- Centene Corporation (Madison, WI)
- …with rotating weekend / holiday coverage. **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
- HCA Healthcare (Austin, TX)
- …opportunity compelling, we encourage you to apply for our Case Management Supervisor opening. We promptly review all applications. Highly qualified candidates ... vary by location._** We are seeking a(an) Case Management Supervisor for our team to ensure that we continue...Assists the Director in ensuring timeliness and accuracy of concurrent reviews, Able to intervene in situations where patients… more
- Centene Corporation (Austin, TX)
- …and substance abuse + Experience working with providers and healthcare teams to review care services, precertification, concurrent review , discharge reviews ... and Weekends** **Position Purpose:** Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate care for members and supervises… more
- BrightSpring Health Services (Austin, TX)
- …Registered Professional Nurse + Excellent communicator with ability to handle concurrent tasks and responsibilities + Ability to travel within assigned area + ... meetings + Chairing committees as appropriate, safety, infection control, incident review , and human rights committees + Facilitating communication and serving as… 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
- University of Southern California (Los Angeles, CA)
- …of the major duties of the Case Manager overlap into inpatient duties including: Concurrent review of all patients to validate that the appropriate patient ... MCG competency testing. 8. Perform telephonic, and if appropriate, on-site initial/ concurrent review on identified in-patient members. Direct pertinent clinical… more
- University of Michigan (Ann Arbor, MI)
- …and care of their children. The Pediatric Cardiothoracic Intensive Care Unit nurse cares for patients in a technology-intensive environment, including ECMO, CRRT, ... 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
- WMCHealth (Kingston, NY)
- …Internal Applicant link Job Details: Summary of Job Purpose The Registered Nurse , in collaboration with the Team, is responsible for providing quality patient ... float to other Mental Health units as needed. + Review and sign off on all LMP orders daily....payor requirements, clinical documentation and authorization status. + Perform concurrent reviews and discharge reviews with payors to ensure… 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