- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …+ Assess discharge planning needs at the patient's admission + Perform regular concurrent review on all patients and coordinate all needed services including ... and acquire authorizations for treatment **Key Qualifications:** + Current NYS Registered Nurse License/Registration and BSN preferred + At least 2-3 years of… more
- HCA Healthcare (Houston, TX)
- …appropriate bed placement based on level of care + Conducts admission and concurrent medical record review using specific indicators and InterQual criteria in ... us apart from any other healthcare provider. We are seeking a(an) Registered Nurse Case Manager to join our healthcare family. **Benefits** HCA Houston Healthcare… more
- Independent Health (Buffalo, NY)
- …services: (medical necessity review for Prior Authorization, pre-certification, and concurrent review ). + Prompt, courteous, and error free in performing ... for medical necessity review of all requests, procedures, admissions, and concurrent review . + Accurate documentation of criteria, policy, or AMD … more
- HCA Healthcare (Sebring, FL)
- …will also be responsible for the Stroke program ("program coordinator"). Will perform concurrent review and in-depth analysis of identified patient hard chart as ... 1 year of experience as a full time Charge Nurse / Coordinator, Nursing Administrative Supervisor , or Nursing Management HCA Florida Highlands Hospital is a… more
- Centene Corporation (Sacramento, CA)
- …a fresh perspective on workplace flexibility. **Position Purpose:** Supervises Prior Authorization, Concurrent Review , and/or Retrospective Review Clinical ... between utilization management team, members, and providers + Monitors prior authorization, concurrent review , and/or retrospective clinical review nurses… more
- BayCare Health System (Tampa, FL)
- …other related parties to ensure appropriate level of care through comprehensive concurrent review for medical necessity of outpatient observation and inpatient ... utilization of ancillary services + Perform other duties as assigned by the supervisor including but not limited to processing concurrent denials. + Preferred… more
- Mount Sinai Health System (New York, NY)
- …/ appeals as specified by Insurance / State & Federal regulation. + Enters concurrent review information for Review Nurses in Allscripts + Obtains/Prepares ... identifies location and distribute to appropriate departments + Monitors Concurrent Nurse denial phone calls for UM...of the hospital staff and extended community. + Notifies Supervisor of obstacles / problems affecting the completion of… more
- University of Michigan (Ann Arbor, MI)
- …budget for the patient care unit. + Collaborate with the Clinical Nurse Specialist to initiate and implement inservice guidelines for unit-level orientation and ... in Nursing staff development programs and workshops. + Participate in a concurrent and retrospective evaluation of patient care consistent with the hospital quality… more
- Hartford HealthCare (Farmington, CT)
- …practices across the system.*__* *_Position Summary:_* The Clinical Documentation Integrity Supervisor provides a key role in facilitating long-term success of ... and support CDI at the system/ facility levels. The Clinical Documentation Supervisor will work in collaboration with the clinical documentation specialists (CDS),… more
- HCA Healthcare (Orange Park, FL)
- …Stroke Scale must be obtained within 1 year of employment start date + Supervisor or Charge Nurse Experience preferred **Benefits** HCA Florida Orange Park ... marketing communications. The Program Coordinator, provides ongoing patient tracking, concurrent and retrospective chart abstracting, and data entry for performance… more
- Sharp HealthCare (San Diego, CA)
- …an effective in-patient Care Management program that includes initial and concurrent review ; case management/discharge planning activities. Responsible for ... **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse (RN) - CA Board of Registered Nursing; Bachelor's Degree **Hours** **:**… more
- HCA Healthcare (Panama City, FL)
- …to appropriate agencies and third party payers regarding pre-admission screening, concurrent , outpatient and retrospective review process as it relates ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...decision support to the admitting office, registration and nursing supervisor as well as physicians' office staff regarding appropriateness… more
- BJC HealthCare (St. Louis, MO)
- …Information About the Role** BJC HealthCare is seeking an experienced critical care nurse to join our team as a Clinical Documentation Improvement Spec. I! ... (CDIS I) uses clinical and coding knowledge for conducting clinically based concurrent and retrospective reviews of both inpatient and outpatient medical records… more
- HCA Healthcare (Englewood, CO)
- …with the efficacious and cost effective utilization of resources. Through concurrent clinical case management, patients will be assessed to determine appropriateness ... o Current licensure in the State of Colorado as a Registered Nurse , or current active multistate nursing licensure, or LCSW required. o BLS… more
