Case Management Utilization RN-Per Diem, Mid-Shift

Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient and other disciplines to coordinate a safe and acceptable discharge plan. Functions as an indirect caregiver, patient advocate and manages patients in the most cost effective way…

RN

Utilization Review

Per Diem

6 days ago

Registered Nurse Utilization Review

Ascension Pensacola, FL

JOB DESCRIPTION Your future role at a glance Location: Pensacola , FL Facility: Ascension Sacred Heart Emerald Coast Department: Surgery Schedule: Day | PRN How you’ll make an impact in this role Reviews admissions and service requests within assigned unit for prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement policy criteria. Provides case management and/or consultation for complex cases. Assists departmental staff with issues related to coding,…

RN Case Manager, Utilization Review, PRN

Northwest Florida Community Hospital Chipley, FL

PRN RN CASE MANAGER – UTILIZATION REVIEW Northwest Florida Community Hospital (NFCH) Department: Med-Surg / Utilization Review Position Type: PRN (As Needed) Location: Chipley, Florida Position Summary Northwest Florida Community Hospital (NFCH) is seeking a qualified and motivated PRN Registered Nurse (RN) Case Manager to support our Med-Surg department. This position is responsible for reviewing patient admissions and continued stays, coordinating patient care, and ensuring appropriate…

RN Utilization Review- PRN Weekends

MedStar Health Town Center, MD

$42.82 - $71.16 / hour

About this Job: ***This position requires an individual to have acute Utilization Review experience and must be able to work 4 weekend shifts a month. You must also be available to train consistently in-person, which may include some weekday shifts*** General Summary of Position Conducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital…

Case Manager LVN Utilization PRN McAllen

South Texas Health System McAllen McAllen, TX

Responsibilities POSITION SUMMARY: Under the guidance and supervision of the Director, the clinical associate will perform retrospective reviews for payors, utilizing the current documentation system and enter the appropriate ICD/CPT and DRG when indicated. May be occasions when it will be necessary to work weekends, holidays, evenings, nights, and/or on-call/call-back status. Demonstrates Service Excellence standards at all times. Qualifications QUALIFICATIONS: 1. 5 years of varied clinical…

Case Manager Utilization RN, Per Diem Day

Kaiser Permanente Bellflower, CA

Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for Inpatient hospitalization. Interacts with the family, patient and other disciplines to coordinate a safe and acceptable discharge plan. Functions as an indirect caregiver, patient advocate and manages patients in the most cost effective way…

UTILIZATION REVIEW NURSE (RN), Case Management - Per Diem

Northern Nevada Health System Sparks, NV

Responsibilities When it comes to choosing a hospital, one thing is clear: quality and convenience count. Northern Nevada Medical Center's tradition of providing quality healthcare in a comfortable, accessible environment means peace of mind for the thousands of patients served by the hospital each year. Northern Nevada Medical Center is a 124-bed acute care hospital located on 23 hillside acres at 2375 E. Prater Way in Sparks, Nevada. Website: https://www.nnmc.com Job Summary: This Utilization…

RN Utilization Review - PRN Weekends

MedStar Health Clinton, MD

$89,065 - $162,801 / year

About this Job: **Must be local to the DC/MD region with acute Utilization Review RN experience** General Summary of Position Conducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital disciplines to ensure high-quality patient care in the most efficient way. Primary Duties and Responsibilities Conducts admission concurrent and…

UTILIZATION MANAGMENT (UM) COORDINATOR - PRN

UHS Franklin, TN

Responsibilities At Rolling Hills , our mission is to offer compassionate, safe, effective behavioral healthcare treatment. We use solution-focused strategies and diligently strive for a safe and positive environment for patients, families, and employees. We never forget that we provide care and comfort to people in need. The Utilization Management Coordinator monitor appropriate utilization of services throughout the course of treatment for patients admitted to the inpatient and outpatient…