Utilization review jobs in Mount Vernon, NYCreate job alerts

Specialty: Utilization Review * Discipline: RN * Duration: 13 weeks * 38 hours per week * Shift: 10 hours, days * Employment Type: Travel We're seeking talented healthcare professionals whose ...

Must have a minimum of 2 years experience performing utilization review, claims adjudication, medical review, fraud investigation, surveillance, or monitoring activities; OR * 3 years of clinical or ...

... utilization review plan for the Residence; monitors compliance and reports regularly to the Regional Director on the status of compliance efforts. • Reports all untoward incidents and directs ...

Participate in Utilization reviews and remaining available for emergency consultations. • Analyze the best medications or therapy treatment to help patient maximize quality of life. * Maintain ...

... utilization, aesthetics, and effectiveness of the work environment. * Oversees furniture ... Liaises with vendors and leads the process of reviewing and accepting bids and proposals on ...

Assess, review, and maintain that daily resident care needs are met, and appropriate resident care is given * Address resident and staff concerns to promote quality care * Supervise staff nurses and ...

Visits each assigned home weekly (minimally) to provide nursing oversight and complete review of items. * Interacts with primary, medical specialists, various clinical staff as necessary. * Advocate ...

Registered Nurse (RN) will ensure retention, review and maintain each Individuals health records and Immunization records. * Registered Nurse ensures acquisition of physical examination by physician ...

Review medication administration records for completeness at end of shift. * Give and receives the nursing report and follow through on any special instructions. * When in charge makes periodic ...

Responsible for assigning and managing physician peer reviews * Responsible for calling patients post operatively to check in and assess via phone prior to post op appointment * Partnering with ...

Commercial payer reviews, disposition determination, retro/self-audit, MC variance, admission clinical review. * The RN Care Manager collaborates with all Health Care professionals to evaluate the ...

Review patient charts for missing labs, reports, and/or open orders * Triage urgent same day or double book appointment requests * Coordinate and participate in daily huddles * Assist with inventory ...

Minimum of two (2) years utilization review/case management experience or social work experience.

Minimum of two (2) years utilization review/case management experience or social work experience. Licensed professional nurse may be considered. Commission for Case Management Certification (CCMC) or Association of Rehabilitation Nurses).

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in White Plains, New York. Posted job title: Case Management (Utilization Review).

Minimum of two (2) years utilization review/case management experience or social work experience.

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in White Plains, New York. Posted job title: Case Management (Utilization Review).

Minimum of two (2) years utilization review/case management experience or social work experience.

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in White Plains, New York. Posted job title: Case Management (Utilization Review).