Top 6 Utilization review nurse Jobs in Jonesboro, Ar

Utilization Review/Case Manager, Full-Time
Arkansas Methodist Medical Center —Paragould, AR
- Full-time
- Mid-level
- Computer skills
- LPN
Medical Field Case Manager
Enlyte —Jonesboro, AR
- $63,000 - $70,000 a year
- Full-time
- Nursing
- Microsoft Outlook
- RN License
- Travel reimbursement
- Health savings account
12d
UTILIZATION EXPERT - RN - WEEKENDS
St. Bernards Healthcare —Jonesboro, AR
- Weekends as needed
- Nursing
- RN License
- Hospital
Quick Apply
13d
Nurse-Navigator RN: Cancer Center
Baptist Memorial Health Care —Jonesboro, AR
- CPR Certification
- Nursing
- RN License
CENTRAL TRANSFER COORD-RN OR LPN
St. Bernards Healthcare —Jonesboro, AR
- Weekends as needed
- Nursing
- RN License
- Hospital
Quick Apply

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KabaFusion —Jonesboro, AR
Current state driver’s license. Registered Nurse license in good standing. Make a difference by using your clinical IV experience and personal touch to assist…
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[RN] Night Nurse Supervisor | Because Great Teams Don't Build Themselves
Ridgecrest Nursing and Rehabilitation Center —Jonesboro, AR
Participate in the maintenance and implementation of the facility’s quality assurance program for the. Participate in the maintenance and implementation of the…
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10d

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Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…
7d
Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence. Exp. in the delivery of a health services program or…
$40.40 an hour
8d

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utilization review nurse jobs near jonesboro, ar

Utilization Review/Case Manager, Full-Time

Arkansas Methodist Medical Center -
Paragould, AR

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Job Details

Full-time

Qualifications

Health record chart audits
Computer skills
LPN
Documentation reviews

Full Job Description

Position Summary:

Reviews and abstracts data from Medical Records. Ensures completion and accuracy of key nursing and physician documentation in the Medical Record.
Assures accuracy of Arkansas Medicaid Log and filing of insurance letters of certifications and denials.
Responsible for concurrently reviewing and coordinates all inpatient stays for the appropriateness of admission and continued stay (according to intensity of service and severity of illness criteria). Assists with issuing Medicare denial letters when necessary. Responsible for chart abstraction studies for certain payer groups. Assist with delivery of important messages from Medicare.
Facilitates D/C planning efforts through early identification of high risk patients. Facilitates communications and continuity of care between reference agencies and hospital. To assess the patient’s needs and desires regarding quality of life following hospitalization.

Required Education/Training/Experience: A minimal of a Licensed Practical Nurse with computer skills a must. Clinical knowledge in the review of patient’s records. A minimal of two years nursing experience.

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utilization review nurse jobs in jonesboro, ar

Utilization Review/Case Manager, Full-Time

Medical Field Case Manager

UTILIZATION EXPERT - RN - WEEKENDS

Nurse-Navigator RN: Cancer Center

CENTRAL TRANSFER COORD-RN OR LPN

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