949 registered nurse rn utilization review jobs found

41206689 Overview Utilization Review - RN Per Diem, Fully Remote Works with physicians and multidisciplinary team members to develop a plan of care for assigned patients. Ensures patient is progressing towards desired outcomes by monitoring care through assessments and/or patient records. Identifies and resolves barriers that hinder effective patient care. Actively involved in discharge planning process. * Inpatient UR experience strongly preferred Responsibilities Works with Medical Director and appropriate physician(s) to establish Dartmouth-Hitchcock (D-H) ambulatory and inpatient procedure list, updates and maintains list. Reviews reservation forms and the log of emergent and urgent admissions daily. Identifies areas that require intervention and education around the use of definitions. Reviews “one day stays” to assess appropriate use of level of care (LOC) determinations. Works with individual physicians and office staff when they are...

Department Integrated Case Management Job Summary The Utilization Management Case Manager (UMCM) utilizes professional nursing and critical thinking skills to assess patients for a clinically appropriate level of care. The UMCM maintains a strong knowledge base of evidence based clinical criteria (Milliman), and federal, state UR requirements, and adeptly identifies pertinent clinical information that will support admission and continued stay hospitalization. When potential denials for payment or level of care arise, the UMCM collaborates with the floor ICM staff, Revenue Cycle, involved physicians and/or the Physician Advisors (PA) as needed to attain second level review/approval to effectively overturn the denial or help determine appropriate transition for the patient. UMCM interact extensively with clinical staff throughout the hospital, other ICM staff, physicians, payers, and hospital financial staff in order to achieve appropriate level of care or placement...

Department Integrated Case Management Job Summary The Clinical Case Manager (CCM) is a dynamic role that utilizes professional nursing skills to assess patient and family situations while considering clinical appropriateness for the acute or an alternate setting and establishing plans for effective management of the continuum of care (episodic and population-based) by performing assessments, plans, interventions, and reassessments in a collaborative manner. CCM works closely with Medical Staff, Psychosocial Case Managers, Nursing, Allied Health disciplines, hospital business/financial services, agencies across the continuum (internal and external) and payers. The key goals of the CCM includes proactive, individualized planning for patients' progress across the continuum that optimizes quality of care, utilization, cost and patient experience. The CCM also leads activities directed toward improving appropriate utilization across populations of patients to meet holistic care...

Department Integrated Case Management Job Summary The Clinical Case Manager (CCM) is a dynamic role that utilizes professional nursing skills to assess patient and family situations while considering clinical appropriateness for the acute or an alternate setting and establishing plans for effective management of the continuum of care (episodic and population-based) by performing assessments, plans, interventions, and reassessments in a collaborative manner. CCM works closely with Medical Staff, Psychosocial Case Managers, Nursing, Allied Health disciplines, hospital business/financial services, agencies across the continuum (internal and external) and payers. The key goals of the CCM includes proactive, individualized planning for patients' progress across the continuum that optimizes quality of care, utilization, cost and patient experience. The CCM also leads activities directed toward improving appropriate utilization across populations of patients to meet holistic care...

6073 The information described in this job description has been designed to indicate the general nature of the work performed. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. Other information: Job Summary Responsible to the Department Director/Manager/Administrator at the Mount Vernon Surgery Center and is to be clinically competent; delivers care to patients utilizing the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and other health team members while maintaining standards of professional nursing. Performs procedural care for perioperative, pain and gastroenterology patients undergoing procedures at Skagit Regional Health (SRH) hospitals and ambulatory surgery locations in accordance with established guidelines. Works effectively and cooperatively within...

locationsNorth Fulton Hospital time typeFull time posted onPosted 3 Days Ago job requisition idJR-38379 How 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 simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Job Summary: Wellstar North Fulton Hospital has an opportunity for a RN Care Coordinator. Full-time Day shift The Care Coordinator RN (CC RN) is responsible for assessing transitional care needs, coordinating care across the continuum, and engaging with patient and family to assure care needs are met. The CC RN plans effectively to meet the patient's needs, manage the...

locationsCobb Hospital time typePart time posted onPosted Yesterday job requisition idJR-36467 How 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 simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Wellstar Cobb Hospital is excited to introduce a new and impactful role on our NICU Unit: the Admission/Discharge Education Nurse. This unique position offers a dedicated focus on providing consistent and comprehensive education to all NICU patients, ensuring they are fully informed and supported during their hospital stay and transition home. This role is critical to...

locationsNorth Fulton Hospital time typeFull time posted onPosted 2 Days Ago job requisition idJR-37219 How 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 simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Job Summary: Wellstar North Fulton Hospital has an opportunity for a Registered Nurse (RN) in Surgical Ortho MedSurg. Full-Time Day The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. They...

locationsNorth Fulton Hospital time typeFull time posted onPosted 2 Days Ago job requisition idJR-38270 How 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 simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Job Summary: Wellstar North Fulton Hospital has an opportunity for a Registered Nurse (RN) in Acute Care - Ortho Surgical. Full-Time Day shift. The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient...

