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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.
$45 - $70 an hourPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Qualifications Masters Degree preferred; minimum Bachelors Degree in Psychology or related Human Service Field or RN. Knowledge of Utilization Review Processes, insurance plans, mental health and chemical dependency treatment.
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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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Posted job title: Rn Utilization Review, Clinical About VNS Health VNS Health is one of the nation’s largest nonprofit home and community-based health care organizations.
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The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services.
$144,206.41 - $237,931.2 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Utilization Management Nurse collaborates as necessary with other members of the health care team to ensure the above according to the mission of CHRISTUS. The Utilization Management Nurse III is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services.
$33.3 - $44.49 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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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VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Manhattan, New York. Minimum three years progressive professional experience in health care, including a minimum of two years in a grievance and appeals or related area such as medical or utilization management required.
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Facilitates the development of a multidisciplinary discharge plan, engaging other relevant health team members, the patient and/or patient representative and post-acute care providers in accordance with the patients clinical or psychosocial needs, choices and available resources.
$40.58 - $58.84 an hourExpandApply NowActive JobUpdated 30 days ago - UpvoteDownvoteShare Job
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Experience in regulatory compliance that includes, but is not limited to HIPAA, Medicare, NJ Department of Health, skilled nursing home, assisted living, personal care home health, and ancillary healthcare services such as rehabilitation regulations.
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Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements Light Additional Information Please note that a Licensed Clinical Social Worker is only required when Master's Degree in Social Work. Licensed Clinical Social Worker not required with Associate's or Bachelor's Degree in Nursing.
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Provides telephone triage as defined by guidelines and in collaboration with provider coordinating care with infusion room, home health, urgent care or emergency department as required.
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Sevita is a leading provider of home and community-based specialized health care. DSP - Caregiver is similar to a STNA role, Home Health Aide, Resident Assistant, or Nursing Home Aide.
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This requirement will be lifted for LBH candidates employed as a Utilization Review Nurse, Clinical Care Coordinator, Patient Care Integrator, or RN Case Manager.
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BAYADA Home Health Care is seeking a Registered Nurse (RN) Home Health for a nursing job in Glendora, New Jersey. By bringing together the scope and reach of Jefferson Health – a top integrated health care system with a vast array of home health and hospice caregivers and volunteers– and the extensive management capabilities, operating platform, and clinical experience of BAYADA – a leading not-for-profit home health care provider, Jefferson Health at Home by BAYADA will strengthen and extend the continuum of care in the region.
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home health in care utilization review jobs Title: rn case manager Company: Texas Children's Hospital in Columbia, Missouri
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