- Premera Blue Cross (Mountlake Terrace, WA)
- …or four (4) years' work experience **(Required)** + Current State Licensure as a registered nurse where licensing is required by State law **(Required)** + Three ... that we serve through our Healthsource blog: https://healthsource.premera.com/ . The **Care Coordinator - Inpatient RN ** performs reviews of admissions and… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …or four (4) years' work experience (REQUIRED) + Current State Licensure as a registered nurse (REQUIRED) + Three (3) years of clinical experience (REQUIRED) + ... serve through our Healthsource blog: https://healthsource.premera.com/ . The **Care Coordinator - Retrospective** performs prospective review (benefit advisory/… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …seeking a highly motivated and results-driven **UM RN Appeals Coordinator .** This role collaborates with clinical review staff, medical directors/physician ... Friday; 8:00 AM -5:00 PM CST (Flexible) **Responsibilities** A. Performs necessary review to ensure compliance with HHSC and other regulatory entities + Collaborate:… more
- University Health (San Antonio, TX)
- …recent, full time hospital experience preferred. Work experience in case management, utilization review , or hospital quality assurance experience is preferred. ... clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF...of the State of Texas to practice as a registered nurse is required. National certification in… more
- Stanford Health Care (Palo Alto, CA)
- …job.** **A Brief Overview** The Oncology Research Nursing Professional (ORNP) -is a Registered Nurse ( RN ) who works collaboratively with Clinical Research ... center research portfolio and works with the Clinical Research Coordinator (CRCs) on the implementation, coordination, and documentation of...in a research related degree **Licenses and Certifications** + CA- RN ( Registered Nurse ) . +… more
- Commonwealth Care Alliance (Boston, MA)
- …discussion, and development of key performance indicator monitoring, KPI chart review and quality review processes, productivity standards. - Demonstrates ... providing team feedback based on data, key performance, and quality chart review processes. - Work cross-functionally within the organization to develop and document… more
- New York State Civil Service (Bronx, NY)
- NY HELP Yes Agency Mental Health, Office of Title Utilization Review Coordinator , (NY HELPS), New York City Children's Center - Bronx Campus, P27076 ... Children's Center - Bronx Campus is recruiting for a Utilization Review Coordinator to analyze...requirements of non-competitive promotion are met.Promotional Field consists of Registered Nurse 1 Psychiatric (including all language… more
- Charter Care Health Partners (Providence, RI)
- Summary: The Behavioral Health Intake and Utilization Review Coordinator is responsible for bed management, reviewing intake assessments, verifying clinical ... 2-3 years of experience in behavioral health, preferably in intake or utilization review roles. License: RI RN License required. Skills and Qualifications:… more
- PeaceHealth (Eugene, OR)
- **Description** PeaceHealth is seeking a RN Admissions Coordinator / Utilization Review - Psychiatric Unit for a Per Diem/Relief, 0.00 FTE, Variable ... strong psychiatric nursing background and previous admission coordination experience + Required: Registered Nurse in state of practice + Preferred: Psychiatric… more
- San Antonio Behavioral Health (San Antonio, TX)
- The Utilization Review Coordinator conducts...needed. Essential Duties: + Collaborate and set standards with registered nurse ( RN ) case managers ... of approvals from insurers. Responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and efficient use of hospital… more
- Henry Ford Health System (Warren, MI)
- …screening criteria and critical thinking to maximize reimbursement. EDUCATION/EXPERIENCE REQUIRED: + Registered Nurse required. + Minimum 3-5 years of clinical ... Management experience in lieu of bachelor's degree. CERTIFICATIONS/LICENSURES REQUIRED: + Registered Nurse with a valid, unrestricted State of Michigan License.… more
- The County of Los Angeles (Los Angeles, CA)
- …REQUIREMENTS: OPTION I:One year of experience performing the duties of a Utilization Review Nurse * or Medical Service Coordinator , CCS.** -OR- OPTION II: ... Two (2) years of experience as a registered nurse , of which one year must...involved. SPECIAL REQUIREMENTS INFORMATION: * An Utilization Review Nurse is an RN … more
- Bon Secours Mercy Health (Mechanicsville, VA)
- …care experience as an RN (required) Experience with discharge planning or utilization review (preferred) As a Bon Secours Mercy Health associate, you're part ... accommodation. **Education:** Bachelor's degree in nursing (preferred) **Licensure/Certification:** + Licensed Registered Nurse in state of practice (required) +… more
- Ascension Health (St. Johns, FL)
- …transfer date required. American Heart Association or American Red Cross accepted. + Registered Nurse credentialed from the Florida Board of Nursing obtained ... the review and evaluation of staff performance. + Oversee utilization and maintenance of supplies, instruments, and equipment. **Requirements** Licensure /… more
- HCA Healthcare (Portsmouth, NH)
- …you to apply for our Patient Safety Coordinator Registered Nurse opening. Our team will promptly review your application. Highly qualified candidates ... their positions. Join our Team as a Patient Safety Coordinator Registered Nurse and access...data reporting systems to achieve the goals of case review , data abstraction, management and reporting. The Patient Safety… more
- HCA Healthcare (Asheville, NC)
- …you to apply for our Registered Nurse Home Care Coordinator CarePatners opening. We promptly review all applications. Highly qualified candidates will ... worth of each individual is recognized. Submit your application for the opportunity below: Registered Nurse Home Care Coordinator with CarePartners. This… more
- Veterans Affairs, Veterans Health Administration (South Jordan, UT)
- Summary The Registered Nurse ( RN ) Community Care (CC) Coordinator is responsible for executing a streamlined approach to receive, triage, and directing ... intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- HCA Healthcare (Houston, TX)
- …Hospital we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Clinical Reviewer and access programs to assist with every stage ... gain certifications and job skills. Apply today for our Registered Nurse Clinical Reviewer opening and continue...Nurse Clinical Reviewer opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- Veterans Affairs, Veterans Health Administration (Sheridan, WY)
- Summary The Community Care (CC) Coordinator Registered Nurse ( RN ) is responsible for executing a streamlined approach to receiving, triaging, and ... intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Veterans Affairs, Veterans Health Administration (Muskogee, OK)
- …and Improvements Needed for Veterans Act of 2016. Responsibilities The Community Care (CC) Coordinator Registered Nurse ( RN ) is responsible for executing ... intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
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