…admission to the infirmary (when available), transfer to emergency room and utilization review process for specialty consultant referrals.Supervises care given

…as appropriate.Maintain confidentiality and security of health records and medical information. Review status of inmates with serious health problems ensuring all

…while providing notification to HSA Assesses established policies and procedures with re- review as neededSubmits weekly and monthly reports of audits for Quality

…care services regarding admissions, case management, discharge planning and utilization review .Responsibilities:Reviews admissions and service requests within

Additional Job Information Title: RN-Spclst- Utilization Review City, State: Lisle,IL Location: Navistar Department: Total Quality Management 002 Additional Job

Multiple RN openings for Utilization Review Nurses, Auditors, Case Managers, and Program Specialists located in Portland, Oregon! We have both long-term and

JOB SUMMARY: The Utilization Review (UR) Nurse is a registered nurse who provides clinical review against nationally recognized medical necessity criteria

Manager of Utilization Review HCA Hospitals - MountainStar Healthcare - Mountain Division The Division Office that supports the Mountain Division of HCA

…necessity, timely, cost effective provision of care and quality outcomes. The Utilization Review Case Manager is responsible for conducting concurrent,

…and Division oversight related to all operational aspects of a centralized utilization review . Provide leadership in developing and executing strategic