utilization review rn jobs
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St. Francis Medical Center - Lynwood, CA
Valid CA RN license. Works effectively with case management staff to finalize all necessary reviews and retro reviews to decrease denials....
Bariatric Surgery Coordinator, Part Time Days
The Methodist Hospital of Southern California - Arcadia, CA
Current CA RN license required. The MBS coordinator works closely with the medical director, bariatric surgeons, nursing staff and other disciplines to ensure...
Case Manager- Social Worker or RN
Hill Country Memorial - Fredericksburg, TX
Prefer knowledge/ experience in case management and utilization review. Perform utilization review function such as review of patient status and work closely...
Case Manager Kindred Hospital Medical Center, TX 77030
Kindred Healthcare - Houston, TX
Case Manager, Case Management, CM, Utilization Review, CCMC, RN, Registered Nurse, Hospital, Healthcare, Long Term Acute Care, Transitional Care Hospitals....
Director, Quality and Risk Management- Central Campus
Abrazo Central Campus - Phoenix, AZ
RN not required - if RN, then licensed in Arizona. Oversee the coordination of medical staff peer review. Is responsible for the implementation, coordination...
Kenaitze Indian Tribe - Kenai, AK
Oversees and completes peer review activities. Physicians, Nurse Practitioners, Physician Assistants, & RN Supervisor....
RN - Case Manager - Acute Care
Castle Medical Center - Kailua, HI
Additionally, the Case Manager serves as a consultant to the healthcare team on specific patient items and performs utilization review on assigned patients....
Utilization Management Services Manager,RN - Health Plan
Children's Medical Center - Dallas, TX
Current Texas RN license. Provides direction to staff regarding utilization review, care coordination, discharge planning, and other services across the...
RN CASE MANAGER
Carilion Clinic - Roanoke, VA
Performs Utilization Review for appropriateness of admission, intensity of service, and continued stay. Five years of recent experience in a clinical health...
Nurse Manager - Home Health
BAYADA Home Health Care - Washington, DC
Monitor episodic utilization. Current RN license in good standing. Review clinical documentation, including OASIS and care plan coding....