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About the roleThe Utilization Review Nurse is responsible for reviewing and processing medical services requests for members of Quantum Health’s employer groups in an inpatient setting and transitions in relation.
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As aUtilization Review Nursespecializing in Utilization review, the registered nurse will be responsible for utilization review services within the scope of licensure.
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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. BSN Degree from an accredited nursing program or proven success as Registered Nurse Utilization Review I role.
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Under the guidance and direction of the UM department RN Manager or Director, the Utilization Management Review Nurse (LVN) performs prospective and retrospective clinical review for inpatient and outpatient authorization requests in compliance with all applicable state and federal regulatory requirements, SCFHP policies and procedures, and applicable business requirements.
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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. The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services.
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NYC Health + Hospitals / Correctional Health Services. In coordination with the facility-specific Mental Health Unit Chief, design, implementation, ongoing review, and monitoring of relevant clinical facility-specific procedures, policies and operating manuals.
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It’s Kosair Charities Children’s Peace Center is the largest and most comprehensive private provider of youth inpatient behavioral health services in the country. They process payor denials and retro reviews, promote optimal health care outcomes in accordance with the policies, procedures, applicable laws and contracts, philosophy, mission, and values of UofL Health, assumes responsibility and accountability for the appropriate utilization of facilities and services and serves as a resource to physicians.
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San Jose Behavioral Health currently has an opportunity for a Utilization Review Specialist Per Diem, at our new 133 bed Acute Psychiatric Hospital, located in South San Jose, CA. The Utilization Review Specialist coordinates and assesses the inpatient census for appropriate alternate health care service needs.
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The Health Services Director (RN, LVN, or LPN) works closely with the Executive Director and Resident Care Coordinator to ensure the quality care of all residents. The Health Services Director (RN, LVN, or LPN) position requires a caring nature and willingness to care for the elderly.
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In collaboration with a designated physician the Psychiatric Mental Health Nurse Practitioner (PMHNP) is responsible for providing outpatient psychiatric care, including intakes, assessments, and furnishing and providing medication management, following established standards and practices.
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You will work with a team that includes the nursing staff, Mental Health Tech, Emergency Services Providers, and Psychiatric Nurse Practitioner to provide high quality compassionate care for patients in crisis.
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The Health Services Director (LVN) works closely with the Executive Director and Resident Care Coordinator to ensure the quality care of all residents. Frontier Senior Living is now seeking an outstanding Health Services Director (LVN) to manage and oversee the Health Services Department for The Auberge at Bee Cave community located in Bee Cave , TX. Demonstrated success as a leader in similar settings is required of the Health Services Director (LVN.
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We offer many medical specialties, including emergency services, prenatal and postnatal obstetrical care, cardiac and pulmonary rehabilitation programs, nuclear medicine and walk-in, non-emergency care at Mission My Care Now Spruce Pine. Blue Ridge Regional Hospital has been named a 100 Top Critical Access Hospital by Becker’s Hospital Review and has achieved Pathway to Excellence designation by the American Nurses Credentialing Center.
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Evaluate pre-application and permit applications for complexity and priority; perform, coordinate and complete high-priority plan review on large and complex commercial development projects; assign and monitor consultant plan review services of large and complex commercial development projects; coordinate third-party review with in-house project review; assign, supervise and direct plan review services of plan review staff.
$105,063.5 - $134,490.1 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Of Nursing, Health Services Director (Assisted Living), or other regional. Escalates pertinent information to the Registered Nurse (RN) or Director of. join the Prestige Care Family in the Resident Care Manager (RN) – MDS Nurse role.
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health services review nurse jobs Title: registered nurse Company: Professional Case Management in Leesburg, District Of Columbia
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