Jobbörse
Finde Jobs in deiner Nähe – ob vor Ort, hybrid oder remote.- Ähnliche Jobs zu: Utilization Management RN (Hybrid)
Utilization Management RN (Hybrid)
TEXASCONNECT INCDallas
Department: Managed ServicesThis position will be hybrid in the Dallas, Texas area.Relocation assistance is availableThere are 6 open positions for this role.The Utilization Management (UM) RN perform
Utilization Review Nurse (Workers Compensation) - Dallas
Elite PC ServicesDallasUtilization Review Nurse for Workers' CompJob Purpose:Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine the medical necessity of the treatment
Seasonal Tax Expert – Retail
IntuitDallasOverviewIntuit is seeking highly motivated individuals to join our dynamic team as dedicated Tax Experts – Retail On-Site in one of our new TurboTax locations across the United States on a seasonal ba
Tax Professional – Retail
IntuitDallasOverviewIntuit is seeking highly motivated individuals to join our dynamic team as dedicated Tax Associates – Retail On-Site in one of our new TurboTax locations across the United States on a seasonal
Senior Tax Advisor – In-Store
IntuitDallasOverviewIntuit is seeking highly motivated individuals to join our dynamic team as dedicated Tax Experts – Retail On-Site in one of our new TurboTax locations across the United States on a seasonal ba
Tax Professional - TurboTax Store
IntuitDallasOverviewIntuit is seeking highly motivated individuals to join our dynamic team as dedicated Tax Associates – Retail On-Site in one of our new TurboTax locations across the United States on a seasonal
Senior Tax Expert – Retail
IntuitDallasOverviewIntuit is seeking highly motivated individuals to join our dynamic team as dedicated Tax Experts – Retail On-Site in one of our new TurboTax locations across the United States on a seasonal ba
Tax Expert - TurboTax Store
IntuitDallasOverviewIntuit is seeking highly motivated individuals to join our dynamic team as dedicated Tax Experts – Retail On-Site in one of our new TurboTax locations across the United States on a seasonal ba
Seasonal Tax Associate – Retail
IntuitDallasOverviewIntuit is seeking highly motivated individuals to join our dynamic team as dedicated Tax Associates – Retail On-Site in one of our new TurboTax locations across the United States on a seasonal
Tax Accountant – Retail Location
IntuitDallasOverviewIntuit is seeking highly motivated individuals to join our dynamic team as dedicated Tax Experts – Retail On-Site in one of our new TurboTax locations across the United States on a seasonal ba
Tax Associate – In-Store
IntuitDallasOverviewIntuit is seeking highly motivated individuals to join our dynamic team as dedicated Tax Associates – Retail On-Site in one of our new TurboTax locations across the United States on a seasonal
Tax Accountant - In-Store
IntuitDallasOverviewIntuit is seeking highly motivated individuals to join our dynamic team as dedicated Tax Experts – Retail On-Site in one of our new TurboTax locations across the United States on a seasonal ba
Experienced Tax Expert – In-Store
IntuitDallasOverviewIntuit is seeking highly motivated individuals to join our dynamic team as dedicated Tax Experts – Retail On-Site in one of our new TurboTax locations across the United States on a seasonal ba
Tax Associate - TurboTax Store
IntuitDallasOverviewIntuit is seeking highly motivated individuals to join our dynamic team as dedicated Tax Associates – Retail On-Site in one of our new TurboTax locations across the United States on a seasonal
Seasonal Tax Expert – Retail
IntuitDallasOverviewIntuit is seeking highly motivated individuals to join our dynamic team as dedicated Tax Experts – Retail On-Site in one of our new TurboTax locations across the United States on a seasonal ba
Tax Expert - Retail
IntuitDallasOverviewIntuit is seeking highly motivated individuals to join our dynamic team as dedicated Tax Experts – Retail On-Site in one of our new TurboTax locations across the United States on a seasonal ba
Lead Respiratory Therapist
Wellstar Health Systems, Inc.DallasHow would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is
Inpatient Rehab Occupational Therapist
Wellstar Health Systems, Inc.DallasHow would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is
PRN Registered Respiratory Therapist II - Night Shift @ Cobb Hospital
Wellstar Health Systems, Inc.DallasHow would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is
Locum Diagnostic Teleradiologists needed ASAP in Texas!
