What does a Registered Nurse (RN) - Utilization Review Do?
The Registered Nurse (RN) - Utilization Review monitors patient charts and records to evaluate care concurrent with the patients treatment. Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Being a Registered Nurse (RN) - Utilization Review collects and complies data as required and according to applicable policies and regulations. Reviews treatment plans and status of approvals from insurers. In addition, Registered Nurse (RN) - Utilization Review consults with physicians as needed. May require a bachelor's degree. Typically reports ...to a supervisor. Typically requires Registered Nurse(RN). Being a Registered Nurse (RN) - Utilization Review contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. Working as a Registered Nurse (RN) - Utilization Review typically requires 4 to 7 years of related experience.More Show Less
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Job ID: 2024-13789. Category: Nursing. Facility Name: Fairbanks Memorial Hospital. Position Type: FA: Full Time. Shift: Varied. New Grad: No. Overview. The position is primarily accountable for performing initial clinical appropriateness reviews of requests for services that require prior authorization, initial, concurrent and/or retrospective review The review process is performed in accordance with established patient (health plan) protocols/gu...
This is a remote position that must live within 2-hours of Sioux Falls. Join the team at Avera. Award Winning Health Care. Avera has been named among the nation’s 15 Top Health Systems, Forbes list of America’s Best-in-State Employers and Level 10 Most Wired Health Care Organization by CHIME. Culture. Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward for you and our patients. Work where y...
Overview. Join our team as a day shift, PRN, Utilization Review Case Management Acute Care Rgistered Nurse in Albuquerque, NM. . Fulfilling your purpose begins here. People First, Always. Here’s how we take care of our people. Competitive salaries, support teams and growth opportunities. Your team is bigger than your department. Lovelace Health System includes six hospitals, 51 health care clinics and seven outpatient therapy clinics, with 619 in...
