... review and specific managed care issues. * Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department ...
... review and specific managed care issues. * Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department ...
Director of Utilization
Henderson, NV · On-site
... review and specific managed care issues. * Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department ...
Director of Utilization
Henderson, NV · On-site
... review and specific managed care issues. * Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department ...
... review and specific managed care issues. * Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department ...
... review and specific managed care issues. * Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department ...
Utilization Specialist
Henderson, NV · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Provide ongoing support and training for staff on documentation or charting requirements, continued ...
Utilization Specialist
Henderson, NV · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Provide ongoing support and training for staff on documentation or charting requirements, continued ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Provide ongoing support and training for staff on documentation or charting requirements, continued ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Provide ongoing support and training for staff on documentation or charting requirements, continued ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Provide ongoing support and training for staff on documentation or charting requirements, continued ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Provide ongoing support and training for staff on documentation or charting requirements, continued ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Provide ongoing support and training for staff on documentation or charting requirements, continued ...
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Provide ongoing support and training for staff on documentation or charting requirements, continued ...
Utilization Specialist
Henderson, NV · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Provide ongoing support and training for staff on documentation or charting requirements, continued ...
Utilization Specialist
Henderson, NV · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Provide ongoing support and training for staff on documentation or charting requirements, continued ...
Utilization Specialist
Henderson, NV · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Provide ongoing support and training for staff on documentation or charting requirements, continued ...
Utilization Specialist
Henderson, NV · On-site
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Provide ongoing support and training for staff on documentation or charting requirements, continued ...
Comprehensive education and training center * Competitive Compensation & Generous Paid Time Off ... Two years experience in Utilization Review, Utilization Management or Case Management preferred.
Comprehensive education and training center * Competitive Compensation & Generous Paid Time Off ... Two years experience in Utilization Review, Utilization Management or Case Management preferred.
Comprehensive education and training center * Competitive Compensation & Generous Paid Time Off ... Two years experience in Utilization Review, Utilization Management or Case Management preferred.
Comprehensive education and training center * Competitive Compensation & Generous Paid Time Off ... Two years experience in Utilization Review, Utilization Management or Case Management preferred.
Comprehensive education and training center * Competitive Compensation & Generous Paid Time Off ... Two years experience in Utilization Review, Utilization Management or Case Management preferred.
Comprehensive education and training center * Competitive Compensation & Generous Paid Time Off ... Two years experience in Utilization Review, Utilization Management or Case Management preferred.
Comprehensive education and training center * Competitive Compensation & Generous Paid Time Off ... Two years experience in Utilization Review, Utilization Management or Case Management preferred.
Comprehensive education and training center * Competitive Compensation & Generous Paid Time Off ... Two years experience in Utilization Review, Utilization Management or Case Management preferred.
Comprehensive education and training center * Competitive Compensation & Generous Paid Time Off ... Two years experience in Utilization Review, Utilization Management or Case Management preferred.
Comprehensive education and training center * Competitive Compensation & Generous Paid Time Off ... Two years experience in Utilization Review, Utilization Management or Case Management preferred.
Comprehensive education and training center * Competitive Compensation & Generous Paid Time Off ... Two years experience in Utilization Review, Utilization Management or Case Management preferred.
Comprehensive education and training center * Competitive Compensation & Generous Paid Time Off ... Two years experience in Utilization Review, Utilization Management or Case Management preferred.
Comprehensive education and training center * Competitive Compensation & Generous Paid Time Off ... Two years experience in Utilization Review, Utilization Management or Case Management preferred.
Comprehensive education and training center * Competitive Compensation & Generous Paid Time Off ... Two years experience in Utilization Review, Utilization Management or Case Management preferred.
Comprehensive education and training center * Competitive Compensation & Generous Paid Time Off ... Two years experience in Utilization Review, Utilization Management or Case Management preferred.
Comprehensive education and training center * Competitive Compensation & Generous Paid Time Off ... Two years experience in Utilization Review, Utilization Management or Case Management preferred.
Comprehensive education and training center * Competitive Compensation & Generous Paid Time Off ... Two years experience in Utilization Review, Utilization Management or Case Management preferred.
Comprehensive education and training center * Competitive Compensation & Generous Paid Time Off ... Two years experience in Utilization Review, Utilization Management or Case Management preferred.
Comprehensive education and training center * Competitive Compensation & Generous Paid Time Off ... Two years experience in Utilization Review, Utilization Management or Case Management preferred.
Comprehensive education and training center * Competitive Compensation & Generous Paid Time Off ... Two years experience in Utilization Review, Utilization Management or Case Management preferred.
Comprehensive education and training center * Competitive Compensation & Generous Paid Time Off ... Two years experience in Utilization Review, Utilization Management or Case Management preferred.
Comprehensive education and training center * Competitive Compensation & Generous Paid Time Off ... Two years experience in Utilization Review, Utilization Management or Case Management preferred.
Free Utilization Review Training information
What is free utilization review training?
