Conducts pre-certification, inpatient, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member ...
Conducts pre-certification, inpatient, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member ...
... review of the total resources available to patient pre and post-discharge from rehabilitation care. The Utilization Reviewer collaborates with the payer and rehabilitation team to ensure a successful ...
... review of the total resources available to patient pre and post-discharge from rehabilitation care. The Utilization Reviewer collaborates with the payer and rehabilitation team to ensure a successful ...
... review of the total resources available to patient pre and post-discharge from rehabilitation care. The Utilization Reviewer collaborates with the payer and rehabilitation team to ensure a successful ...
Quick apply
... review of the total resources available to patient pre and post-discharge from rehabilitation care. The Utilization Reviewer collaborates with the payer and rehabilitation team to ensure a successful ...
... review of the total resources available to patient pre and post-discharge from rehabilitation care. The Utilization Reviewer collaborates with the payer and rehabilitation team to ensure a successful ...
... review of the total resources available to patient pre and post-discharge from rehabilitation care. The Utilization Reviewer collaborates with the payer and rehabilitation team to ensure a successful ...
... review of the total resources available to patient pre and post-discharge from rehabilitation care. The Utilization Reviewer collaborates with the payer and rehabilitation team to ensure a successful ...
... review of the total resources available to patient pre and post-discharge from rehabilitation care. The Utilization Reviewer collaborates with the payer and rehabilitation team to ensure a successful ...
Communicates secondary review decisions determining appropriate patient status provided by ... Ability to work weekends and holidays required * Ability to demonstrate knowledge of levels of care ...
Communicates secondary review decisions determining appropriate patient status provided by ... Ability to work weekends and holidays required * Ability to demonstrate knowledge of levels of care ...
Communicates secondary review decisions determining appropriate patient status provided by ... Ability to work weekends and holidays required * Ability to demonstrate knowledge of levels of care ...
Communicates secondary review decisions determining appropriate patient status provided by ... Ability to work weekends and holidays required * Ability to demonstrate knowledge of levels of care ...
Communicates secondary review decisions determining appropriate patient status provided by ... Ability to work weekends and holidays required * Ability to demonstrate knowledge of levels of care ...
Communicates secondary review decisions determining appropriate patient status provided by ... Ability to work weekends and holidays required * Ability to demonstrate knowledge of levels of care ...
Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day Doctor's NeuroPsychiatric Hospitals is looking for a Utilization Review ...
Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day Doctor's NeuroPsychiatric Hospitals is looking for a Utilization Review ...
Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day Overview Doctor's NeuroPsychiatric Hospitals is looking for a Utilization Review ...
Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day Overview Doctor's NeuroPsychiatric Hospitals is looking for a Utilization Review ...
Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day Overview Doctor's NeuroPsychiatric Hospitals is looking for a Utilization Review ...
Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day Overview Doctor's NeuroPsychiatric Hospitals is looking for a Utilization Review ...
Conduct admission and concurrent reviews. * Maintain statistics and data as requested/required ... Certification in Utilization Management a plus. * Knowledge of regulatory and insurance required.
Conduct admission and concurrent reviews. * Maintain statistics and data as requested/required ... Certification in Utilization Management a plus. * Knowledge of regulatory and insurance required.
Conduct admission and concurrent reviews. * Maintain statistics and data as requested/required ... Certification in Utilization Management a plus. * Knowledge of regulatory and insurance required.
Conduct admission and concurrent reviews. * Maintain statistics and data as requested/required ... Certification in Utilization Management a plus. * Knowledge of regulatory and insurance required.
Conduct admission and concurrent reviews. * Maintain statistics and data as requested/required ... Certification in Utilization Management a plus. * Knowledge of regulatory and insurance required.
Conduct admission and concurrent reviews. * Maintain statistics and data as requested/required ... Certification in Utilization Management a plus. * Knowledge of regulatory and insurance required.
Conduct admission and concurrent reviews. * Maintain statistics and data as requested/required ... Certification in Utilization Management a plus. * Knowledge of regulatory and insurance required.
Conduct admission and concurrent reviews. * Maintain statistics and data as requested/required ... Certification in Utilization Management a plus. * Knowledge of regulatory and insurance required.
Utilization Management Nurse
Columbus, IN · On-site
By performing review of services prospectively, retrospectively, and throughout the episode of care ... utilization review, and medical necessity * Act and perform within the scope of professional ...
