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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....

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...

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...

Kindred Healthcare - Houston, TX

Case Manager, Case Management, CM, Utilization Review, CCMC, RN, Registered Nurse, Hospital, Healthcare, Long Term Acute Care, Transitional Care Hospitals....

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....

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....

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...

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...

BAYADA Home Health Care - Washington, DC

Monitor episodic utilization. Current RN license in good standing. Review clinical documentation, including OASIS and care plan coding....


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