- UpvoteDownvoteShare Job
- Suggest Revision
Position Summary: The successful candidate should hold a current, unrestricted Licensed Medical Nurse (LVN) license with 3 years of nursing experience, 1 year as a Clinical Nurse Reviewer along with 1 year of utilization management/prior authorization review experience.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Job Summary:The Utilization Review Specialist is responsible for the pre-certification, concurrent, and discharge review process for clients at all levels of care, resulting in the approval of their admission and continued treatment.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Nationally recognized certification preferred, i.e., Certified Professional in Healthcare Quality (CPHQ), Certified Case Manager (CCM), Certified Professional Utilization Management (CPUM), Certified Professional Utilization Review (CPUR), or Diplomat of American Board of Quality Assurance and Utilization Review Physicians (D-ABQAURP.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
RN Utilization Review FT DaysDescription:The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients and families throughout Michigan and beyond. Provide denial information for UR Committee, Denial and Revenue CycleCollaborate with Patient Access, Case Management, Managed Care and Business Office to improve concurrent review process to avoid denial or process delays in billing accountsAccountable to identify and reports variances in appropriateness of medical care provided, over/under utilization of resources compared to evidence-based practice and external requirements.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
RN Coordinator - Utilization Management & Discharge PlanningSummaCare - 1200 E Market Ave, Akron, OHPart-Time / 20 Hours / Days (2 days one wk / 3 days next wk)RemoteSummary:While taking direction from the Manager of UM, the UM Coordinator helps daily to prioritize, coordinate, and implement utilization, discharge planning, regulatory and compliance activities with the UM team.
$50.49ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Registered Nurse Assessment Coordinator (RNAC) is responsible to coordinate fulfillment of regulations relative to the MDS and associated forms, coordinate the interdisciplinary Plan of Care, to ensure appropriate utilization of services relative to levels of care, and to assist the Lead RNAC in ensuring that the highest degree of quality care is maintained at all times for each of the residents.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Secaucus, New Jersey. Posted job title: Rn Utilization Review, Clinical.
$93,000 a yearPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
VNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in Manhattan, New York. Specialty: Utilization Review. 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.
Part-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Works with the Utilization Manager, Transitional Navigator, and other program staff to coordinate Crisis Intervention Services’ Utilization Review process. Certified by the Office of Mental Health (OMH) as a Certified Peer Specialist or Office of Alcoholism and Substance Abuse (OASAS) as a Certified Peer Recovery Advocate or willingness to become certified within six months of hire is preferredA respect for and high level of comfort around people experiencing psychiatric crisis.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Oversee refuse being received; ensure proper handling; supervise and monitor all required testing, including sampling of monitoring wells; monitors utilization of cover material; review soil reports and provide information to Environmental Manager.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The Operations Manager - Landfill works closely with the General Manager Area Manager, Post Collections and Environmental Manager to develop fill sequencing plans to ensure density goals are achieved and ensures that the landfill is operated in a manner that is consistent with the conditions stipulated in the applicable permit.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
We are currently seeking a highly skilled and motivated Remote Clinical Review Nurse/Concurrent Review Nurse (RN) to join our dynamic team. Remote Clinical Review Nurse/Concurrent Review Nurse, you will be responsible for conducting concurrent reviews of patient care to ensure medical necessity and adherence to healthcare policies.
$34 - $36 an hourRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Maximus provides online PASRR Level I and Level II IDD screening and online Level of Care utilization review for long-term care populations across Indiana. The Clinical Review Coordinator Nurse will review summaries of findings by reviewing various information sources to identify service needs related to the individual's mental health or intellectual and developmental disabilities (IDD.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Currently recruiting a Registered Nurse (RN) Case Manager near Palm Springs, California , to provide care to family members of Active Duty heroes in the Wounded, Ill, and Injured Warriors (WII) under the Psychological Health Transition to Care Initiative in the Case Management/Utilization Management Division at Naval Hospital 29 Palms.
$123,947.2Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Psychiatric Nurse practitioners may participate in utilization review activities as needed to ensure patients are able to access necessary careThe Psychiatric Nurse Practitioner will fulfill all duties in compliance with Pioneer Rural Health procedures including 42 CFR, Part 2 (privacy regulations.
Full-timeExpandApply NowActive JobUpdated Today
nurse manager utilization review jobs Title: travel nurse manager Company: Ahs Nursestat in Mckinney, Texas
FEATURED BLOG POSTS
How to Pass a Personality Test with Flying Colors
Whether you’re applying for your first job or looking to move up the career ladder, personality tests aren’t usually the first thing we think about. But surprisingly, they can have a massive impact on how our future employers perceive us. In fact, a 2017 study by the Society for Human Resource Management (SHRM) has found that 32% of U.S. employers use personality tests when hiring for senior management positions, and 28% use them for middle management positions. Personality tests are also used for hourly workers and contractors, though less frequently.
A Potential TikTok Ban?!
As you may already know, there has been a lot of talk lately about the possibility of a TikTok ban. While this has not yet come to fruition, it's important to consider the implications this could have for businesses and recruiters who rely on TikTok as a platform to market their brand, recruit new talent, and connect with their audience.
Hiring Transparency
Transparency in hiring refers to the open and honest communication and information sharing that takes place between employers and job candidates. It encompasses all aspects of the hiring process, from posting job descriptions to providing feedback on performance during and after the interview process. In today's job market, hiring transparency has become increasingly important for both employers and candidates alike.
Recruitment strategies that are weird, but actually work
In the current candidate-driven job market, recruiters are looking for unique ways to attract talent. Some have resorted to even (dare we say it?) recruitment strategies on the border of weird and wacky. What can we learn from the unusual recruitment tactics that are being used and actually getting results? Here’s a rundown of some unique recruitment strategies that actually work.
How To Make $100K a Year – No BS Strategies & Advice
If you’re like most of us, you’d love to be wealthier. Having more money would alleviate stress. It would make it easier to pay your bills and buy nicer things. Maybe it’d allow you to spend more time with your kids and go on more vacations. You’re not alone if you wish you could somehow earn a more significant income.
How To Answer “Why Do You Want to Be a Supervisor” in an Interview
Anyone who has worked in a supervisor role knows how challenging yet rewarding it is. But chances are if you're trying to become a supervisor, you'll be forced to answer: