Utilization Review Nurse Jobs - Page 3

RSS

124 Utilization Review Nurse jobs found on Monster.

Jobs 41 to 60 of 124
Description The Utilization Review Nurse oversees the authorization process to ensure that the member receives benefits in accordance with their coverage in a quality and cost effective manner. The goals of this position are to authorize only covered services that are medically necesary to appropriate physicians/vendors in a timely manner. Qualifications CA RN or LVN license Minimum of 3 years...
MountainView Hospital
Schedule: PRN/Per Diem Description The RN Case Manager/Utilization Review Nurse is responsible for assessing descharge-planning needs for the patients to coordinate the delivery of healthcare services in conjunction with nursing, physicians, ancillary hospital departments, patients and families, and to identifiy and corrdinate poste-hospital needs of all patients, infant through geriatrics, in o...
MountainView Hospital
Schedule: Full-time Description The role of the Emergency Department (ED) Point of Entry ( POE) Case Manager/Utilization Review Nurse is responsible for coordinating patient care services in the Emergency Department as a point of entry, as well as screening patients for medical necessity and appropriate level of care at the time of the physician order to status in Outpatient, Outpatient with Obs...
Parallon Business Solutions Las Vegas, NV
Description The RN Case Manager/Utilization Review Nurse is responsible for assessing descharge-planning needs for the patients to coordinate the delivery of healthcare services in conjunction with nursing, physicians, ancillary hospital departments, patients and families, and to identifiy and corrdinate poste-hospital needs of all patients, infant through geriatrics, in order to promote quality,...
Parallon Business Solutions Richmond, VA
Description Utilization Review Nurse (Prebill Denial Unit) The Richmond Shared Service Center for Parallon Business Solutions is seeking a motivated Full-Time Utilization Review Nurse for their PreBill Denial Unit. The applicant must be an RN or LPN/LVN with current state licensure. The Utilization Review Nurse will: perform activities focused on assessing medical necessity on patient accounts ...
Health One Las Vegas, NV
Registered Nurse Case Manager / UR Nurse - Case Management Department - Part Time - Days ( Job Number: 01541-9646 ) Work Location : United States-Nevada-Las Vegas-Sunrise Hospital and Medical Center Schedule : Part-time Description The RN Case Manager/Utilization Review Nurse is responsible for assessing descharge-planning needs for the patients to coordinate the delivery of healthcare service...
Continuum Health Partners, Inc. Manhattan, NY
“Engaging Talent for Extraordinary Careers” You may know Mt. Sinai Health System by our hospitals. Beth Israel Medical Center , Beth Israel Hospital/Brooklyn, Mt. Sinai Hosptal, Mt. Sinai Hospital /Queens,St. Luke’s-Roosevelt Hospitals, and New York Eye and Ear Infirmary are some of New York City ’s most distinguished health care providers. Mt. Sinai Health System prides itself on innovative care...
Scott and White Healthcare Temple, TX, 76502
Responsibilities Job Summary Provides care coordination, utilization review, and medical discharge planning to a defined area, service line, or physician group. Works cooperatively with multiple staff and providers both inside and outside of institution to achieve optimal outcomes for patients. Essential Functions Nurse Case Managers may function differently based upon assignment. There are ba...
Scott and White Healthcare Temple, TX, 76502
Responsibilities Last Reviewed: April 3, 2014 Job Summary Provides care coordination, utilization review, and medical discharge planning to a defined area, service line, or physician group. Works cooperatively with multiple staff and providers both inside and outside of institution to achieve optimal outcomes for patients. Essential Functions Nurse Case Managers may function differently based...
The RN Case Manager/Utilization Review Nurse is responsible for assessing descharge-planning needs for the patients to coordinate the delivery of healthcare services in conjunction with nursing, physicians, ancillary hospital departments, patients and families, and to identifiy and corrdinate poste-hospital needs of all patients, infant through geriatrics, in order to promote quality, continuity o...
Scott and White Healthcare Temple, TX, 76502
Responsibilities Last Reviewed: April 3, 2014 Job Summary Provides care coordination, utilization review, and medical discharge planning to a defined area, service line, or physician group. Works cooperatively with multiple staff and providers both inside and outside of institution to achieve optimal outcomes for patients. Essential Functions Nurse Case Managers may function differently based...
LogistiCare, Inc. Melville, NY, 11747
Knowledge and Skills: - RN with active state license - Supervisory experience and ability to manage and lead a small team of employees - Strong Utilization Review professional background preferred or at least 4 years recent clinical experience - Exceptional interpersonal skills with excellent written and verbal skills - Knowledge of clinical UR and QA, Medicaid, Medicare guidelines and covered ser...
The role of the Emergency Department (ED) Point of Entry ( POE) Case Manager/Utilization Review Nurse is responsible for coordinating patient care services in the Emergency Department as a point of entry, as well as screening patients for medical necessity and appropriate level of care at the time of the physician order to status in Outpatient, Outpatient with Observation Services or Inpatien...
LogistiCare, Inc. North Haven, CT, 06473
- 2 years customer service experience, preferably in a medical environment - Prior front office medical experience, medical case management, and/or medical social work experience a plus - Must be high school graduate with excellent verbal and written communication skills, problem solving, time management, organizational, customer service and phone skills - Must be able to handle heavy phone volume...
Texas Health & Human Services Commission Austin, TX, 78719
The Quality Nurse Specialist (QNS) is selected by the Manager Utilization Review and Lock- Program with the approval of the Director Quality Review. The QNS works under limited supervision with considerable latitude for the use of initiative and independent judgment. The QNS coordinates the quality review process, physician peer review, for acute care inpatient hospital admissions and freestanding...
MountainStar Healthcare Las Vegas, NV
Description The RN Case Manager/Utilization Review Nurse is responsible for assessing descharge-planning needs for the patients to coordinate the delivery of healthcare services in conjunction with nursing, physicians, ancillary hospital departments, patients and families, and to identifiy and corrdinate poste-hospital needs of all patients, infant through geriatrics, in order to promote quality,...
MountainStar Healthcare Richmond, VA
Description Utilization Review Nurse (Prebill Denial Unit) The Richmond Shared Service Center for Parallon Business Solutions is seeking a motivated Full-Time Utilization Review Nurse for their PreBill Denial Unit.The applicant must be an RN or LPN/LVN with current state licensure. The Utilization Review Nurse will: perform activities focused on assessing medical necessity on patient accounts u...
St. Joseph Medical Center Tampa, FL
Description In the performance of their respective tasks and duties all employees are expected to adhere to all IASIS Integrated Care Solutions policies and procedures, URAC standards, department specific rules, annual educational requirements, IASIS Standards of Conduct, federal and state contract requirements, and all other federal and state laws. • Read, abide by, and demonstrate an understan...
Health One Las Vegas, NV
Registered Nurse Case Manager (Point of Entry) - Emergency Department ( Job Number: 01541-9723 ) Work Location : United States-Nevada-Las Vegas-Sunrise Hospital and Medical Center Schedule : Full-time Description The role of the Emergency Department (ED) Point of Entry ( POE) Case Manager/Utilization Review Nurse is responsible for coordinating patient care services in the Emergency Department...
Sales Representative for Home Healthcare - Must have previous experience in sales. If you are a competitive, personable and independent home health care sales representative looking for a career with high growth potential, join Assisted’s dedicated team today. Assisted is one of the leading providers of home health services with multiple locations in Southern California and Arizona. Throughout t...

Get new jobs by email for this search
We'll keep looking and send you new jobs that match this search.
email me

Upload your resume and let employers find you!
It's that simple!

Healthcare Career Tools

Nurse Manager

Salaries

$53,040.00 - $103,400.00
Typical Salary for Nurse Manager
(313 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
41.2%
Master's
30.6%
Associates
22.7%
(216 Respondents)
Source: Monster.com Careerbenchmarking Tool

Popular Utilization Review Nurse Articles

Nursing Careers Beyond the Bedside Article Rating
Want to get away from direct care, but keep your seniority? These nonclinical hospital roles could be right for you.
Sample Resume for an RN Career Changer Article Rating
This sample resume demonstrates how experienced nurses can position themselves for jobs outside of the hospital.
For Employers: Post Jobs | Search Resumes | Advertise
About Monster | Work for Monster | Advertise with Us | AdChoices | Partner with Us | Investor Relations | Social Media
Terms of Use | Privacy Center | Accessibility Center | Help | Security | Contact Us | Sitemap | Mobile
©2014 Monster - All Rights Reserved U.S. Patents No. 5,832,497; 7,599,930 B1; 7,827,125 and 7,836,060 MWW - Looking for Monster Cable? - V: 2014.4.60.60-308
eTrustLogo