Utilization Review RN - Baltimore

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 · ...

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 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 ...

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. · ...

Overview: · Johns Hopkins Intrastaff is the internal staffing agency for the Johns Hopkins Health System and partner hospitals, providing temporary support to a variety of Johns Hopkins locations. Our employees are the strength of our service. Intrastaff is unique because it's on ...

We are seeking an Utilization Review Nurse to facilitate and coordinate programs in hospital inpatients, outpatients, families, community, and employees by providing evidence-based care based on the nursing process. · ...

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

General Summary: · Responsible for supporting the utilization review system including data analysis, report writing, and program improvement. · UR Specialist will develop and maintain a VOD Tracking and Receipt system. · UR Specialist will maintain an expert level review of clien ...

General Summary: · Responsible for supporting the utilization review system including data analysis, report writing, and program improvement. · UR Specialist will develop and maintain a VOD Tracking and Receipt system. · UR Specialist will maintain an expert level review of clie ...

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Job Title: Utilization Review Manager  · Job Summary: · Walker Health Services is seeking an experienced and strategic Utilization Review Manager to lead our Utilization Review (UR) department. This individual will be responsible for overseeing the UR process, ensuring compliance ...

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 for Sheppard Pratt patients. Collaborating closely with the Utilization Review team and an interdisciplinary clinical team the specialist conducts medical r ...

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 ...

Job Requirements · Responsible for performing utilization management. Proactively review, identify and document potentially avoidable utilization and patient quality/efficiency concerns. Work collaboratively with internal team as well as external entities to reduce potentially ...

Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without recruiters. · ...