locationsNorth Fulton Hospital time typePart time posted onPosted 4 Days Ago job requisition idJR-38080 How 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 simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Job Summary: Wellstar North Fulton Hospital has an opportunity for a Registered Nurse (RN) in Acute Care - Surgical. Part-Time Night The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. They...

locationsWellstar MCG Health Warm Springs, Inc. time typePart time posted onPosted Today job requisition idJR-38894 How 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 simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Job Summary: The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. They practice in a clinical environment that is administered by Nurse Managers and other leaders and is supported through...

locationsNorth Fulton Hospital time typePart time posted onPosted 2 Days Ago job requisition idJR-35302 How 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 simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Job Summary: Registered Nurse (RN) - Labor & Delivery Full time Nights At least one year of Labor and Delivery Unit experience preferred This position may qualify for a sign on bonus and/or relocation assistance The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that...

remote typeOnsite locationsWellstar Douglasville Medical Building time typeFull time posted onPosted 2 Days Ago job requisition idJR-38558 How 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 simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Job Summary: The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. They practice in a clinical environment that is administered by Nurse Supervisors/ Office...

locationsCobb Hospital time typeFull time posted onPosted Today job requisition idJR-37110 How 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 simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Wellstar Cobb Hospital has an opportunity for a Registered Nurse (RN)- Emergency Department This position i s Full-Time/ Mid Shift (3 pm - 3 am) SIGN ON BONUS ELIGIBLE POSITION Job Summary: The RN Clinical Nurse Emergency Department is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and...

locationsKennestone Hospital time typeFull time posted onPosted 2 Days Ago job requisition idJR-6481 How 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 simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Blue 6 West functions as a specialized medical unit with 24 beds dedicated to Thoracic Surgery and Cardiac Telemetry. This unit caters to a diverse range of patients, including those undergoing thoracic surgery, individuals with complex medical conditions, and those dealing with cardiac issues and related comorbidities. Among the common admission diagnoses are cases...

locationsKennestone Hospital time typeFull time posted onPosted 2 Days Ago job requisition idJR-6679 How 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 simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Blue 6 West functions as a specialized medical unit with 24 beds dedicated to Thoracic Surgery and Cardiac Telemetry. This unit caters to a diverse range of patients, including those undergoing thoracic surgery, individuals with complex medical conditions, and those dealing with cardiac issues and related comorbidities. Among the common admission diagnoses are cases...

locationsKennestone Hospital time typeFull time posted onPosted 2 Days Ago job requisition idJR-6672 How 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 simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. WellStar Kennestone Hospital has an opportunity for a Registered Nurse - General Cardiac Full time - Day Shift Blue 6 West functions as a specialized medical unit with 24 beds dedicated to Thoracic Surgery and Cardiac Telemetry. This unit caters to a diverse range of patients, including those undergoing thoracic surgery, individuals with complex medical...

locationsDouglas Hospital time typeFull time posted onPosted Today job requisition idJR-35754 How 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 simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Job Summary: The RN Clinical Nurse Emergency Department is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. They practice in a clinical environment that is administered by Nurse Managers and other leaders and is supported through...

locationsWellStar Medical Group - Austell (1700 Hospital) time typeFull time posted onPosted 3 Days Ago job requisition idJR-38579 How 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 simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Job Summary: The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. They practice in a clinical environment that is administered by Nurse Supervisors/ Office Managers and...

locationsCobb Hospital time typeFull time posted onPosted 2 Days Ago job requisition idJR-37645 How 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 simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Wellstar Cobb Hospital has an opportunity for a Registered Nurse (RN)- Emergency Department This position i s Full-Time/ Evenings (3 pm - 3 am)/Weekend SIGN ON BONUS ELIGIBLE POSITION Job Summary: The RN Clinical Nurse Emergency Department is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients,...

locationsKennestone Hospital time typeFull time posted onPosted 2 Days Ago job requisition idJR-37403 How 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 simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Job Summary: The RN Clinical Nurse Critical Care is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. They practice in a clinical environment that is administered by Nurse Managers and other leaders and is supported through...

locationsCobb Hospital time typeFull time posted onPosted Today job requisition idJR-36833 How 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 simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Wellstar Cobb Hospital has an exciting opportunity for a Pediatric Registered Nurse (RN) - Pediatric Emergency Department The shift for this position is Full-Time/Nights (7 pm - 7 am) Job Summary: The RN Clinical Nurse – Emergency Department is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families...

locationsWellstar Orthopedic & Sports Medicine time typeFull time posted onPosted 3 Days Ago job requisition idJR-38334 How 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 simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Job Summary: The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed and unlicensed caregivers who ensure that patients, families and significant others receive individualized high quality, safe patient care. They practice in a clinical environment that is administered by Nurse Supervisors/Office Managers and other leaders...

locationsKennestone Hospital time typeFull time posted onPosted 2 Days Ago job requisition idJR-0144 How 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 simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Job Description When you become a member of the Cardiac Service Line at Wellstar Kennestone Regional Medical Center, you will join an award-winning team at one of the top 100 hospitals. Our Cardiac Program has earned the elite Comprehensive Cardiac Center Certification from the Joint Commission by providing continuously reliable care to high-risk cardiac patients....