Utilization Management Nurse
Columbus, IN · On-site
By performing review of services prospectively, retrospectively, and throughout the episode of care ... utilization review, and medical necessity * Act and perform within the scope of professional ...
Utilization Management Nurse
Columbus, IN · On-site
By performing review of services prospectively, retrospectively, and throughout the episode of care ... utilization review, and medical necessity * Act and perform within the scope of professional ...
Utilization Management Nurse
Columbus, IN · On-site
By performing review of services prospectively, retrospectively, and throughout the episode of care ... utilization review, and medical necessity * Act and perform within the scope of professional ...
By performing review of services prospectively, retrospectively, and throughout the episode of care ... utilization review, and medical necessity - Act and perform within the scope of professional ...
Quick apply
By performing review of services prospectively, retrospectively, and throughout the episode of care ... utilization review, and medical necessity - Act and perform within the scope of professional ...
OASIS Review Nurse
Noblesville, IN · Hybrid
The Utilization Review Nurse is responsible for reviewing patient assessments to assist the Quality Improvement department in identifying areas for improvement to maximize reimbursement. * Reviews ...
OASIS Review Nurse
Noblesville, IN · Hybrid
The Utilization Review Nurse is responsible for reviewing patient assessments to assist the Quality Improvement department in identifying areas for improvement to maximize reimbursement. * Reviews ...
OASIS Review Nurse
Noblesville, IN · On-site
The Utilization Review Nurse is responsible for reviewing patient assessments to assist the Quality Improvement department in identifying areas for improvement to maximize reimbursement. * Reviews ...
OASIS Review Nurse
Noblesville, IN · On-site
The Utilization Review Nurse is responsible for reviewing patient assessments to assist the Quality Improvement department in identifying areas for improvement to maximize reimbursement. * Reviews ...
Weekend Utilization Review information
See Indiana salary details
$20.36 - $24.48
2% of jobs
$24.48 - $28.59
9% of jobs
$31.41 is the 25th percentile. Wages below this are outliers.
$28.59 - $32.71
21% of jobs
The median wage is $36.04 / hr.
$32.71 - $36.83
23% of jobs
$36.83 - $40.94
13% of jobs
$44.15 is the 75th percentile. Wages above this are outliers.
$40.94 - $45.06
10% of jobs
$45.06 - $49.18
8% of jobs
$49.18 - $53.30
5% of jobs
$53.30 - $57.41
5% of jobs
$57.41 - $61.53
2% of jobs
$61.53 - $65.65
2% of jobs
$20
$40
$65
How much do weekend utilization review jobs pay per hour?
What is a Weekend Utilization Review job?
What are the key skills and qualifications needed to thrive in the Weekend Utilization Review position, and why are they important?
What does a typical weekend shift look like for a Utilization Review professional?
- Remote Medical Review Nurse
- Utilization Review Nurse
- Utilization Review Physician
- Weekday Cvs Utilization Management Nurse
- Remote Medical Record Review Nurse
- Part Time Utilization Review Nurse
- No Experience Utilization Review Nurse
- Remote Utilization Review Rn
- Flex Schedule Remote Utilization Review Nurse
- Registered Nurse Utilization Review
- Remote Utilization Review Nurse Practitioner
- Per Diem Optum Utilization Review
- Lpn Utilization Review Work From Home
- Remote Preservice Review Nurse
- Remote Occupational Therapy Utilization Review
- Utilization Review Coordinator
- Remote Aetna Utilization Review
- Authorization Utilization Review
- Anthem Utilization Review Nurse
- Remote Anthem Utilization Review Nurse
Job description
Why You Should Work For Us:
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
- Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness of treatment setting by utilizing the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers, programs, or community resources.
- Applies clinical knowledge to work with facilities and providers for care coordination.
- Works with medical directors in interpreting appropriateness of care and accurate claims payment.
- May also manage appeals for services denied.
- Conducts pre-certification, inpatient, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
- Must have clear and active RN license in the state of IN
- AS/BS in Nursing or combination of education / experience
- 2 years of experience in an acute care clinical environment
- Strong computer skills/ability to navigate multiple systems (MS Outlook/Word/Excel)
Advantages of this Opportunity:
- Competitive salary
- Fun and positive work environment
- Medical benefits offered
Interested in being considered?Â
Apply now for immediate consideration! You may contact Christine Morta at (407) 233-0769.
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003