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Summary:The Utilization Management Nurse is responsible for determining and managing medical necessity of acute inpatient admissions utilizing clinical criteria. At least 1 year Utilization Review or Case Management experience preferred.
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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 organizations mission and values. Title: RN Utilization Review Description: 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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At least 4 years Pediatric nursing, In patient Case Management, Care Management, Care Coordination, Utilization Review, or Community-based nursing required. Children's Health (Dallas) is seeking a Registered Nurse (RN) ED - Emergency Department for a nursing job in Dallas, Texas.
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We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities.
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Registered Nurse in the State of Texas Upon Hire required. Accredited Case Manager (ACM) or Certified Case Manager (CCM) or Care Coordination and Transition Management (CCTM) Through our cutting-edge treatments and affiliation with UT Southwestern, we strive to deliver an extraordinary patient and family experience, ensuring that every moment, big or small, contributes to their overall well-being.
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TRS Healthcare is seeking a Registered Nurse who is licensed to work in TX, and has Utilization Review experience. Registered Nurse - Utilization Review. 1 year of recent experience specializing in Utilization Review.
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Responsibilities - Performs utilization review activities including pre-certification, concurrent, and retrospective reviews according to guidelines and refers to the Medical Director those that require additional expertise.
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In partnership with the patient, family, and other care givers, the Care Coordinator will work with the multidisciplinary team, Providers, Nurses, Social Workers, financial counselors, and other ancillary staff to actively facilitate those functions associated with moving the patient through the continuum of care.
$23 an hourExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Utilizing advanced nursing skills and knowledge, the Care Coordinator is responsible and accountable for coordinating care throughout the continuum of care for an assigned patient population. Care Coordination in the hospital and healthcare system is a collaborative practice model.
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IDD (Individuals with Intellectual & Developmental Disabilities) Habitational Training Services (HTS), Daily Living Support (DLS), Agency Companion and Respite, Vocational Rehab, SummaryThe Corporate Compliance Nurse is a professional, registered nurse responsible for all the quality activities of the organization and will work with area Directors, review charts of multiple sites, develop education and training tools as well as maintain the Program integrity.
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Corporate Compliance Nurse This is a corporate, enterprise-wide role, serving as a resource to our programs and senior leadership regarding issues of Compliance & QA/PI. Service lines: Home Health (skilled), Private Duty, Hospice, Palliative Care, Homecare (non-skilled / ADL) experience.
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A cost containment background, such as utilization review or managed care is helpful. CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Medical Case Manager position in Dallas, TX.
$96,662 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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At least 4 years Pediatric nursing, Case Management, Care Management, Care Coordination, Utilization Review, or Community-based nursing required. Children's Health (Dallas) is seeking a Registered Nurse (RN) Care Manager for a nursing job in Dallas, Texas.
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We are seeking a dedicated Travel RN specializing in Utilization Review to join our team. This role integrates and coordinates various aspects of service delivery, care facilitation, pay or authorizations, service access, discharge and post-discharge activities, and utilization review.
Full-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Registered Nurse Utilization Review Part Time Saturday & Sunday 8:00 AM - 6:30 PM. Works closely with decision support staff to review resource utilization data and trends to identify outliers who may benefit from real-time coaching to improve outcomes.
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utilization review nurse jobs in Dallas, TX
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