Utilization Review Jobs

Position Summary:The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes...

Job SummaryThe Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports...

Position Summary:The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes...

Job SummaryThe Utilization Review (UR) Nurse has acute knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports...

Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase...

Utilication Review Coordinator - Patient AccessDescription:Skilled in assessing, planning and managing patient care delivery as acquired through clinical nurse experience Must be in good physical...

The Care Manager assumes primary responsibility for documentation of appropriate medical necessity for the inpatient status or placement in observation. Communicates with the physicians and...

The role of the Utilization Review Nurse actively supports the management of a successful compliant utilization review program through planning, process evaluation, data analysis and establishing...

Position SummaryThe Utilization Review Specialist monitors adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital services and monitors the...

A small, acute care hospital located near Bakersfield, California has a fantastic opportunity for a full-time, permanent, Utilization Review Nurse , to come and work for their hospital! Great...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Position Summary: Reporting directly to the Chief Medical Officer (CMO), the...

JOB RELATIONSHIPS Position reports to the Director of Quality, Utilization Management, and Disease Specific Programs. . Works closely with Case Management staff, physicians, Vice President of...

Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase...

Utilication Review Coordinator - Patient AccessDescription:Skilled in assessing, planning and managing patient care delivery as acquired through clinical nurse experience Must be in good physical...

The Care Manager assumes primary responsibility for documentation of appropriate medical necessity for the inpatient status or placement in observation. Communicates with the physicians and...

The role of the Utilization Review Nurse actively supports the management of a successful compliant utilization review program through planning, process evaluation, data analysis and establishing...