UTILIZATION REVIEW RN
Seymour, IN · On-site
Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing ... Utilization Review and Medical Necessity * Concurrent Review and Length of Stay Management
UTILIZATION REVIEW RN
Seymour, IN · On-site
Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing ... Utilization Review and Medical Necessity * Concurrent Review and Length of Stay Management
Registered Nurse Utilization Review
Carmel, IN · On-site +1
$50 - $52/hr
Minimum of 3 years hospital based bedside nursing experience in Med/Surg, ER, or critical care * Utilization Review OR Case Management experience required * Must live locally in Indiana Life at ...
Registered Nurse Utilization Review
Carmel, IN · On-site +1
$50 - $52/hr
Minimum of 3 years hospital based bedside nursing experience in Med/Surg, ER, or critical care * Utilization Review OR Case Management experience required * Must live locally in Indiana Life at ...
UTILIZATION REVIEW RN
Seymour, IN · On-site
Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing ... DUTIES 1. Utilization Review and Medical Necessity 2. Concurrent Review and Length of Stay ...
UTILIZATION REVIEW RN
Seymour, IN · On-site
Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing ... DUTIES 1. Utilization Review and Medical Necessity 2. Concurrent Review and Length of Stay ...
Registered Nurse Utilization Review
Carmel, IN · On-site
$84K/yr
Minimum of 3 years hospital based bedside nursing experience in Med/Surg, ER, or critical care * Utilization Review OR Case Management experience required * Must live locally in Indiana Equal ...
New
Registered Nurse Utilization Review
Carmel, IN · On-site
$84K/yr
Minimum of 3 years hospital based bedside nursing experience in Med/Surg, ER, or critical care * Utilization Review OR Case Management experience required * Must live locally in Indiana Equal ...
New
The Utilization Review Specialist serves as a key resource in minimizing prescription delays ... Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ...
The Utilization Review Specialist serves as a key resource in minimizing prescription delays ... Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ...
The Utilization Review Specialist serves as a key resource in minimizing prescription delays ... Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ...
Quick apply
The Utilization Review Specialist serves as a key resource in minimizing prescription delays ... Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ...
The Utilization Review Specialist serves as a key resource in minimizing prescription delays ... Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ...
The Utilization Review Specialist serves as a key resource in minimizing prescription delays ... Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ...
... Nurse in the state of Indiana. Must be current in BLS. Experience: Two years of hospital clinical experience. Knowledge of medical standards of care, state and federal utilization review laws, and ...
... Nurse in the state of Indiana. Must be current in BLS. Experience: Two years of hospital clinical experience. Knowledge of medical standards of care, state and federal utilization review laws, and ...
... Nurse in the state of Indiana. Must be current in BLS. Experience: Two years of hospital clinical experience. Knowledge of medical standards of care, state and federal utilization review laws, and ...
... Nurse in the state of Indiana. Must be current in BLS. Experience: Two years of hospital clinical experience. Knowledge of medical standards of care, state and federal utilization review laws, and ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
Utilization Review RN
Indianapolis, IN · On-site
$30 - $34/hr
Expected to review 20 cases a day with a 95% accuracy rate. Responsible for collaborating with ... Must have clear and active RN license in the state of IN * 2 years of experience in a acute care ...
Utilization Review RN
Indianapolis, IN · On-site
$30 - $34/hr
Expected to review 20 cases a day with a 95% accuracy rate. Responsible for collaborating with ... Must have clear and active RN license in the state of IN * 2 years of experience in a acute care ...
... oversees utilization management including, but not limited to: utilization review, case ... Must have Registered Nurse license or Master's Degree. Experience: 5-7 yrs acute inpatient ...
... oversees utilization management including, but not limited to: utilization review, case ... Must have Registered Nurse license or Master's Degree. Experience: 5-7 yrs acute inpatient ...
Utilization Review RN
Indianapolis, IN · On-site
... reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. Qualifications * Must have clear and active RN license in the state of IN * AS ...
Utilization Review RN
Indianapolis, IN · On-site
... reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. Qualifications * Must have clear and active RN license in the state of IN * AS ...
Unit supported by Utilization Review (UR) and Social Worker * Established leadership and ... Health Nurse Practitioner (PMHNP) with an active Indiana license and DEA who has inpatient ...
Unit supported by Utilization Review (UR) and Social Worker * Established leadership and ... Health Nurse Practitioner (PMHNP) with an active Indiana license and DEA who has inpatient ...
The Nurse Practitioner will accurately document patient interactions in the electronic health record, participate in utilization review processes to ensure patient care and collaborate with ...
