Description The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports...

Hospitals on Incredible Health are actively hiring and accepting applications in the Macon, GA area for the following position: Registered Nurse - Utilization Review. Nurses with experience in any of the following areas are strongly encoura...

Hospitals on Incredible Health are actively hiring and accepting applications in the Macon, GA area for the following position: Registered Nurse - Utilization Review. Nurses with experience in any of the following areas are strongly encoura...

Hospitals on Incredible Health are actively hiring and accepting applications in the Macon, GA area for the following position: Registered Nurse - Utilization Review. Nurses with experience in any of the following areas are strongly encoura...

Hospitals on Incredible Health are actively hiring and accepting applications in the Jackson, MI area for the following position: Registered Nurse - Utilization Review. Nurses with experience in any of the following areas are strongly encou...

Hospitals on Incredible Health are actively hiring and accepting applications in the Jackson, MI area for the following position: Registered Nurse - Utilization Review. Nurses with experience in any of the following areas are strongly encou...

Hospitals on Incredible Health are actively hiring and accepting applications in the Jackson, MI area for the following position: Registered Nurse - Utilization Review. Nurses with experience in any of the following areas are strongly encou...

for appropriateness of admission; performing initial, continued stay, and retrospective reviews if applicable. Submits initial reviews... established processes with the Physician Advisors to manage second level and peer to peer reviews. Ensure patient status...

building your career at FLHSMV! Duties and Responsibilities This position is responsible for conducting audits and reviews... to determine the accuracy of reported data and compliance with regulatory requirements. These audits and reviews are documented...

Responsibilities Coordinates and reviews all medical records, as assigned to caseload. Actively participates in Case...

-in-Charge, executing transaction reviews, secondary reviews of transactional testing completed by others, and issues management... process execution for new and existing clients, providing direct and timely feedback on transactional reviews Provides...

for all medical record reviews, manages inter-reviewer reliability to ensure consistent and defensible clinical decisions across the.... Essential Duties and Responsibilities Own and administer the quality assurance process for all medical record reviews...

reviews to address complex management and systemic problems and formulate recommendations for the effective solution of these... reviews to determine compliance with laws, rules, policies and procedures and to assess the quality of services provided...

in insuring complete review of development permitting requests for a department or major program in a department. Reviews...

, executes audit procedures, supervises and reviews the work of others, analyzes and synthesizes results of testing performed...

to ensure timely permit processing and consistent decision-making. Reviews and signs off on complex or high-profile development...

clinical reviews on all patient admissions and continued stays. UR analyzes patient records to determine legitimacy...

clinicians to support Applied Behavior Analysis (ABA) clinical reviews and authorization assessments. Resources... reauthorizations, clinical reviews, and appeals as applicable Ensure documentation is complete, compliant, and audit ready...

. This position reviews both capital and private development projects for conformance with adopted codes and statutes. Essential... Duties: Reviews, processes, and approves private development engineering plans, reports, model outputs...

reviews to address complex management and systemic problems and formulate recommendations for the effective solution of these... reviews to determine compliance with laws, rules, policies and procedures and to assess the quality of services provided...