- Ascension (Baltimore, MD)
- …management rules and regulations. Requirements Licensure / Certification / Registration: Registered Nurse credentialed from the Maryland Board of Nursing ... management rules and regulations. Qualifications Licensure / Certification / Registration: Registered Nurse credentialed from the Maryland Board of Nursing… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …training needs. Function as Utilization Review /Denials Manager as required. Qualifications Registered Nurse ( RN ) with a Texas license; relevant ... and best practices. Monitor patient care coordination, LOS (length of stay), concurrent review , and transitions to prevent readmissions. Liaise with medical… more
- Iconma LLC (Detroit, MI)
- Our Client, a Health Insurance company, is looking for a Registered Nurse - Review Analys for their Detroit, MI/Hybrid location. Responsibilities: Perform ... prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of… more
- Concord Hospital (Laconia, NH)
- …specific or complex continuing care needs and supportive services. Provides an initial review and concurrent reviews as required for each patient for clinical, ... Summary The Inpatient Nurse Care Manager, in collaboration with the multidisciplinary...preferred. Certification, Registration & Licensure Licensure required: Current NH RN License. Experience Acute Care Facility experience of 2… more
- Mayo Clinic (Rochester, MN)
- …interdisciplinary, inpatient-hospital rounds and collaborates to potentially impact length of stay. The Registered Nurse ( RN ) Case Manager works within an ... of the RN Case Manager include: Utilization Review , including concurrent admission status and continued...Graduate of a Nursing program. All entry-level associate degree registered nurses with a RN start date… more
- Strategic Staffing Solutions (Detroit, MI)
- …SOLUTIONS (S3) HAS AN OPENING! Strategic Staffing Solutions is currently looking for an RN Review Analyst for a contract opportunity with one of our largest ... clients located in Detroit, MI! Title: RN Review Analyst Location: Detroit, MI (Mostly...relative to patient care and health care delivery processes. Registered Nurse with current unrestricted Michigan … more
- Kaiser Permanente (Aurora, CO)
- …required. License, Certification, Registration Licensed Social Worker (Colorado) OR Registered Nurse License (Colorado) Additional Requirements: Thorough ... accurate and timely prior authorization of designated healthcare services, including concurrent and retrospective review of authorization requests, including… more
- Baystate Health (Springfield, MA)
- …American Heart AssociationAmerican Heart Association, Certification in Specialty - OtherOther, Registered Nurse - State of MassachusettsState of Massachusetts ... Medical Center (BMC), a Magnet Hospital for Nursing Excellence is looking for a Nurse Educator to join our Cardiac Cath and Electrophysiology Lab! The Nurse … more
- Monogram Health (Newark, NJ)
- …barriers to access facilities and patients. This person will attend their Pod's daily concurrent review rounds, to stay apprised of newly admitted patients and ... Coordinator (MAC) and Clinical Performance Lead (CPL). Roles and Responsibilities Attends daily concurrent review rounds with Pod clinical leaders and works with… more
- Advocate Aurora Health (Milwaukee, WI)
- …information is developed further in the departmental job standards. License/Registration/Certification: Registered Nurse License issued by the state in which ... of care and transitions. Documents discharge planning interventions and utilization review activity per department and medical center standards in a timely… more
- Central Health (Austin, TX)
- …years of nursing experience in an inpatient setting or case management- Required Licenses and Certifications: Registered Nurse License in the State of Texas ... for Central Health covered healthcare services and monitoring patient progress for concurrent reviews. The Utilization Management RN will work in conjunction… more
- Regency Integrated Health Services (Austin, TX)
- …Medicare Program are met, such as Physician certification and re-certification. Performs concurrent MDS review to assure appropriate RUGs category is achieved ... - Austin, TX Position Type Full Time Job Category Nurse Description Primary Responsibilities Responsible for the coordination of...graduate of an accredited school of nursing with current RN or LVN ** Position may be filled by… more
- Kaiser Permanente (Atlanta, GA)
- …care by chart review and discussion with attending physician, admission and concurrent review for inpatient admissions, meetings with patient and families to ... of experience. Education Associates Degree Nursing. License, Certification, Registration Registered Professional Nurse License (Georgia) Additional Requirements:… more
- AdventHealth (Glendale Heights, IL)
- …Illinois state license in field of study as required based on degree (eg, Registered Nurse in State of IL) LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED: ... and compliance of best practice standards including electronic documentation standards. * Concurrent chart review to monitor compliance with publicly reported… more
- Deaconess (Evansville, IN)
- …improve the quality of documentation by all caregivers. Required: Certifications/Licenses/Experience: Active Registered Nurse ( RN ) in Indiana and Kentucky or ... Clinical Documentation Improvement Specialists are primarily responsible for evaluating concurrent documentation so that the medical record appropriately reflects… more
- UHS (Bradenton, FL)
- Responsibilities The Clinical Documentation Coordinator is a registered nurse with a broad clinical background, strong pathophysiology knowledge base, excellent ... to accurately reflect patient severity of illness and risk of mortality through concurrent review . Assures compliance of the medical record documentation for… more
- Centene Corporation (Little Rock, AR)
- …organization offering competitive benefits including a fresh perspective on workplace flexibility. Clinical Review Nurse - Concurrent Review & Outpatient ... member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions...Practical Nurse - State Licensure required. + RN - Registered Nurse Licensure,… more
- CVS Health (Annapolis, MD)
- …rotating days off, rotating on-call weekends and holidays. Applicants must be a RN with a compact licensure required with ability to obtain additional licenses as ... 3+ years of clinical practice experience in an inpatient setting required + RN with unrestricted state licensure required + Willingness to obtain additional state… more
- LifePoint Health (Hickory, NC)
- * Registered Nurse ( RN ), Clinical...changes to the care plan as needed. *6. Utilization Review & Documentation** Performs admission and concurrent ... valued as an employee, but as a person. As a* registered nurse ( RN )*joining our team,...of care management as prescribed in the initial Utilization Review Plan with regard to resources, appropriateness of care… more
- Ascension Health (Wichita, KS)
- …rules and regulations. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Kansas Board of Nursing ... **Details** + **Department:** Utilization Review + **Schedule:** Full time, 36 hrs, Day...admissions and service requests within assigned unit for prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement… more
