certification is required. 3 years of hospital clinical experience preferred and 2 years of hospital or payor Utilization management review experience required.
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Clinical Documentation, Performance Improvement, Case Management or Utilization Management experience desirable. Completes a minimum of 8 continuing education credits (CEU’S) per year in Utilization and/or Case Management.
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registered nurse jobs Title: case management utilization in Enfield, Connecticut
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