…family education, payor relations and total fiscal management. The CM II performs ongoing utilization review and acts as a liaison to the payor while assuring

…up and keep Administrator informed. Lead/oversee the PP/Clinical Reimbursement meeting and Utilization Review group. Promote a culture of Service Excellence.

…As a care manager, be responsible for obtaining authorization based on the review of each patient record and establishing a clinical level of care. Continue

…Case Manager provides comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. Utilize the nursing process for optimum

Permanent Utilization Review Nurse position with a well respected hospital in Northern VA. The UR Nurse will be responsible for determining the medical

Additional Job Information Title: Utilization Review Coordinator City, State: Hoffman Estates, IL Location: AMITA Health - Behavioral Health Hospital Department:

…at least 5 years of recent case management experience in a hospital setting and utilization review experience. Work Schedule PRN during the week (8am - 5pm) and

Job ID: 257626 RN Utilization Review Analyst Wichita, Kansas Regular / Day Additional Job Information Title: Analyst- Utilization Review City, State:

…coordination of care and utilization management. Responsible for managing clinical utilization review for delegated health plans. Working closely with the

…to 5 years of recent clinical nursing experience.Previous care management, utilization review or discharge planning experience.Managed care experience.KNOWLEDGE,