• Clinical Documentation Specialist **Fully…

    Columbus Regional Hospital (Columbus, IN)
    …quality and data accuracy. + A Clinical Documentation Specialist is responsible for concurrent review of the clinical documentation in the medical records and query ... 8:00 AM - 5:00 PM. This position is 100% remote . What is required for this position: + Registered...a minimum of 5 years clinical experience in an acute care setting. OR + Bachelor's Degree from a… more
    Columbus Regional Hospital (03/23/24)
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  • Utilization Management RN Remote

    AdventHealth (Altamonte Springs, FL)
    …we are even better. **Shift** : Full-time; Monday - Friday **Job Location** : Remote **The role you'll contribute:** . The role of the Utilization Management (UM) ... use clinical expertise by analyzing . patient records to determine legitimacy of hospital admission, treatment, and appropriate level of care. . The UM RN utilizes… more
    AdventHealth (04/27/24)
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  • Lead Clinical Documentation Coordinator…

    Universal Health Services (Las Vegas, NV)
    …review of inpatient medical records to evaluate the utilization and documentation of acute care services. The goal of concurrent review includes facilitation of ... more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center (https://www.valleyhospital.net/) in 1979, the Valley Health System has… more
    Universal Health Services (03/29/24)
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  • Nurse-Clinical Document Specialist - Remote

    Access Dubuque (Dubuque, IA)
    …Pediatric Medical Associates Medical Assembly Express Employment Professionals RN-Inpatient Acute Rehab UnityPoint Health Finley Hospital RN-Post Anesthesia ... Nurse-Clinical Document Specialist - Remote **MercyOne** 1 Positions ID: TRHEUS00496408MERCYO Posted On 04/17/2024 **Job Overview** **Employment Type:** Full time… more
    Access Dubuque (04/19/24)
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  • Utilization Management Nurse ( Remote )

    ProgenyHealth (Elk Grove Village, IL)
    …and NICU nurses provide continuity of care in collaboration with providers from hospital to home and throughout the first year of life. Job Role Clinical ... care nurses coordinate overall member care, from pre-admission, continued stay ( concurrent review) and any outpatient services utilizing a pro-active, evidence-based… more
    ProgenyHealth (03/29/24)
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  • System Educator CDI Remote

    AdventHealth (Altamonte Springs, FL)
    …we are even better. **Shift** : Monday-Friday **Job Location** : Remote **The role you'll contribute:** The Clinical Documentation Integrity (CDI) Implementation ... current employees in the CDI Department. . Audits CDS concurrent and retrospective cases to assist with missed documentation...all CDI software platforms, providing follow-up on site and remote support for all participating facilities. . Assist in… more
    AdventHealth (02/17/24)
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  • Senior II Internal Auditor, Remote - Hybrid

    RWJBarnabas Health (Oceanport, NJ)
    Senior II Internal Auditor, Remote - HybridReq #:0000143939 Category:Professional / Management Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate ... and plan work activities to use time efficiently, including handling multiple concurrent tasks, with minimum supervision + Must be organized, accurate, thorough, and… more
    RWJBarnabas Health (03/07/24)
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  • Surgical Review Specialist, Full-time(…

    St. Luke's University Health Network (Allentown, PA)
    …Conducts reviews of cases lost with feedback to respective departments + Conduct concurrent review with utilization review department for post op surgical cases with ... AND EXPERIENCE: Minimum 1-3 years demonstrated outpatient coding experience in acute care, teaching setting; knowledge of inpatient coding preferred. Working… more
    St. Luke's University Health Network (04/17/24)
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  • Utilization Review Case Manager

    Dallas Behavioral Healthcare Hospital (Desoto, TX)
    …with insurance companies and managed care systems for the authorization, concurrent and retrospective review of inpatient admissions and services. This position ... through the utilization review process. + Conducts admission reviews. + Conducts concurrent and extended stay reviews. + Prepares and submits appeals to third… more
    Dallas Behavioral Healthcare Hospital (02/08/24)
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  • Registered Nurse (RN) - Utilization Management…

    University of Virginia (Charlottesville, VA)
    …MINIMUM REQUIREMENTS Education: Bachelor of Science Nursing required. Experience: 2 years acute care hospital experience. Licensure: Licensed to Practice as a ... and adhere to regulatory compliance. The UM RN conducts initial concurrent and retrospective medical necessity reviews. All Utilization Management activities are… more
    University of Virginia (04/27/24)
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  • UM Nurse

