RN Utilization Review - Baltimore, MD

Conducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of care by utilizing nationally approved guidelines. · Collaborates with medical staff physician advisor social workers · ...

Conducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines.Collaborates with medical staff and ancillary hospital disciplines to ensure high-quality patient care in the most eff ...

The Utilization Review Specialist assesses healthcare delivery systems for cost-effective quality care. · Current license for state in which nurse practices if nursing licensure is required by contract. · Bachelor's Degree in Nursing or at least two years' experience in Utilizati ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. · The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effect ...

The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal and/or state statutes, regulations and g ...

Conducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. · ...

+The Utilization Review Nurse (RN) coordinates the care and service of selected patient populations across the continuum. · + · +Assumes responsibility for an interdisciplinary process which assesses, plans, implements, monitors and measures the effectiveness of interventions to ...

Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. · Competitive compensation (additional compensation such as overtime, shift differentials, premium pay, and bonuses may apply depending on ...

Join a team that values innovation and outcomes, delivering life-saving care to our youngest and most vulnerable patients. · Medical necessity review of patient stays and referral to the physician advisor as needed · ...

The PRN Utilization Review RN at Sinai Hospital works with stakeholders in the Revenue Cycle Management process and payors to ensure efficiency of utilization of resources, minimize losses and maximize reimbursement. · ...

Join LifeBridge Health to advance health access and elevate patient experiences as a Utilization Review Nurse RN. · ...

We are currently seeking a dedicated Utilization Reviewer to join our dynamic team. · Performs timely and accurate utilization review for all patient populations, · Communicates with clinical care coordinators and payors as needed regarding reviews and pended/denied days and inte ...

We are currently seeking a dedicated Utilization Reviewer to join our dynamic team. · Why Choose Capital Region?The department stands out for its innovative, patient-centered approach and unwavering commitment to compassionate care. · High Reliability Organization (HRO) · As part ...

The Utilization Review Nurse coordinates the care and service of selected patient populations across the continuum. · Assumes responsibility for an interdisciplinary process which assesses, plans, implements, monitors and measures the effectiveness of interventions to meet patien ...

Su responsabilidad será apoyar al sistema de revisión del uso incluyendo análisis de datos ,escritura de informes y mejora del programa. · ...

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As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical skills to make a difference in our members' lives. · ...

The Utilization Review Clinical Specialist provides timely, comprehensive utilization reviews for behavioral health services · ...

The Utilization Review Clinical Specialist provides timely, comprehensive utilization reviews for behavioral health services. · Collaborating closely with the Utilization Review team and an interdisciplinary clinical team. · Maintaining accurate documentation within hospital data ...

The Utilization Review Clinical Specialist provides timely comprehensive utilization reviews for behavioral health services for Sheppard Pratt patients. Collaborating closely with the Utilization Review team and an interdisciplinary clinical team the specialist conducts medical r ...