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Lead Tenet Utilization Review Teams market structure and operations management to effectively support utilization review and authorization confirmation functions to promote an appropriate level of care and prevent payer denials.
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Job Title: Utilization Review - Post Acute Care. Our PAC Nurse is a telephonic role responsible for recommending discharge plans, assisting with transition of care, and managing the length of stay (LOS) for Long Term Acute Hospital (LTAC), Skilled Nursing Facility (SNF), and Institutional Rehab Facility (IRF) for their assigned and non-assigned post-acute care (PAC) facilities.
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Focus Staff is seeking a Travel Utilization Review RN Registered Nurse to review and audit behind the scenes to maximize the quality and cost efficiency of health care services.
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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. 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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Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
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As a Utilization Review Nurse/Integrated Care Manager RN with Sentara, you work together intensely with the patients, families, and members of the medical team to provide patients with the resources they need and help prevent them from being readmitted to the hospital.
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Registered Nurse, RN, RN ICU, Critical Care RN, Critical Care Nurse, Intensive Care Nurse, ICU Nurse, ICU Registered Nurse, LTAC, LTACH, Long Term Acute Care.
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As a Registered Nurse (RN), on our Joint & Spine unit you will provide direct nursing care in accordance with established policies, procedures and protocols of the hospital. If this opportunity is your next step in your career path, we encourage you to apply for our Joint and Spine Registered Nurse RN PRN opening.
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Support for you and your family: family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave, pet insurance, and more. As an Acute (Inpatient) Dialysis Nurse you'll provide specialty nephrology care within a variety of settings (ICU, CCU, ED and more.
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Knowledge of managed care principles and practices with an emphasis in Grievance and Appeals and/or Utilization Management. Knowledge of Milliman/MCG guidelines or other nationally accredited utilization review criteria or standards.
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Participate in leadership team by actively contributing in decision making, grievance follow up, building and company-wide initiatives and attending leadership team meetings such as stand up, Managing Acute Care Conditions (MACC), Nutrition at Risk (NAR), Utilization Review (UR), Quality Assurance Performance Improvement (QAPI) and other meetings as required.
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If this opportunity is your next step in your career path, we encourage you to apply for our Acute Care Registered Nurse FT Nights opening. Do you have the career opportunities as a(an) Acute Care Registered Nurse FT Nights you want in your current role.
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We are interviewing candidates for our Operating Room Registered Nurse RN PRN opening. Submit your application for Operating Room Registered Nurse RN PRN position and spend more time at the bedside with the patient.
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Surgical Oncology, Neuro Trauma, Surgical Telemetry, Ortho Spine, General Surgery, Acute Care Specialty, Immediate Care, Progressive Care. It allows new graduate nurses to obtain acute care nursing experience through an intensive internship program.
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If this opportunity is your next step in your career path, we encourage you to apply for our Cath Lab Registered Nurse RN PRN opening. Do you have the career opportunities as a(an) Cath Lab Registered Nurse RN PRN you want in your current role.
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pet insurance utilization review nurse rn acute care jobs Company: Medical Solutions in Amarillo, Texas
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