- LA Care Health Plan (Los Angeles, CA)
- Medical Review Nurse Coder RN ...and reimbursement policies within the claim adjudication process through medical record review for Payment ... position serves as a subject matter expert (SME), performing medical records reviews to include quality audits...Office suite, including Word, Excel and PowerPoint. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Commonwealth Care Alliance (Boston, MA)
- …to the Senior Medical Director of Medical Policy and Utilization Review , the Utilization Review Medical Director will be responsible for providing ... **Essential Duties & Responsibilities:** + Primary responsibility for performing daily medical reviews, appeals as appropriate, correspondence regarding review … more
- Vighter Medical Group (Jacksonville, FL)
- Flight Registered Nurse ( RN ), Jacksonville, FL, CSI...to their countries of origin. The RN will review medical records to determine if ... - OPF Flight Registered Nurse ( RN ), Jacksonville, FL Job Details Job...Customs Enforcement. Healthcare is delivered in accordance with approved medical protocols and in compliance with Department of Homeland… more
- HCA Healthcare (Nashville, TN)
- …geographical market and productivity. **What you will do in this role:** + Conduct medical record review , validate admission status order, conduct a ... and mitigation of concurrent denials. This involves assessing the medical record for appropriateness and level of...experience required + 1-4 years of relevant case management/utilization review experience preferred + Registered Nurse… more
- Vighter Medical Group (San Antonio, TX)
- …to DHS/ICE detainees being repatriated to their countries of origin. The RN will review medical records to determine if detainees can fly and will ... Job Shift Day Job Category Health Care Description Title: Registered Nurse ( RN ), Site Lead...document patient-centered health care in the required electronic health record or electronic medical record ,… more
- Henry Ford Health System (Grand Blanc, MI)
- Registered Nurse - Medical ...tests ordered are expeditiously carried out and documented. + Review patient medical record /reports and ... will be considered the official job description. Education/Experience Requirements + Licensed Registered Nurse credentialed from the Michigan Board of Nursing… more
- Houston Methodist (The Woodlands, TX)
- …registered nurse ( RN ) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care ... Houston Methodist, the Utilization Review Nurse (URN) position is a licensed ...in case management **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more
- Helio Health Inc. (Gloversville, NY)
- …healthcare issues. In order to support our mission, Helio Health is seeking a Registered Nurse ( RN )to work on aFull-Timebasis for ourFulton Co Comprehensive ... Outpatient ProgramProgram. The Registered Nurse ( RN ) will provide...for medical services. + Develop, recommend, and review medical policies and procedures for all… more
- HCA Healthcare (Blacksburg, VA)
- …you to apply for our Registered Nurse RN Cardiac Medical Unit PRN opening. We review all applications. Qualified candidates will be contacted for ... the PRN career opportunities as a(an) Registered Nurse RN Cardiac Medical Unit...and timely documentation of care administration in the patient's medical record . - Administer prescribed medications, monitor… more
- ACHIEVE (Binghamton, NY)
- Registered Nurse RN Binghamton,...to individuals and staff as requested + Maintain and review medical and health information on assigned ... NY (http://maps.google.com/maps?q=Binghamton+NY+USA+13905) Apply Description Registered Nurse 40 hours per week - Full Time Starting...but are not limited to: JOB KNOWLEDGE: + Complete RN evaluations and provided needed medical care… more
- HCA Healthcare (Inverness, FL)
- …encourage you to apply for our RN Registered Nurse Medical Neuro Tele opening. We review all applications. Qualified candidates will be contacted by ... **Introduction** Do you have the career opportunities as a Registered Nurse that you want in your...medications and treatment instructions + You will maintain and review patients' records including posting tests and… more
- HCA Healthcare (San Antonio, TX)
- …you to apply for our Registered Nurse Medical Surgical RN opening. We promptly review all applications. Highly qualified candidates will be directly ... by location._** We are seeking a(an) Registered Nurse Medical Surgical RN for...and timely documentation of care administration in the patient's medical record . - Administer prescribed medications, monitor… more
- Helio Health Inc. (Syracuse, NY)
- …or make referrals for medical services. + Develop, recommend, and review medical policies and procedures for all programs within Helio Health. ... and duties consistent with training and experience. Qualifications + Must be a licensed Registered Nurse currently registered in NY State. + At least… more
- HCA Healthcare (Kansas City, MO)
- …growth, we encourage you to apply for our Registered Nurse RN Psych Senior Adult opening. We promptly review all applications. Highly qualified ... provider(s). Documents the administration of care in the patient medical record in a timely and thorough...apply for our Registered Nurse RN Psych Senior Adult opening. We promptly review… more
- Children's Mercy Kansas City (Kansas City, MO)
- …experience + Experience in Utilization Review + One of the following: Licensed RN - MO, Registered Nurse Multistate License Missouri required upon hire ... of patients, including patient statusing processes, ongoing monitoring of medical necessity review functions utilizing InterQual and/or...+ One of the following: Licensed RN - Kansas, Registered Nurse … more
- Vighter Medical Group (El Paso, TX)
- Flight Registered Nurse ( RN ), El Paso, TX (PT) Job Details Job Location El Paso, TX - El Paso, TX Position Type Full Time Education Level Registered ... Job Shift Any Job Category Health Care Description Title:Flight Registered Nurse ( RN ) Location:El Paso,...Deputy Program Manager while performing healthcare services under the medical direction of the National Medical Director… more
- Geisinger (Scranton, PA)
- …predetermined criteria, reporting potential risk and quality management issues identified from medical record review to appropriate departments through ... we'd love to hear from you! Job Duties The RN Care Manager in the ED works with physician...Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania… more
- HCA Healthcare (Salem, VA)
- …you to apply for our Registered Nurse RN Medical Surgical Pulmonary opening. We promptly review all applications. Highly qualified candidates will ... **Introduction** Do you have the career opportunities as a Registered Nurse RN Medical...and timely documentation of care administration in the patient's medical record . - Administer prescribed medications, monitor… more
- Henry Ford Health System (Grand Blanc, MI)
- …treatments, medications, and tests ordered are expeditiously carried out and documented. + Review patient medical record /reports and confers with physician ... + Orientation Self-Evaluation: (C) Competent (NT) Needs Training or Review . + Standards of Performance: + Seven Domains of...must possess current Michigan licensure to practice as a registered nurse ( RN ). + Essential… more
- HCA Healthcare (Blacksburg, VA)
- …you to apply for our Registered Nurse RN Medical Surgical Unit opening. We promptly review all applications. Highly qualified candidates will ... intrinsic worth of each individual is recognized. Submit your application for our Registered Nurse opening with LewisGale Hospital Montgomery today and find out… more
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