VFMC is a specialty hospital committed to providing high-quality care to individuals facing substance use disorders combined with medical comorbidities. We are currently seeking a skilled Utilization Review Nurse or Registered Nurse (RN) to join our team. If you have a passion for ensuring patients receive the right care at the right time, we invite you to apply and contribute to our mission of improving lives through compassionate healthcare at our corporate office in Lakewood NJ. Looking to get off the busy inpatient floor but still looking to use your skills as a Registered Nurse? Position Overview: As a Utilization Review Nurse specializing in substance use disorders, you will be responsible for conducting thorough reviews of patient charts to assess medical necessity and obtain authorizations for necessary treatments. Your expertise will be crucial in ensuring that our patients receive optimal care. What you will do: Review patient charts to assess the medical necessity of ongoing treatment at a hospital level of care. 2. Collaborate with healthcare providers to gather necessary clinical information for authorization purposes. 3. Communicate effectively with insurance providers to obtain timely authorizations for treatment services. 4. Update our EMR system with newly obtained authorization number and adjust the level of care. What you should have: 1. Registered Nurse (RN) with a valid and current license. Acute care experience. 2. 1 year of experience in utilization review preferred. 3. Strong understanding of medical necessity criteria and authorization processes preferred. 4. Excellent communication and interpersonal skills. 5. Detail-oriented with strong organizational and chart review skills. Schedule: M-F 9-5p Valley Forge Inc
...The Security Officer is responsible for the safety and security of all people and property in and around the healthcare facility. They... ...Responses in public areas. Conducts preliminary investigations in hospital-related incidents and works with local law enforcement when...
...The Harris County Tax Assessor-Collectors Office is seeking a dynamic and results-oriented Chief People Officer (CPO) to lead the Talent Division and drive the office's people strategy. The CPO will be responsible for identifying, recruiting, onboarding, training, and...
The Portland branch of Waiter.comis focused on sustainable catering and food delivery to Portland's downtown offices. Utilizing a mixture of Electrified Cargo bikes and Car based deliveries, we create and design custom menus and restaurant rotations for our corporate ...
...Remote Medical Biller & Coder (Entry-Level & Experienced) Company: Rooted Talent Solutions... ...billers and coders to join our healthcare support team. This is a remote, independent... ...medical claim processing, coding, and administrative support for healthcare providers....
...the Medical Services of America family currently seeks an experienced Full-Time Registered Nurse for our Hospice patients in Butler, PA (Butler and Beaver Counties). As a member of the multidisciplinary team, the RN works under the general direction of the...