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JOB SUMMARYThe RN Utilization Review coordinates care for OPIS patients who are high cost, complex, and at risk. · Licensed as a Registered Nurse (RN) in the State of Florida · Minimum of 1 year of experience in a related field required.
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Review medical records for knowledge/understanding of situation and resource assessment. Monitor costs, avoidable treatments and resource utilization. Maintains understanding of various payers and Medicare pre-authorization processes.
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Acute Care Conditions (MACC), Nutrition at Risk (NAR), Utilization Review (UR), join the Prestige Care Family in the Resident Care Manager (RN) – MDS Nurse role. does the Resident Care Manager (RN) – MDS Nurse do.
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Case Management, RN Case Manager, RN CCM, RNCM, RN CM, Utilization Review, Hospital Case Management, Registered Nurse Case Manager. The Registered Nurse Case Manager enhances the quality of patient management and satisfaction, to promote continuity of care and cost-effectiveness through the integration of functions of case management, utilization review, and management, and discharge planning.
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The Utilization Review Specialist (UR Specialist) is responsible for contacting external case managers/managed care organizations for pre-authorization and concurrent reviews throughout the duration of patient’s treatment stay, and assists the treatment team in understanding the different requirements that various insurance companies have for admission, continued stay and discharge planning.
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Work together with the Utilization Review nurse for clarity information on patient stay. Retrieves medical records and other data for research projects and diagnostic, training, or review purposes.
$21.47 - $25.91 an hourFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Retrieves medical records and other data for research projects and for diagnostic, training or review purpose. Screen and review information to documentation requirements for medical records are met.
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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.
$2,202 a weekExpandApply 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 Washington, District of Columbia. 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 Quality Assurance Nurse (QARN) is responsible for assisting in the development, implementation and evaluation of quality assurance, performance improvement, and utilization review activities as requested by the VP of Organizational Performance/Chief Compliance Officer and the Director of Clinical Performance.
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BSN's from CCNE accredited schools Maryland Registered Nurse License American Heart Association CPR Certification Candidates must have Utilization Review and Discharge Planning experience.
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Coast Medical Service is seeking an experienced Utilization Review Registered Nurse for an exciting Travel Nursing job in Seaford, DE. Shift: 5x8 hr days Start Date: ASAP Duration: 12 weeks Pay: $1771.76 / Week.
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Coast Medical Service is a nationwide travel nursing & allied healthcare staffing agency dedicated to providing an elite traveler experience for the experienced or first-time traveler. Coast Medical Service is a customer driven healthcare staffing company focused on per diem and travel nursing opportunities in Greater Los Angeles.
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At least one year experience in Utilization Management with knowledge of utilization review criteria. RN Case Manager - Utilization Management. RN Case Manager - Utilization Management.
$90,000 - $115,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Coast is featured on Blue Pipes' 2023 Best Travel Agencies and named a 2022 Top Rated Healthcare Staffing Firm & 2023 First Half Top Rated Healthcare Staffing Firm by Great Recruiters. At Coast, we pride ourselves on our unrelenting commitment to customer service, allowing nurses and hospitals to focus on what they do best: providing world class healthcare to patients.
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utilization review nurse jobs in Washington, DC
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