Job Seekers, Welcome to Managed Care Career Center
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
Search Results: 1313 Jobs
Create Alert
Loading... Please wait.
Lee Health Logo
Lee Health

Fort Myers, Florida

NEW! NEW!
Phoenix Children's Logo
Phoenix Children's

Phoenix, Arizona

NEW! NEW!
UCHealth Logo
UCHealth

Steamboat Springs, Colorado

NEW! NEW!
NEW! NEW!
Northwest Permanente, Kaiser Permanente Northwest Logo
Northwest Permanente, Kaiser Permanente Northwest

Portland, Oregon

NEW! NEW!
NEW! NEW!
NEW! NEW!
Phoenix Children's Logo
Phoenix Children's

Phoenix, Arizona

NEW! NEW!
Nemours Logo
Nemours

FL,

NEW! NEW!
Baylor Scott & White Health Logo
Baylor Scott & White Health

Temple, Texas

NEW! NEW!
Northeast Georgia Health System Logo
Northeast Georgia Health System

Gainesville, Georgia

NEW! NEW!
AdventHealth Logo
AdventHealth

Ocala, Florida

NEW! NEW!
AdventHealth Logo
AdventHealth

Altamonte Springs, Florida

NEW! NEW!
NEW! NEW!
AdventHealth Logo
AdventHealth

Ocala, Florida

NEW! NEW!
Loading... Please wait.
Utilization Review Coordinator / Case Management / PRN
DescriptionPOSITION SUMMARY:  Registered Nurse uses approved screening criteria (MCG®/CMS Inpatient List) to determine the medical necessity of a requested hospitalization and the appropriate level of care for that patient. Actively involved in the continued management of patient status/LOC. Provides consultative role as utilization management nurse to clinical and non-clinical departments.    Documents objective findings against approved indicators.  Assists with retrospective reviews and medical necessity denials per communication with third party payors.  Follows UR policies and procedures and assists with continually improving the quality and effectiveness of the utilization management program at CSVRMC.Requirements


This job listing is no longer active.

Check the left side of the screen for similar opportunities.
Loading. Please wait.