- APN Consulting, Inc (VA)
- Job Title: Care Review Clinician I Location: Remote Duration: 6 Months Job Description: Will the position be 100% remote? Yes Are there any specific location ... with all state and federal regulations and guidelines. Essential Functions: Provides concurrent review and prior authorizations (as needed) according to Client… more
- Cape Fear Valley Medical Center (Fayetteville, NC)
- … clinical documentation in the medical record; through extensive concurrent reviews with interactions with physicians, nursing staff, other interdisciplinary team ... on clinical documentation to all members of the interdisciplinary care team, while ensuring compliance with regulatory guidelines be maintained.Education and… more
- Integrated Resources, Inc (New York, NY)
- …concurrent and retrospective review . . Follow up with assigned nurses for clinical updates to care plan. . Document within two business day's coordination ... BSN preferred. * Two (2) to three (3) years clinical experience in certified home health agency (CHHA), Lombardi...PCP to be able to contact and discuss the care of the member with them. . Review… more
- Volunteers of America Mid-States (Louisville, KY)
- …provide housing for families, veterans, and low-income seniors. We provide care and support for individuals with developmental disabilities, healing accountability ... Development Program VOA University - Staff Development VOA Academy - Clinical Training and Development JOB SUMMARY AND QUALIFICATIONS: The position requires… more
- Skagit Regional Health (Mount Vernon, WA)
- …personnel. The Pharmacy department values teamwork, commitment to patient centered care , and clinical excellence.*Essential Functions** Assists in ensuring ... nursing operations and leadership. Responsible for the provision of prospective and concurrent evaluation of pharmacotherapy with an emphasis on the patient and with… more
- RestoraCare Staffing (Houston, TX)
- …Uses quality screens to identify potential issues and forwards information to Clinical Quality Review Department.Ensures that all elements critical to the ... hospital-based preferred, or three (3) years of experience comparable clinical setting (ie, ambulatory surgery center, infusion/dialysis clinic, Federally Qualified… more
- UNC Health Care (Hendersonville, NC)
- …* Identifies performance improvement issues through direct observation of clinical care , concurrent chart review , staff reporting, and attendance at ... serve. Summary: The Trauma Process Improvement Coordinator evaluates and monitors the quality of clinical care of the injured patient across the continuum of … more
- Trinity Health (Silver Spring, MD)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** General Summary: The Clinical Concurrent Reviewer position exists to support Quality and ... clinical indicators and compliance requirements; o Providing concurrent medical record review to assess documentation...and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an… more
- HCA Healthcare (Corpus Christi, TX)
- …about delivering patient-centered care ?** Submit your application for Registered Nurse Clinical Reviewer position and spend more time at the bedside with ... Medical Center Bay Area! **Job Summary and Qualifications** The Review Nurse Clinical Reviewer position...including Core Measure chart abstraction, Stroke & STEMI chart review and coordination; performs concurrent chart reviews… more
- University of Miami (Hialeah, FL)
- … this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Clinical Documentation Integrity (CDI) Second Level ... as key resource for CDI/Coding/Quality. The CDI Second Level Reviewer works in collaboration with CDI & quality leadership,...+ At least three (3) years of direct patient care clinical experience in hospital setting preferred.… more
- HCA Healthcare (Corpus Christi, TX)
- …step in your career path, we encourage you to apply for our Registered Nurse Clinical Reviewer PRN opening. We review all applications. Qualified candidates ... you have the career opportunities as a(an) Registered Nurse Clinical Reviewer PRN you want in your...including Core Measure chart abstraction, Stroke & STEMI chart review and coordination; performs concurrent chart reviews… more
- HCA Healthcare (Houston, TX)
- **Description** **Introduction** **Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer you want in your current role? We invest in ... multiple responsibilities including Core Measure chart abstraction, Stroke & STEMI chart review and coordination; performs concurrent chart reviews & is… more
- HCA Healthcare (Kingwood, TX)
- **Description** **Introduction** **Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer you want in your current role? We invest in ... multiple responsibilities including Core Measure chart abstraction, Stroke & STEMI chart review and coordination; performs concurrent chart reviews & is… more
- Kepro (Los Angeles, CA)
- …this position ensures the accuracy and consistency of the Psychiatric Inpatient Concurrent Review process with the California Mental Health Services Authority ... programs with experience navigating similar projects. + Ability to develop level-of- care recommendations based on clinical medical records and evaluations.… more
- Centene Corporation (Sacramento, CA)
- …with interdepartmental teams on projects within utilization management as part of the clinical review team + Partners and works with Medical Affairs and/or ... based on diagnoses, prognoses, resources, and/or preferences + Manages and maintains concurrent review findings, discharge plans, and actions taken on member… more
- Centene Corporation (Salem, OR)
- …to discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical ... determinations or provide recommendations based on requested services and concurrent review findings + Assists with providing...to leadership on opportunities to improve appropriate level of care and medically necessity based on clinical … more
- Dignity Health (Rancho Cordova, CA)
- …for monitoring Dignity Health Medical Foundation inpatient admissions and concurrent review for appropriate level of care and medical necessity using ... process related to those identified needs. - Perform concurrent review of emergent/urgent and continued stay...Complete medical necessity and level of care concurrent reviews for requested services using clinical … more
- InnovaCare (San Juan, PR)
- …focus to the business. MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the inpatient ... within forty-eight (48) hours of having performed the first concurrent review of notified admission cases.4. On...license in Puerto Rico and Collegiate. * Five years clinical acute care hospital experience; ICU, Emergency… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** The Concurrent Review Case Manager is responsible for telephonic monitoring and the documentation of medical treatment and comparing it to ... determine if treatment meets established guidelines. In addition, the Concurrent Review Case Manager monitors patients progress...continue to grow, our focus is providing quality patient care by adding to our team of clinical… more
- RWJBarnabas Health (Jersey City, NJ)
- …medical consultations for patients with deviations from standard guidelines; performs ongoing review of care , including evaluation, and documentation in the ... Nurse Midwife(FT) Days- MMG Concurrent -Jersey CityReq #:0000106025 Category:Nurse Midwife Status:Full-Time Shift:Day...care , education, and research to address both the clinical and social determinants of health. RWJBarnabas Health aims… more