Free utilization review training refers to educational programs or courses that teach individuals the fundamentals of utilization review without requiring payment. Utilization review is a process used in healthcare to assess the necessity, efficiency, and appropriateness of medical services, procedures, or admissions. These free training options are often available online and can help nurses, case managers, or other healthcare professionals gain the skills needed to pursue roles in utilization management. Training typically covers topics such as clinical guidelines, insurance protocols, and regulatory compliance. Completing such training can enhance career opportunities in healthcare case management and insurance settings.
What are the key skills and qualifications needed to thrive as a utilization review nurse, and why are they important?
To thrive as a Utilization Review Nurse, you need a current RN license, strong clinical assessment skills, and knowledge of insurance and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and possibly certifications like Certified Utilization Review Nurse (CURN) are typically expected. Excellent communication, analytical thinking, and attention to detail are standout soft skills in this position. These abilities are crucial for ensuring appropriate patient care, compliance, and cost-effective healthcare delivery.
What are some common challenges faced by professionals during utilization review training, and how can they be overcome?
During utilization review training, professionals often encounter challenges such as adapting to complex healthcare regulations, learning to interpret medical records efficiently, and effectively applying clinical guidelines to decision-making. Overcoming these challenges requires strong attention to detail, ongoing engagement with training modules, and seeking mentorship from experienced utilization review nurses or case managers. Actively participating in case discussions and staying updated with industry standards can also help trainees build confidence and competence for a successful career in utilization review.
What is the difference between Free Utilization Review Training vs Utilization Review Nurse?
| Aspect | Free Utilization Review Training | Utilization Review Nurse |
|---|---|---|
| Credentials | Typically no formal credentials required; focus on training programs | Registered Nurse (RN) license required, with possible certifications like CCM or UR-specific credentials |
| Work Environment | Training sessions, online courses, workshops | Hospitals, insurance companies, healthcare facilities |
| Employer & Industry Usage | Used for skill development and certification prep | Performing reviews, making coverage decisions, ensuring appropriate care |
Free Utilization Review Training provides foundational knowledge and skills for those interested in entering or advancing in utilization review roles. In contrast, a Utilization Review Nurse is a licensed healthcare professional actively performing review duties in clinical settings. The training is often a prerequisite or supplement to the nurse's practical work, which requires licensure and clinical experience.
How to become a free utilization review training?
To pursue free utilization review training, individuals can seek online courses, webinars, or workshops offered by healthcare organizations or professional associations. Gaining knowledge of medical terminology, insurance processes, and review protocols is essential, and some programs may require prior healthcare experience or certification in related fields.
What are popular job titles related to Free Utilization Review Training jobs in Nevada?
For Free Utilization Review Training jobs in Nevada, the most frequently searched job titles are:
What job categories do people searching Free Utilization Review Training jobs in Nevada look for?
The top searched job categories for Free Utilization Review Training jobs in Nevada are:
- Utilization Review No Experience
- Lpn Utilization Review Work From Home
- Online Utilization Review
- Remote Nicu Utilization Review
- Remote Physical Therapy Utilization Review
- Remote Chiropractic Utilization Review
- Lpn Utilization Review
- Utilization Review 1099
- Remote Aetna Utilization Review Nurse
- Weekend Utilization Review
What cities in Nevada are hiring for Free Utilization Review Training jobs?
Cities in Nevada with the most Free Utilization Review Training job openings:
Job description
Overview
Seven Hills is a behavioral health hospital serving juveniles, adolescents, adults and geriatric patients. Seven Hills Behavioral Health is located in beautiful, Las Vegas, Nevada. We are seeking a Director of Utilization. We are seeking an individual who is passionate about helping others, while working in a dynamic and collaborative environment.
PURPOSE STATEMENT:Â
Direct and manage the day-to-day operations of the Utilization Review department.Â
ResponsibilitiesESSENTIAL FUNCTIONS:Â
- Monitor utilization of services and optimize reimbursement for the facility while maximizing use of the patient's provider benefits for their needs. Â
- Conducts and oversees concurrent and retrospective reviews for all patients. Â
- Act as a liaison between Medicaid reviewers and the staff completing required paperwork to facilitate the Utilization Review process. Â
- Collaborates with physicians, therapist and nursing staff to provide optimal review based on patient needs. Â
- Collaborates with ancillary services in order to prevent delays in services. Â
- Evaluates the UM program for compliance with regulations, policies and procedures.Â
- May review charts and make necessary recommendations to the physicians, regarding utilization review and specific managed care issues. Â
- Provide staff management to including hiring, development, training, performance management and communication to ensure effective and efficient department operation.Â
OTHER FUNCTIONS: Â
- Perform other functions and tasks as assigned.Â
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:Â
- Bachelor's Degree in nursing or other clinical field required. Master's Degree in clinical field preferred. Â
- Six or more year's clinical experience with the population of the facility preferred.Â
- Four or more years' experience in utilization management required.Â
- Three or more years of supervisoryexperience required.Â
LICENSES/DESIGNATIONS/CERTIFICATIONS: Â
- If applicable, current licensure as an LPN or RN within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services.Â
We are committed to providing equal  employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.
AHCORP
#LI-SHBH
Employment Type: FULL_TIME
About SEVEN HILLS HOSPITAL
Sourced by ZipRecruiter
Company size
11 - 50 Employees
Headquarters location
Henderson, NV, US
Year founded
2008