utilization review nurse Jobs

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Utilization Review Nurse-PRN

UTSW - 5323 Harry Hines Blvd, Dallas

Utilization Review Nurse-PRN Job Number: 334978 Category: Nursing Location: 5323 Harry Hines Blvd, Dallas, TX Department: 844106 - Decision Support Full/Part Time/PRN: Day Job Regular/Temporary: Regular Schedule: Per Diem - PRN Secu...

Utilization Review Nurse

Johns Hopkins Medicine - United States of America

Johns Hopkins Intrastaff is the internal staffing agency for the Johns Hopkins Health System and partner hospitals, providing temporary support to a variety of the Johns Hopkins locations. Our employees are the strength of our service. Intrastaff is unique because it's one of the very few agencies where a person has the benefit of being a temporary employee and also feels like a member of a ...

Utilization Review Nurse - PRN

Johns Hopkins Medicine - Columbia, MD

Johns Hopkins Health System employs more than 20,000 people annually. Upon joining Johns Hopkins Health System, you become part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees. Career opportunities are available in academic and community hospital settings, home care services, physician practices, international affil...

Team Leader - Utilization Review Nurse

Cognizant - Tampa, FL

The UM Review Team Leader has responsibility over the quality and production, on-going training and support as well as guidance of decision making for the Utilization Review Clinical Team. The Utilization Review Manager is expected to monitor productivity and turn-around time (TAT) of clinical requests (pre service, concurrent, and retrospective reviews). The Utilization Review Team Leader w...

Utilization Review Nurse Full-time

Johns Hopkins Medicine - Columbia, MD

Johns Hopkins Health System employs more than 20,000 people annually. Upon joining Johns Hopkins Health System, you become part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees. Career opportunities are available in academic and community hospital settings, home care services, physician practices, international affil...

Utilization Review Nurse/ Senior Customer Service Representative

Executive Alliance - New York, NY

Oversee the handling of Member Service calls - this requires a strong working knowledge of the Summary Plan Description Provide assistance with questions and challenging callers Utilize all available resources to investigate customers' problems and find a solution. Guide processors through difficult calls Perform m...

Utilization Review (UM) Nurse Manager

Cognizant - New York, NY

Utilization Review (UM) Nurse Manager Responsibilities:· Direct activities of the Utilization Management staff. Oversee staff performance with regard to prior authorization, medical necessity determinations, concurrent review, retrospective review, continuity of care, care coordination, and other clinical and medical management programs. · Ensure effective ...

Utilization Review (UR) Nurse (Remote - Las Vegas)

The Valley Health System - Las Vegas, NV

Founded in 1978, Universal Health Services, Inc. (UHS)* is one of the nation's largest and most respected healthcare management companies, operating through its subsidiaries—acute care hospitals, behavioral health facilities and ambulatory centers nationwide. With more than 74,000 people employed by UHS subsidiaries, UHS's business strategy is to continue to grow by building...

RN Utilization Review

Maxim Healthcare Services - Tacoma, WA

Under the direction of a Utilization Review Nurse Coordinator, the Utilization Review Nurse is responsible for assessment and review of the healthcare delivery system with concentration on tasks that promote cost effective quality care and cost containment in accordance with various federal and/or state statutes, regulations and guidelines. Essential Duties and Responsibilities: P...

UR Nurse I-III

Department of Veterans Affairs - Loma Linda, CA

Responsibilities of the Revenue Utilization Review Registered Nurse include the following: Completes and documents technically informative, complete, accurate, concise, and timely documentation as per CPAC policy and RUR guidebook. Identifies ethical issues in practice and takes appropriate action. Demonstrates ability to refer ethical issues to appropriate resources as...

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