Remote Utilization Review Rn Jobs Near Me

Conducts prior authorization reviews to determine financial responsibility Qualifications * 2 years Inpatient background with Hospital Nursing (Med-Surg, ER) * Well versed in Utilization Management ...

Works with the Utilization Management team primarily responsible for inpatient medical necessity ... Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Nurses ...

Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications A confidential ... Many DUR roles offer hybrid or fully remote schedules. * Rewards: Competitive salary, benefits, and ...

Qualifications Utilization Review in hospital setting . Prior author experience . Inpatient hospital experience . Nurses who are used to doing both production and review work . RN required . Millemen ...

Remote position with onsite attendance required for training, meetings, and other team needs. Fully ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:

Remote position with onsite attendance required for training, meetings, and other team needs. Fully ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:

High school diploma required; associate or bachelor's degree in nursing, healthcare administration, or related field preferred * Must be 21 or older * Experience in utilization review, case ...

Job Duties Review medical records to determine appropriateness of admissions, procedures and ... affecting utilization management. PositionRequirements Bachelor's degree required. Active RN ...

Utilization Management Representative I Cincinnati, OH Columbus, OH Mason, OH Location: This role ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...

Current licensure as a registered nurse in the state of Ohio is required. * Valid Ohio driver ... Utilization review, and/or discharge planning experience desirable. Physical Requirements:

Utilization review, prior authorization, or managed care experience preferred. * Active OH RN Licensure * Experienced with either Interqual or Milliman Licenses/Certifications: Current RN, required.

One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred. * OASIS experience ...

One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred. * OASIS experience ...

The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...

The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...

The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...

Position Summary This is a remote work from home role anywhere in the US with virtual training ... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years ...

Registered Nurse (RN) Care Manager - Home Health Role Summary: The Registered Nurse (RN) Care ... Participate actively in team meetings, quality improvement projects, and utilization review ...

Registered Nurse (RN) Care Manager - Home Health Role Summary: The Registered Nurse (RN) Care ... Participate actively in team meetings, quality improvement projects, and utilization review ...

... RN/LPN to join our amazing team! Job Duties * Maintain the current MDS status of each resident, in ... Coordinate and attend daily Casemix Meetings, weekly Utilization Review Meetings, and monthly ...