AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Syracuse, New York. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks ...

target reviews for health plan insurance cases in a non-acute-care setting. The assignment supports skills-based hiring...

. You Will Review and analyze pre and post payment of complex health care claims from a medical perspective. Perform audits/reviews...

How you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued stays... and on a timely basis. Interface with managed care organizations, external reviews, and other payers. Communicate with physicians...

. Collaborate on training for Operations staff on findings of reviews and audits. Perform other duties as assigned...

: The Utilization Management (UM) Nurse is responsible for conducting medical necessity reviews up to 12 hours per day..., on any of the 7 days per week, utilizing Indicia for Case Management, and performs clinical reviews through document review...

. Job Summary: The Utilization Management Nurse (UM) Coordinator is responsible for conducting medical necessity reviews 24 hours... per day, 7 days per week. Utilizing mcg Indicia, clinical reviews are performed and clinical information shared with payers...

ownership of a case management program(s) pre- authorization reviews to provide Medically Necessary timely and quality health... care services in the most cost-effective manner and pharmacy reviews per population served.We recruit retain and advance...

Social Worker - Clinical Review Team and Team Lead Setting: Healthcare Facilities Job Type: Contract - Full Time Pay: $32 / Hour Hours: 39.00 Location: Augusta, ME The Social Worker - Clinical Review Team and Team Lead collabora...

required for highly-complex and/or escalated reviews, and providing expert guidance to team members and partnering with the health care... and/or escalated reviews, and providing expert guidance to team members and partnering with the health care team, members...

Responsibilities The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with in 1979, the Valley Health System has grown to include , , , Benefit Hig...

**Warehouse/Shipping/Production Opportunities!** You will assist in the distribution and shipping operations of home goods products. Fast Scheduling - When you apply with Marathon, you could be working in a few days (depending on curren...

Utilization Management Nurse (UM) Coordinator is responsible for conducting medical necessity reviews 24 hours per day, 7 days... per week. Utilizing mcg Indicia, clinical reviews are performed and clinical information shared with payers and authorization...

. Job Summary: The Utilization Management Nurse (UM) Coordinator is responsible for conducting medical necessity reviews 24 hours... per day, 7 days per week. Utilizing mcg Indicia, clinical reviews are performed and clinical information shared with payers...

and collaborating with referring professionals for continuity of care. Complete concurrent reviews for mental health and dual diagnosis...

Utilization Management (UM) Nurse is responsible for conducting medical necessity reviews up to 12 hours per day, on any of the 7... days per week, utilizing Indicia for Case Management, and performs clinical reviews through document review, discussion...

About this Job: General Summary of Position Conducts admission concurrent and retrospective case reviews to ensure... is required. Primary Duties and Responsibilities Conducts admission concurrent and retrospective case reviews to meet hospital...

. Responsibilities: JOB SUMMARY The Utilization Review RN Specialist reviews and monitors utilization of health care services.... Responsible for coordinating and conducting medical necessity reviews for all Medicare, AHCCCS, Self-pay, and all other payers...

document discrepancies. Manage multiple document reviews while meeting client-driven deadlines and production schedules...

: Conduct concurrent and extended stay reviews on appropriate day and/or specified time. Prepare and submit appeals to third... acuity issues, third party payors needs and gather information for reviews. Work independently in gathering information...