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TRS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Irving, Texas. Posted job title: Utilization Review Registered Nurse About TRS Healthcare TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for healthcare professionals nationwide and supplying healthcare organizations with comprehensive staffing and placement solutions to meet a wide range of workforce recruitment needs.
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Join our team as a Utilization Management Nurse Reviewer, where you'll play a pivotal role in healthcare delivery by ensuring the efficient and appropriate utilization of medical services.
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To participate in utilization review and quality management programs. To provide oversight/supervision and consultation for Nurse Prescribers in BHS. SUMMARY: Psychiatrist is responsible for providing psychiatric and psychopharm evaluations and treatment to clients in BHS. Provide consultation to clinical staff in BHS.
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Works collaboratively with the Complex Care Nurse Managers, Social Workers, and Utilization Review Nurses, in coordinating and providing care that is safe, timely, effective, efficient, equitable and client-centered.
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Queries patients to past Visiting Nurse Agency (VNA) and Pharmacy preferences. Provides administrative, technical, and direct support to Complex Care Nurse Managers; complete admission patient interviews and care needs assessment, collect, enter, and maintain information in the client files and EMR; help case managers coordinate care across the continuum.
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We are seeking a Utilization Review Nurse (LVN/RN) with strong clinical judgment to join our team at a Managed Care Organization in New York. In this role, you will play a pivotal role in ensuring high-quality, cost-effective care for patients, facilitating their journey towards maximum medical improvement while receiving medically necessary treatment.
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We are hiring a Fully Remote UM Nurse for a Health plan based out of New York! Reviews planned, in process, or completed health care services to ensure medical necessity and effectiveness according to evidence-based criteria - prospective, concurrent and retrospective review.
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Knowledge of current National Committee for Quality Assurance (NCQA)/Utilization Review Accreditation Commission (URAC) standards. 1+ years of Utilization Review (UR) and/or Prior Authorization or related experience.
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Title: Registered Nurse-Review Analysis Location: Detroit, MI (Remote in Michigan) Duration: 9 Months Role Type: W2 Contract Engagement Engagement Description Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of care, including appeal requests initiated by providers, facilities and members.
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To provide supervision and consultation to BHS clinical disciplines as assigned. Certified by the American Board of Psychiatry and Neurology. To provide direct psychotherapy, when indicated. US Citizenship or have authorization to work in the United States as defined by the Immigration Reform Act of 1986.
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Greetings from Adonia Solutions We are accepting suitable profiles for below open position, interested candidates please submit to samadoniasolutions.com Title: Registered Nurse-Review Analys Detroit, MI Duration: 9 Months Job Type: Contract - Work Type: Remote Visa: USC & GC only Work from Homeposition, may require some travel to the office when necessary.
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Ability to work with integrated medical, clinical and support staff on behalf of clients. To coordinate the program's relationship with hospitals and to provide general consultation to all staff as required.
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We are currently looking for a dedicated and compassionate Registered Nurse to join our team, focusing on Prior Authorization and Utilization Management. In this vital role, you will operate beyond the confines of traditional hospital settings, specializing in the niche of nursing that involves utilization management and prior authorization reviews.
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A utilization review nurse carefully records information regarding patient care on the back end of hospitals and doctor s office visits in hopes of keeping healthcare costs low for both patients and their respective organizations.
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