Utilization Review Jobs in Providence
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Providencecarenewengland.org
patient outcomes and ensure care is provided in the most appropriate setting.
Duties & Responsibilities:
1. Transition of Care Planning
2. Utilization Review
3. Point of Entry and Emergency Department Duties, when applicable per assignment
4. Utilization...
Supplemental Health CareBoston, 41 mi from Providence
Supplemental Health Care is seeking a travel nurse RN Utilization Review for a travel nursing job in Boston, Massachusetts.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: ASAP
• Duration: 13 weeks...
American TravelerAttleboro, 11 mi from Providence
Degree (BSN or related field) required
• Minimum 3 years of case management experience required
• Case management experience in an acute care setting required
• Proficiency in utilization review and denials management required
Additional Information...
American TravelerAttleboro, 11 mi from Providence
or related field) required
• Minimum 3 years of case management experience required
• Case management experience in an acute care setting required
• Proficiency in utilization review and denials management required
Additional Information
• Responsibilities...
American TravelerAttleboro, 11 mi from Providence
Information
• Responsibilities include admission criteria review, care coordination, discharge planning, and utilization review
• Orientation consists of 40 hours (approximately 1 week) focused on system processes and the ED environment
• All time off...
American TravelerAttleboro, 11 mi from Providence
Responsibilities include admission criteria review, care coordination, discharge planning, and utilization review
• Orientation consists of 40 hours (approximately 1 week) focused on system processes and the ED environment
• All time off and scheduling requests...
Providencecarenewengland.org
commitment to professional growth and maintenance of skills for self and other care planning staff.
In collaboration with treatment team, performs utilization review functions and serves as the primary liaison with ERO's.
Observes relevant hospital...
Providencecarenewengland.org
with treatment team, performs utilization review functions and serves as the primary liaison with ERO's.
• Demonstrates commitment to professional career growth and maintains core age specific and specialty competency for all patient populations.
• Observes...
Providencecarenewengland.org
the course of treatment and clinical progress of patients
• Works with social service clinician to ensure clinical documentation supports utilization review needs
• Remains fluent with available community resources to make recommendations...
Providencecarenewengland.org
Maintains knowledge of daily caseloads of staff as it pertains to Discharge Planning and Utilization Review and make decisions to ensure that daily work is completed as required
36. Maintains a current knowledge of length of stay data and helps develop...
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