Utilization Review Nurse - Houston

Review approximately 20 cases a day for medical necessity and advocate for members from unnecessary hospital admissions. · ...

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This position involves performing concurrent reviews of members' overall health, reviewing the type of care being delivered, and evaluating medical necessity. Qualifications include experience in utilization management and utilization review/managed care/hospital setting as an RN ...

We are seeking a Utilization Review Nurse to assist in the coordination of patient care and continuum at HCPC. The nurse will work with our team to provide high-quality care and ensure timely payment for patient charges. · ...

Lensa does not hire directly for these jobs but promotes them on LinkedIn. Houston Methodist seeks an Utilization Review Specialist Nurse who conducts point of entry review for medical necessity and level of care. · ...

Lorem ipsum dolor sit amet, · consectetur adipiscing elit.Assists in the coordination of all aspects of concurrent review process for individual cases. · Coodinates clinical documentation to third-party payers and state agencies to secure timely payment for patient charges. · ...

We are seeking a Utilization Review Nurse to assist in the coordination of services and resources for patient care at HCPC. · Assists in the coordination of all aspects of concurrent review process for individual cases. · Coordinates clinical documentation to third-party payers a ...

Come lead with us at Houston Methodist Hospital. The Utilization Review Specialist Nurse position is responsible for conducting point of entry and concurrent medical record review for medical necessity and level of care using nationally recognized acute care indicators and criter ...

The Utilization Review Nurse (URN) PRN position at Houston Methodist Hospital involves conducting comprehensive medical record reviews for medical necessity and level of care using nationally recognized acute care indicators. · Graduate of education program approved by credential ...

The Utilization Review Nurse (URN) PRN position at Houston Methodist comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care using nationally recognized acute care indicators and criteria. This position determines the a ...

A licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care using nationally recognized acute care indicators and criteria as approved by medical staff, payer guidelines, CMS, and other ...

+The Sr URSN position leads comprehensive utilization review activities including reviewing for appropriateness of treatment plans relative to patient preferences. · ...

We are seeking a Senior Utilization Review Specialist Nurse to join our team at Houston Methodist Hospital. The ideal candidate will have seven years of hospital clinical nursing experience, including five years in utilization review and/or case management. · The Sr URSN position ...

p>Assists in the coordination of the appropriate utilization of services and resources of patient care and continuum at HCPC. · If you join us, we reward our team for excellent service. Our total rewards package includes benefits, insurance, etc., plus: 100% paid medical premiums ...

Come lead with us at Houston Methodist The Woodlands Hospital Full Time Days At Houston Methodist the Utilization Review Nurse URN position is a licensed registered nurse RN who comprehensively conducts point of entry and concurrent medical record review for medical necessity and ...

The Utilization Review Nurse (URN) position at Houston Methodist comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care. · ...

You could be the one who changes everything for our members as a clinical professional on our Medical Management/Health Services team. · ...

We want your knowledge and expertise · To provide basic patient care, utilizing technical skills, under the direct supervision of a registered professional (RN). Basic patient care includes, but is not limited to, assistance with activities of daily living, · vital signs, · and o ...

To provide basic patient care utilizing technical skills under direct supervision of a registered professional (RN) Basic patient care includes assistance with activities of daily living vital signs and obtaining intake output. · ...

Essex Center for Rehabilitation and Healthcareis a rehabilitation and skilled nursing facility located in Elizabethtown, New York. · (Help establish and implement employee policies and procedures) · (Mentor less experienced nurses, offering clinical & career advice) · ...