    Fallon Health (Worcester, MA)
    …Service Coordinators to perform pre-service, concurrent , and retrospective reviews for Acute Hospital and post- acute facility level of utilizing ... psychosocial information from the medical records on site, through remote electronic access, telephonically or by fax in a...review process + Conducts clinical reviews of retrospective and concurrent Acute Inpatient Hospital and… more
    Fallon Health (04/09/24)
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  • Registered Nurse II - Medium Acuity - CMHHIP…

    State of Colorado (Pueblo, CO)
    …only to Colorado state residents. Primary Physical Work Address Colorado Mental Health Hospital in Pueblo, 1600 W. 24th Street, Pueblo, CO 81003 FLSA Status ... be used to fill multiple vacancies. Colorado Mental Health Hospital in Pueblo (CMHHIP) As a cornerstone of the...community partner. CMHHIP is a 24 hour behavioral health acute care facility that is intended to provide a… more
    State of Colorado (04/05/24)
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  • Integrated Care Coordinator - SCRBH

    Spokane County (Spokane, WA)
    …- $93,848.66 Annually Location WA 99260, WA Job Type Regular Remote Employment Flexible/Hybrid Job Number 23-00353 Department Community Services (formerly CSHCD) ... to assure alignment with the CSD mission and desired outcomes. + Stays abreast of hospital daily census and of the reasons for admissions and discharges or lack of… more
    Spokane County (03/18/24)
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  • Mental Health Clinician II - High Acuity - CMHHIP

    State of Colorado (Pueblo, CO)
    …note: This recruitment may be used to fill multiple vacancies. Colorado Mental Health Hospital in Pueblo (CMHHIP) As a cornerstone of the Pueblo community for over a ... century, Colorado Mental Health Hospital in Pueblo (CMHHIP) is a leading employer, provider...community partner. CMHHIP is a 24 hour behavioral health acute care facility that is intended to provide a… more
    State of Colorado (04/06/24)
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  • Registered Nurse I - Fixed Pool - CMHHIP

    State of Colorado (Pueblo, CO)
    …Continuous FLSA Determined by Position Primary Physical Work Address Colorado Mental Health Hospital in Pueblo, 1600 W. 24th Street, Pueblo, CO 81003 FLSA Status ... be used to fill multiple vacancies. Colorado Mental Health Hospital in Pueblo (CMHHIP) As a cornerstone of the...community partner. CMHHIP is a 24 hour behavioral health acute care facility that is intended to provide a… more
    State of Colorado (04/25/24)
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  • Inpatient Nurse Case Manager: Mon-Fri, Day Shift

    Albany Medical Center (Albany, NY)
    …formulating an individualized multidisciplinary plan of care to include: pre hospitalization, acute hospital care, discharge education, transition to home and ... management, utilization management and/or discharge planning/home care in a high volume, acute care hospital preferred. PRI and Case Management certification… more
    Albany Medical Center (04/17/24)
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  • Utilization Review RN

    Dignity Health (Sacramento, CA)
    …of nursing + Current California Registered Nurse License + Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case Management or ... of Sacramento's southern suburbs including the Elk Grove Wilton and Galt communities. Methodist Hospital is home to a 158 acute -care bed facility with 1120… more
    Dignity Health (04/26/24)
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  • CDI Auditor Educator

    Universal Health Services (Edinburg, TX)
    …assists with CDI concurrent review needs when needed. Position is a remote position with occasional need to work from the facility and/or attend meetings. ... of internal audits and denial reviews/audits. Promotes a partnership between the concurrent clinical reviewers, medical record coders, denials team and physicians to… more
    Universal Health Services (04/25/24)
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  • Clinical Documentation Specialist

    Baystate Health (Holyoke, MA)
    …reflects the most appropriate level of services and resources provided. This is a ** remote opportunity** . Candidates will be trained via remote meeting tools ... + No weekends no holidays **Current States eligible for remote : CT, FL, MD, NH, NC, OH, RI, TN,...RI, TN, TX, VT, VA, MA** Provides clinically based concurrent review of inpatient medical records to assess and… more
    Baystate Health (04/27/24)
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  • Registered Nurse Clinical Reviewer PRN

    HCA Healthcare (Corpus Christi, TX)
    …the surrounding Coastal Bend community.** **_Bay Area_** **is our full-service acute care hospital and offers state-of-the-art cardiovascular services, ... home of our graduate medical education program.** **_Doctors Regional_** **is our acute care hospital , with a 24-hour emergency department, cardiac… more
    HCA Healthcare (02/02/24)
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