Utilization Review Nurse Jobs in Astoria, Oregon

Currently, there are no Utilization Review Nurse jobs available in Astoria, Oregon which match this search. You may wish to explore similar job titles on the Healthcare jobs in Oregon page or view related jobs below.
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Futures of Palm Beach is a one-of-a-kind residential eating disorders and substance abuse program with un-paralleled clinical programming. We offer evidenced based treatment, with a strong psychotherapeutic approach, with an additional focus developing leading edge treatments in both eating disorders and addictions. Futures is part of a growing company, with additional programs planned for U.S. an...
Judge Healthcare is currently seeking a Utilization Review Nurse in Syracuse, NY Performs utilization review in accordance with all state and federal mandated regulations. Reviews member records and, using approved criteria and member benefit information, ensures appropriate and cost effective healthcare services to members. Assists Care Coordination staff in the identification, assessment, manag...
COMPANY DESCRIPTION Newport Academy is a gender-specific, comprehensive treatment program for adolescents suffering from mental health, behavioral health and substance abuse issues located in Litchfield County. The program combines the key elements essential in effectively treating adolescent girls and boys with substance abuse and other mental health disorders. As compared with adults, adolescen...
Overview: As a patient-focused organization, the University of Utah Health Care exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health Care seeks staff that are committed to the values of compassion, collaboration, innovation, res...
Mountain View Regional Hospital, the premiere surgical specialty hospital in Casper, Wyoming, and the Rocky Mountaint region, is looking for motivated, enthusiastic applicants wishing to be a part of our exceptional team. We are seraching for: Utilization Review RN / Dishcarge Planner (FT): Manages patients in the healthcare contiuum to achieve optimal clinical, financial, operational and patien...
Company: Yoh Utilization Review Nurse needed for a permanent opportunity with Yoh's client located in Santa Clara, CA. The Big Picture - Top Skills You Should Possess: - Experience in Managed Care or Case Management - Knowledge of Medi-Cal & Medicare What You'll Be Doing: - Day-to-day utilization review for inpatient and outpatient activities, utilizing approved policies, standards, and clin...
Tracking Code 1161 Job Description Responsible for coordinating and conducting medical necessity reviews for all Medicare, Medicaid, self pay and all other payers, upon admission and concurrently throughout the inpatient admission. Responsible for the accurate and timely entry of information related to coordination of reviews into AS400, MIDAS, and all other appropriate systems. This position is...
What We Do: MCMC's success can be attributed to our diverse and talented work force.​ Our employees are the foundation of our business and are helping MCMC grow each year.​ Because of our tremendous growth, we are always in search of outstanding individuals.​ Workers Compensation Utilization Review Nurse SUMMARY: Responsible for performing workers compensation utilization review for multiple s...
Health Services for Children with Special Needs, Inc. in Washington, DC is currently seeking self-motivated candidates for a Utilization Review (UR) Nurse to focus on our inpatient members. The Utilization Review (UR) Nurse is responsible for the clinical review of pediatric and young adult members for all inpatient stays, homecare, outpatient rehabilitative therapy, durable medical equipment and ...
St. Joseph Medical Center Phoenix, AZ
Description The Utilization Review Nurse completes inpatient admission and concurrent reviews for Health Choice members, considering Interqual criteria and other national standards, policy and procedures and the members's medical benefits. Reviews are made on-site, telephonically, and via fax. Assist and coordinates the discharge planning needs of the member with the facility staff, attending phy...
Henry Ford Health Dearborn, MI
Overview Our health system thrives on teamwork, and we know our employees achieve the greatest results when they are working together for a common goal - to provide care for our patients. If you enjoy working in a collaborative environment then we have a job for you! Henry Ford Health System is one of the country's largest health care systems and a national leader in clinical care, research and ...
Alegent Creighton Health Lexington, KY
Utilization Review Nurse - SJH - FT - Days - 1400022844 Description Job Summary: Responsible for Utilization Review for medical necessity and level of care for patients accessing services at St. Joseph Hospital and St. Joseph East, though the application of InterQual Criteria and other resources as necessary. Determines correct patient status and obtains order from admitting physician. Cooperat...
NSHS Parent and Shared Service Manhasset, NY
Description As a Utilization Review Nurse you will review and coordinate prospective, concurrent and retrospective activities related to utilization. Monitor documentations for accuracy and clinical compliance. Organize and coordinate activities within the organization in accordance with standards of State and Federal regulations; and in accordance with accreditation and other guidelines. RESPON...
IASIS Healthcare Phoenix, AZ, 85002
The Utilization Review Nurse completes inpatient admission and concurrent reviews for Health Choice members, considering Interqual criteria and other national standards, policy and procedures and the members's medical benefits. Reviews are made on-site, telephonically, and via fax. Assist and coordinates the discharge planning needs of the member with the facility staff, attending physician, the m...
The Utilization Review Nurse will be responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime.Maxim is currently hiring for a full time Utilization Review RN in Darby, PA. The position details are listed below: 1. Full time hours 2. On-going contract 3. Day hours available ...
Catholic Health Initiatives Lexington, KY
Utilization Review Nurse - SJH - FT - Days - 1400022844 Description Job Summary: Responsible for Utilization Review for medical necessity and level of care for patients accessing services at St. Joseph Hospital and St. Joseph East, though the application of InterQual Criteria and other resources as necessary. Determines correct patient status and obtains order from admitting physician. Cooperat...
LifeBridge Health Baltimore, MD
Opportunity to telecommute/work from home; full-time and part-time positions available. Utilization Review experience is required. Conducts chart review for clinical, financial and resource utilization information. Provides intervention and coordination for the plan of care to promote efficient use of resources, decrease denial of payment, and decrease length of stay. Requirements:Formal workin...
My client near Dayton, OH has a need for a Utilization Review Nurse. This is a newly created position. Candidates can be a RN or LPN. They need a strong Utilization Review nurse (at least 2 yrs of utilization review experience). It would be a full time position. It would be an RN, could be an LPN, but they are usually nurses I believe because they're dealing with other nurses at insurance companie...
Catholic Health Initiatives Lexington, KY
Job Description Job Summary: Responsible for Utilization Review for medical necessity and level of care for patients accessing services at St. Joseph Hospital and St. Joseph East, though the application of InterQual Criteria and other resources as necessary. Determines correct patient status and obtains order from admitting physician. Cooperates with outside vendor on Medicare/Medicaid Observati...
People want to be treated like individuals. At Cigna, we get that. That’s why we embrace and encourage peoples’ uniqueness, helping to give them the strength and confidence to show the world who they really are. The coverage, expertise and services we provide are at the very core of how we help people achieve their full potential – and ultimately, improve their health, well-being and sense of secu...

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Nurse Manager

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