Odyssey LocumsDallasTeleradiologists needed in Texas! ASAP - Ongoing Schedule: Saturday - Sunday Hours: 8 hours between 7 am and 12 pm CST License: Must have TX or IMLC Cases: CT, X-Ray, ultrasounds, some MR. Wee
Virtual Seasonal Family Nurse Practitioner - DC or TX Licensed
One MedicalDallasAbout Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn’t your average doctor’s office. We
Virtual Seasonal Physician Assistant - DC or TX Licensed
One MedicalDallasAbout Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn’t your average doctor’s office. We
Inpatient Physical Therapist- $10,000 Sign-On Bonus
Methodist Health SystemDallasHours of Work : 7:00 am to 3:30 pm; 8:00 am - 4:30 pm; or 10:00 am to 6:30 pm Days Of Week : M - F; or Tuesday through Saturday; or Sunday through Thursday Work Shift : 8X5 Day (United States of A
Merchandiser Stocker
Keurig Dr PepperDallasJob Overview:Merchandiser for Greater N. Arlington, Grand Prairie, Irving, Oak Cliff, Euless, TXHiring ImmediatelyThe Merchandiser is responsible for providing high-quality merchandising support for K
PRN Registered Respiratory Therapist II - NICU @ Cobb Hospital
Wellstar Health Systems, Inc.DallasHow would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is
Utilization Management RN (Hybrid)
- Dallas, Texas, United States
- Dallas, Texas, United States
Über
This position will be hybrid in the Dallas, Texas area.
Relocation assistance is available
There are 6 open positions for this role.
The Utilization Management (UM) RN performs utilization review activities, including, but not limited to, precertification, ensures appropriate level of care and status (Inpatient, Outpatient, and Observation) throughout admission and performs initial reviews, concurrent reviews, and retrospective reviews according to guidelines. Determines the medical necessity of requests by performing first level reviews. The UM nurse ensures a process that is efficient for providing care, ensuring timely and appropriate levels of care for the incoming patients. UM RN is responsible for preparing cases for Physician Advisor for 2nd level review. UM RN delegates accordingly to LVN and works in conjunction with a multi-disciplinary team to manage the care of patients in an ethical and fiduciary responsible manner. This position is hybrid with remote and in-office assignment.
SPECIFIC SKILLS NEEDED
• Knowledge of payer requirements
• Excellent verbal and written communication skills
• Ability to follow chain of command
• Highly developed ability to multi-task and maintain focus
• Proactive, can-do approach and desire to build positive working relationships through collaborative
problem-solving
• Self-motivated and results oriented. Must be able to demonstrate sound decision making, flexibility
and prioritization skills with minimal supervision.
• Strong organizational skills
• Basic computer skills: Word, Excel, PowerPoint, Outlook. Able to utilize multiple electronic systems.
Type 50 WPM
• Ability to apply appropriate UM criteria
EDUCATION/EXPERIENCE/TRAINING
Required:
• Current licensure as an RN in the state of California.
• A minimum of 2 years of bedside nursing experience in an acute care setting.
• A minimum of 2 years of case management experience.
Preferred:
• Certified Case Manager or Accredited Case Manager
• BSN
• Experience with Milliman Care Guidelines (MCG)
PIf51f7b9a4c
Sprachkenntnisse
- English
Dieses Stellenangebot stammt von einer Partnerplattform von TieTalent. Klick auf „Jetzt Bewerben”, um deine Bewerbung direkt auf deren Website einzureichen.