- Bluestone Child & Adolescent Psychiatric Hospital (University Heights, OH)
- …skills. Experience: A minimum of 1 year experience as a psychiatric nurse . 1-2 years-experience in behavioral health utilization review preferred. AGENCY ... to all Bluestone Intak email, faxes and phone calls. Review all referrals for clinical appropriateness within 10 minutes...tracking as needed. Perform all duties of the Psychiatric Nurse ( RN /LPN) role as needed or when… more
- Christus Health (Alexandria, LA)
- …the right skills and experience, apply today. Summary: The Clinical Documentation Registered Nurse collaborates extensively with physicians, nursing staff, other ... their resolution. * Coordinates with quality department by: providing concurrent review for core measures documentation, providing...as assigned. Requirements: * Associate's Degree in Nursing * RN License in state of employment or compact Work… more
- MVP Health Care (Rochester, NY)
- …Master's prepared and licensed mental health clinician (LMSW, LCSW, LMHC, etc.) or Licensed Registered Nurse ( RN ) required New York State license required ... . The Behavioral Health (BH) Professional is responsible for conducting utilization review for mental health and substance use treatment decisions. This individual… more
- MVP Health Care (Tarrytown, NY)
- …New York Qualifications you'll bring: Current New York State Licensure as a Registered Nurse required. Certification in Case Management required within 24 months ... with the Medical Director to ensure appropriate outcomes. Service Authorization & Review : Conduct prospective, concurrent , and retrospective reviews to determine… more
- Actalent (Austin, TX)
- Clinical Review Nurse - Concurrent Review Location: Remote - Compact Nursing License required; must be able to work CST hours Schedule: Tuesday-Friday, ... Medicaid About the Role We are seeking a Clinical Review Nurse to perform concurrent ...years of related experience + Required Licensure: LPN/LVN or RN - Compact State License + Strong time-management skills… more
- Actalent (Orlando, FL)
- Clinical Review Nurse - Concurrent Review Location: Remote - Candidates can be live anywhere in the US but must be able to work CST hours Schedules ... 6:30 PM CST Position Overview We are seeking Clinical Review Nurses to join our remote team. In this...our remote team. In this role, you will perform concurrent reviews to evaluate medical necessity, determine appropriate levels… more
- Centene Corporation (Columbus, OH)
- …, InterQual knowledge, and discharge planning.** **Additional Details:** Department: Concurrent Review MCD** Business Unit: Corporate** Schedule: Monday-Friday ... needed to discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member… more
- Trinity Health (Ann Arbor, MI)
- …weeks from 8 am to 5 pm Monday through Friday. **WHAT YOU WILL DO** + The RN Registered Nurse Case manager is responsible for conducting a focused assessment ... economic/financial and discharge planning needs. + One would also review , on a concurrent basis, the appropriateness,...and clinical risk issues and documentation completeness. + The RN Registered Nurse Case Manager… more
- Geisinger (Danville, PA)
- …Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... rewarding, lasting career with impact. Job Duties The Trauma RN Case Manger is responsible for ensuring optimal quality,...Trauma Registry. + Maintains trauma roster and updates on concurrent basis. + Summarizes concurrent daily chart… more
- Geisinger (Scranton, PA)
- …and Control and successful Joint Commission and DOH surveys. At least 2 years of Registered Nurse work experience in a hospital setting is required. BSN is ... Experience Minimum of 2 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE… more
- Geisinger (Danville, PA)
- …Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... program uses highly trained staff members to perform a concurrent inpatient review of the record. This...for overall System Case Mix Index. Job Duties The RN CDI Specialist acts as a liaison between the… more
- Geisinger (Scranton, PA)
- …Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... Top 8 Most Innovative Healthcare Systems in Becker's Hospital Review , we're working to create a national model for...- 10:30pm At least three (3) years of prior RN experience is required. The ideal candidate will have… more
- Prime Healthcare (Huntington Beach, CA)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing… more
- Prime Healthcare (La Palma, CA)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing… more
- Prime Healthcare (Inglewood, CA)
- …severity of illness. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. A current California State Registered Nurse ( RN ) license is required. 2. Five years ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236544/ registered - nurse %2c- rn… more
- Geisinger (Danville, PA)
- …full-time, 40 hours weekly; Dayshift; Monday through Friday. Candidates must hold a Registered Nurse license in Pennsylvania or a Multistate License. A minimum ... program uses highly trained staff members to perform a concurrent inpatient review of the record. This...of 3 years RN work experience is required; BSN is strongly preferred.… more
- Prime Healthcare (Inglewood, CA)
- …severity of illness. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. A current California State Registered Nurse ( RN ) license is required. 2. Five years ... https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/231079/ registered - nurse %2c- rn… more
- Sacramento County (Sacramento, CA)
- …read and understood the above instructions. 02 Select the one box that best describes your Registered Nurse ( RN ) license issued by the State of California. + ... Registered Nurse D/CF (Level I/II) Print...improperly rejected may request the Employment Services Division to review its decision to reject the application. If the… more
- Sacramento County (Sacramento, CA)
- Supervising Registered Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448883) Apply Supervising Registered Nurse ... 5:00 pm on: 12/1/25, 2/2/26, 4/6/26, 6/1/26, 8/3/26, 10/5/26, 12/7/26 Supervising Registered Nurse - Detention/Correctional Facility is the first level… more
- Mayo Clinic (Rochester, MN)
- …teams. Major Functions of the RN Case Manager include: Utilization Review , including concurrent admission status and continued stay clinical review ... + Retirement: Competitive retirement package to secure your future. **Responsibilities** The RN Case Manager provides ongoing support to Mayo Clinic Rochester and… more