The Nurse Practitioner will accurately document patient interactions in the electronic health record, participate in utilization review processes to ensure patient care and collaborate with ...
The Nurse Practitioner will accurately document patient interactions in the electronic health record, participate in utilization review processes to ensure patient care and collaborate with ...
The Nurse Practitioner will accurately document patient interactions in the electronic health record, participate in utilization review processes to ensure patient care and collaborate with ...
The Nurse Practitioner will accurately document patient interactions in the electronic health record, participate in utilization review processes to ensure patient care and collaborate with ...
The Nurse Practitioner will accurately document patient interactions in the electronic health record, participate in utilization review processes to ensure patient care and collaborate with ...
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
Internship Nurse Practitioner Utilization Review information
What is an internship nurse practitioner utilization review?
An Internship Nurse Practitioner Utilization Review is a temporary position where a nurse practitioner in training is involved in evaluating the necessity, efficiency, and appropriateness of healthcare services and treatments. The role typically involves reviewing medical records, collaborating with healthcare teams, and ensuring that patient care meets established guidelines and standards. This internship provides hands-on experience in the utilization review process, helping future nurse practitioners develop important skills in clinical assessment, decision-making, and healthcare management.
What are the typical responsibilities of an internship nurse practitioner utilization review, and how does this role support the healthcare team?
As an Internship Nurse Practitioner in Utilization Review, your main responsibilities include reviewing patient records, assessing the appropriateness of medical services, and ensuring treatments meet established guidelines for medical necessity. You will collaborate closely with physicians, nurses, and case managers to coordinate care and may participate in interdisciplinary meetings to discuss complex cases. This role provides valuable exposure to healthcare policy, insurance processes, and quality assurance, all while supporting the healthcare team in delivering cost-effective and appropriate care.
What are the key skills and qualifications needed to thrive as an internship nurse practitioner utilization review, and why are they important?
Success as an Internship Nurse Practitioner Utilization Review requires a strong clinical background, familiarity with healthcare regulations, and an advanced nursing degree or enrollment in a nurse practitioner program. Proficiency with utilization management software, electronic health records, and knowledge of CMS guidelines is essential. Critical thinking, attention to detail, and effective communication help interns collaborate with healthcare teams and justify care decisions. These skills ensure appropriate, cost-effective patient care while maintaining compliance and quality standards.
What is the difference between Internship Nurse Practitioner Utilization Review vs Nurse Practitioner Utilization Review?
| Aspect | Internship Nurse Practitioner Utilization Review | Nurse Practitioner Utilization Review |
|---|---|---|
| Credentials | Enrolled in or recently completed nurse practitioner internship | Licensed Nurse Practitioner with certification |
| Work Environment | Supervised internship setting, training-focused | Independent or team-based utilization review in healthcare settings |
| Employer & Industry | Hospitals, clinics, or healthcare organizations during training | Insurance companies, healthcare providers, utilization review organizations |
Internship Nurse Practitioner Utilization Review roles are typically training positions for students or recent graduates gaining practical experience. In contrast, Nurse Practitioner Utilization Review positions require full licensure and involve independent review of healthcare services for appropriateness and coverage. The internship is a learning phase, while the full role focuses on decision-making and compliance in healthcare utilization management.
What are the most commonly searched types of Nurse Practitioner Utilization Review jobs in Indiana?
The most popular types of Nurse Practitioner Utilization Review jobs in Indiana are:
What cities in Indiana are hiring for Internship Nurse Practitioner Utilization Review jobs?
Cities in Indiana with the most Internship Nurse Practitioner Utilization Review job openings:
Schneck Medical Center rating
7.2
Based on 14 frontline employees who took The Breakroom Quiz
424th of 1,064 rated hospitals
Job description
Job Details
SALARY / 8:00am - 5:00pm / with on-call, weekend, & holiday rotation required
ELIGIBLE FOR $2,000 SIGN-ON BONUS!
JOB REQUIREMENTS EDUCATION Minimum: Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing with case management certification
LICENSE/CERTIFICATION Licensed RN in State of Indiana. Certification plan in place within 24 months of hire.
EXPERIENCE Minimum: 2-3 years of acute care clinical experience Preferred: 3-5 years of acute care clinical experience with strong knowledge of medical necessity criteria and payer requirements
JOB DUTIES
- Utilization Review and Medical Necessity
- Concurrent Review and Length of Stay Management
- Retrospective Review
- Payer Communication & Authorization
- Denials Management and Appeals
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
What Schneck Medical Center employees say
Pay
Benefits
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About Schneck Medical Center
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Seymour, IN, US
Year founded
1911