Inpatient Utilization Management Jobs (NOW HIRING)

Active involvement in various aspects of the utilization management process, including concurrent review of all hospital admissions, retrospective review of inpatient admissions under 48 hours, and ...

Leads and directs a multidisciplinary team of healthcare services professionals in some or all of the following functions: utilization management, care management, behavioral health and other ...

Leads and directs a multidisciplinary team of healthcare services professionals in some or all of the following functions: utilization management, care management, behavioral health and other ...

Utilization Management Registered Nurse (UM RN) We're seeking a dedicated and detail-oriented ... In this role, you'll perform both inpatient and outpatient utilization reviews while supporting ...

Leads and directs a multidisciplinary team of healthcare services professionals in some or all of the following functions: utilization management, care management, behavioral health and other ...

As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files ... For Inpatient RNs, performs unit based inpatient case management duties, with the ability to ...

... INPATIENT | RN | 0630-1500 | Vacant | Open HOSPITAL OPERATIONS | INPATIENT | RN | 0630-1500 ... As a Utilization Management Nurse on the team, you will be responsible for reviewing patient files ...

Manage the full Utilization Management process from initial review through discharge planning. * Conduct daily inpatient and concurrent reviews and coordinate appropriate levels of care. * Coordinate ...

... outpatient or inpatient care as well as the appropriate level of care. The role requires ... Knowledge, Skills and Abilities 1. Knowledge of utilization management is preferred. 2. Highly ...

... outpatient or inpatient care as well as the appropriate level of care. The role requires ... Knowledge, Skills and Abilities 1. Knowledge of utilization management is preferred. 2. Highly ...

Maintain contact with the inpatient facility utilization review personnel to assure appropriateness of continued stay and level of care. * Identify cases that require discharge planning, including ...

The Utilization Management Nurse performs medical necessity and benefit review requests in ... with both inpatient and outpatient reviews including Behavioral Health, DME, Genetic Testing ...

... inpatient psychiatric setting as a treatment team member or * 5 -7 years of experience in ... utilization management for both mental health and substance abuse behavioral health disorders.

Reviews utilization management functions including preauthorization and inpatient navigation functions to affect continual improvement in services provided by performance of routine interrater ...

Ensure the use of nationally recognized criteria and evidence-based standards for inpatient ... One (1) year of experience in utilization management is required. * Excellent communication and ...

Role Overview The Contract Utilization Management Nurse plays a critical role in ensuring high ... Concurrent review of all hospital admissions (observation and inpatient) with the Interdisciplinary ...

... inpatient psychiatric setting as a treatment team member or * 5 -7 years of experience in ... utilization management for both mental health and substance abuse behavioral health disorders.

The Utilization Management Nurse performs medical necessity and benefit review requests in ... with both inpatient and outpatient reviews including Behavioral Health, DME, Genetic Testing ...

Role Overview The Contract Utilization Management Nurse plays a critical role in ensuring high ... Concurrent review of all hospital admissions (observation and inpatient) with the Interdisciplinary ...

Monitor members both inpatient/outpatient - provide updates to Director of Utilization Management and the clinical care teams * Recommend more appropriate care if required Assess and coordinate ...