Top 10 Utilization review nurse Jobs in Wilmington De

CLINICAL DOCUMENTATION COORD - VALLEY HEALTH SYSTEM (VARIED POSITIONS)
Valley Health System Consolidated Services —Philadelphia, PA
- Nursing
- RN License
- 5 years
- Health insurance
- Dental insurance
Nurse Care Manager
Meta Care Inc., —Philadelphia, PA
- From $70,000 a year
- Full-time
- Acute care
- Nursing
- Skilled nursing facility
- Mileage reimbursement
- Disability insurance
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1d
Case Manager
GSPP Rehabilitation —Philadelphia, PA
- 8 hour shift
- Nursing
- RN License
- Licensed Clinical Social Worker
Care Manager
GSPP Rehabilitation —Philadelphia, PA
- 8 hour shift
- Nursing
- RN License
- Licensed Clinical Social Worker

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Registered Nurse - RN Case Manager
Chesapeake Care Resources —North East, MD
RN license in the state of Maryland or compact state license. Prior teaching/training experience preferred. Strong background in case management.
$75,000 - $80,000 a year
Quick Apply
RN Case Manager - flexible evening shift, 32 hours per week
Bayside Community Network —Elkton, MD
Unrestricted RN license in Maryland or multi-state license (Required). Driver's License with 2 years driving experience (Required).
From $72,000 a year
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MDS Coordinator - LVN/RN
Paradigm at Creekside —Gahanna, OH
Must possess a current, unencumbered, active license to practice as a Licensed Practical Nurse or Registered Nurse in the State.
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Case Manager / PRN ( RN / RT / SW / LPN )
Select Specialty Hospital - Columbus Vic Village(Grant) —Columbus, OH
Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN)or a Respiratory Therapist OR current license / certified Social Work license per…
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CLINICAL DOCUMENTATION COORD - VALLEY HEALTH SYSTEM (VARIED POSITIONS)

Valley Health System Consolidated Services
Philadelphia, PA

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Job Details

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching

Qualifications

Computer operation
Word processing
Computer literacy
Spreadsheets
Physiology knowledge
Pathology
Acute care facility experience
Productivity software
Technical Proficiency

Full Job Description

Responsibilities

The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 1979, the Valley Health System has grown to include Centennial Hills Hospital Medical Center, Spring Valley Hospital Medical Center, Summerlin Hospital Medical Center,Henderson Hospital , Valley Health Specialty Hospital and West Henderson Hospital.

Benefit Highlights:

Comprehensive education and training center
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plans
401(K) with company match and discounted stock plan
Career opportunities within VHS and UHS Subsidies
Challenging and rewarding work environment

Job Description: Provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the utilization
and documentation of acute care services. The goal of concurrent review includes facilitation of appropriate physician documentation of care delivered to accurately reflect patient severity of illness and risk of mortality. Specific reviews are both determined internally and by requirements/requests of external payers or regulatory agencies and play a significant role in reporting quality of care outcomes and in obtaining accurate and compliant reimbursement for acute care services.

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#LifeAtVHS

Qualifications

Education: Associates or Bachelors Degree in Nursing or International Medical Graduate

Experience: Minimum of five (5) years of clinical experience in an acute care setting; critical care,
medical/surgical or Emergency Department nursing preferred.

Technical Skills: Computer proficiency to include word processing, databases, and spreadsheets. Familiarity
with the operation of basic office equipment.

License/Certification: Current RN license in the state in which they reside/practice if Registered Nurse.
Other Knowledge of age-specific needs and elements of disease processes and related procedures
required. Strong broad-based clinical knowledge and understanding of pathology/physiology
of disease processes. Working knowledge of inpatient admission criteria, Medicare
reimbursement system and coding systems preferred, but not required. Must possess
excellent written and verbal communication skills and critical thinking skills. Ability to work
independently in a time oriented environment is essential.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

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utilization review nurse jobs in wilmington de

CLINICAL DOCUMENTATION COORD - VALLEY HEALTH SYSTEM (VARIED POSITIONS)

Nurse Care Manager

Case Manager

Care Manager

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