Two (2) years of Utilization Management experience which includes utilization review processes and discharge planning preferred. Works collaboratively with interdisciplinary teams facilitating appropriate status determinations through the utilization review process supporting quality, cost-effective...
As an Outpatient Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed care, utilization review, and verbal/written communication skills to make a difference in our members' lives. Review for appropriateness of care received by pla...
Conducts daily clinical reviews for all insurance payers, facilitating medical peer to peer review requests. Minimum 2 years in clinical nursing, utilization review, and/or case management. Provides clinical medical record reviews for appropriateness of inpatient admission vs. ...
We are seeking a Utilization Review Registered Nurse for an assignment in Baltimore Maryland. 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 r...
Utilization Nurse (UN) RN to monitor the appropriateness of care received by plan members in a variety of settings, acute hospital, sub-acute hospital, and acute rehabilitation facilities within the hospital system Named # 1 Best Hospital in the US for over 20 years in a row by U. Minimum of 5 years...
Utilization Nurse (UN) RN to monitor the appropriateness of care received by plan members in a variety of settings, acute hospital, sub-acute hospital, and acute rehabilitation facilities within the hospital systemNamed # 1 Best Hospital in the US for over 20 years in a row by U. Minimum of 5 years ...
We are seeking a Utilization Review Registered Nurse for an assignment in Baltimore Maryland. 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 r...
Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource consumption. Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Utilization Review, and must have experience with denials/appe...
As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed care, utilization review, and verbal/written communication skills to make a difference in our members’ lives. Managed Care/Utilization Review is required. Understanding of ...
UTILIZATION REVIEW NURSE (RN) - PRN. Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Must possess strong critical thinking skills, have an ability to perform clinical/chart review and abstract information efficiently. ...
As an Outpatient Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed care, utilization review, and verbal/written communication skills to make a difference in our members’ lives. Review for appropriateness of care received by pla...
Chart Review Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource consumption. UTILIZATION REVIEW NURSE - PRN. Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Denial Management...
Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Must possess strong critical thinking skills, have an ability to perform clinical/chart review and abstract information efficiently. ...
UTILIZATION REVIEW NURSE (RN). Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource consumption. Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Utilization Review, and must ha...
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Utilization Nurse (UN) RN to monitor the appropriateness of care received by plan members in a variety of settings, acute hospital, sub-acute hospital, and acute rehabilitation facilities within the hospital systemNamed # 1 Best Hospital in the US for over 20 years in a row by U. Minimum of 5 years ...
Advanced staffing pool nurses must be competent and able to care for a full team of critical care patients. Registered Nurse Certification; State Licensure. ...
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Licensed Practical Nurse (LPN/LVN) - Utilization Review. LICENSED PRACTICAL NURSE (LPN/LVN) - UTILIZATION REVIEW:. The Contractor performing as the License Practical Nurse (LPN) Utilization Reviewer (UR) shall make coverage decisions based on DoD regulations, and reference use of Milliman Care crite...
Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource consumption. Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Utilization Review, and must have experience with denials/appe...
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Chart Review Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource consumption. Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Denial Management Monitors and identifies pattern...
Licensed Practical Nurse (LPN/LVN) - Utilization Review. LICENSED PRACTICAL NURSE (LPN/LVN) - UTILIZATION REVIEW:. The Contractor performing as the License Practical Nurse (LPN) Utilization Reviewer (UR) shall make coverage decisions based on DoD regulations, and reference use of Milliman Care crite...
Chart Review Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource consumption. Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Denial Management Monitors and identifies pattern...