Utilization Review Jobs

DIRECTOR PATIENT CARE COORDINATIONREGISTERED NURSEUnder the direction of the Administrative Director Patient Financial Services, the DIRECTOR CARE COORDINATION, in collaboration with the...

Position Summary:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge,...

DIRECTOR PATIENT CARE COORDINATIONREGISTERED NURSEUnder the direction of the Administrative Director Patient Financial Services, the DIRECTOR CARE COORDINATION, in collaboration with the...

Position Summary:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge,...

**Description** The schedule and shift for this position is Fri, Sat, Sunday 7a-7:30p JOB DESCRIPTION: The Utilization Review Nurse (UR RN) is responsible for conducting medical necessity reviews...

Prime HealthCare Staffing is currently seeking RN - Utilization Review for positions in Kealakekua, Hawaii The ideal candidate will possess a current Hawaii license. This is a RN position in the...

Review medical records to determine appropriateness and medical necessity of admission, continued hospital stay and use of ancillary services. QUALIFICATIONS: Associate degree or equivalent...

Summary The individual in this position is responsible to facilitate effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of...

POSITION OVERVIEW:To maintain the day-to-day operations and coordination of the utilization reviews, pre-certs, and Transitional Care Coordination for high-risk patients discharged to Jefferson...

Prime HealthCare Staffing is currently seeking RN - Utilization Review for positions in Grants Pass, Oregon The ideal candidate will possess a current Oregon license. This is a RN position in the...

RIDGEVIEW, a not-for-profit community mental health center based in Oak Ridge, TN, has an immediate opening for a Utilization Review Specialist / Nurse. This is a PRN (as needed) utilization review...

Summary:The Utilization Review/Denial Specialist works with the care team to evaluate medical acuity for appropriate level of care orders and documentation to facilitate insurance coverage, and...

Prime HealthCare Staffing is currently seeking RN - Utilization Review for positions in Kealakekua, Hawaii The ideal candidate will possess a current Hawaii license. This is a RN position in the...

Prime HealthCare Staffing is currently seeking RN - Utilization Review for positions in Medford, Oregon The ideal candidate will possess a current Oregon license. This is a RN position in the...

Review medical records to determine appropriateness and medical necessity of admission, continued hospital stay and use of ancillary services. QUALIFICATIONS: Associate degree or equivalent...

Position Summary:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge,...