- CHRISTUS Health (Moreauville, LA)
- …Summary: Under the supervision of the School-Based Health Centers Director, the Nurse Practitioner is responsible and accountable for providing primary care to ... clinic patients as allowed under the Louisiana Nurse Practice Act. Practice will remain within the scope...for participating in the development, execution of and periodic review of the written policies governing the services which… more
- UT Health Tyler (Tyler, TX)
- Overview Join our team as a full-time, day shift, Clinical Educator Registered Nurse in Tyler, TX. Fulfilling your purpose begins here: People First, Always. Here's ... facilities. Research and enter data into medical documents for provider review . Enters procedure results from physicians/facilities into the electronic health… more
- CHRISTUS Health (Alamogordo, NM)
- …timely manner. Maintains house wide Employee Health policies and assures review /revision annually. Adheres to infection control practices. Manages and control fiscal ... resources within department budget and according to hospital guidelines. Directs the operation of hospital employee health program. Maintains and keeps current all employee health files. Directs employee exposure program according to regulation Works with… more
- CHRISTUS Health (Alamogordo, NM)
- …and assists him/her in ensuring proper placement of patient. Conducts utilization review using nationally recognized medical necessity criteria and documents the ... review . Refers cases for second level reviews when medical...reporting individual cases and/or trends to the infection control nurse . Performs utilization management functions as required by payer… more
- Nightingale's List (San Quentin, CA)
- …Interdisciplinary Treatment Team (IOTT) meetings.- Perform mental status exams and review pertinent documents to aid in diagnosis.- Facilitate patient transitions ... to the unique needs of our healthcareprofessionals. Founded by a Registered Nurse , we deeply understand ourstaff's aspirations and challenges. At Nightingale's List,… more
- City of New York (New York, NY)
- …services and consent to proposed medical treatment when parent/legal guardian objects. The Nurse Reviewer will participate in all medical record reviews /audits ... that support best case practice agency wide. The Medical Review Authorization and Monitoring Unit (MRAM) reviews foster care...following established ACS medical audit protocols. The Nurse Reviewer will also conduct targeted, unannounced… more
- HCA Healthcare (Corpus Christi, TX)
- …Corpus Christi Medical Center Bay Area! **Job Summary and Qualifications** The Review Nurse Clinical Reviewer position encompasses multiple responsibilities ... **Are you passionate about delivering patient-centered care?** Submit your application for Registered Nurse Clinical Reviewer position and spend more time at the… more
- HCA Healthcare (Corpus Christi, TX)
- …path, we encourage you to apply for our Registered Nurse Clinical Reviewer PRN opening. We review all applications. Qualified candidates will be contacted ... **Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer PRN you want in...Center Bay Area!** **Job Summary and Qualifications** **The Quality Review Nurse position encompasses multiple responsibilities including… more
- Elevance Health (Walnut Creek, CA)
- ** Nurse Reviewer I** **Location:** Within 50 miles of a pulse point **Shift** : Monday - Friday from 9:30 am - 6:00 pm **CST or PST** The ** Nurse Reviewer ... on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. Partners with… more
- Elevance Health (Palo Alto, CA)
- ** Nurse Reviewer I** **Location:** Within 50 miles of a pulse point in the following states: + California + Colorado + Nevada + Tennessee **Shift** : Tuesday - ... Saturday, 10:30 am - 7:00 pm **C** **ST** The ** Nurse Reviewer I** is responsible for conducting...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
- Elevance Health (San Juan, PR)
- …providing information technology and business operations services for health plans._ ** Nurse Reviewer I** **Location:** This position will work on-site ... time zones that the unit will be supporting. The ** Nurse Reviewer I** is responsible for conducting...meets medical necessity criteria or requires additional medical necessity review . + Conducts initial medical necessity review … more
- Veterans Affairs, Veterans Health Administration (Martinsburg, WV)
- Summary The Martinsburg VAMC is recruiting for one full-time Registered Nurse , Risk Manager-Clinical Reviewer . The nurse brings principles and theory with ... (TJC). Performs clinical reviews for Occurrence Screens and discusses possible Peer Review opportunities when quality of care issues are recognized. Assists with the… more
- Liberty Healthcare Corporation (Nashville, TN)
- …Healthcare Corporation is hiring Registered Nurses for new PASSR Clinical Reviewer positions. Flexible part-time and traditional full-time schedules are available. ... As a Reviewer with Liberty Healthcare, you will help ensure that...work specifically involves using the Preadmission Screening and Resident Review (PASRR) tool to evaluate people for serious mental… more
- HCA Healthcare (Houston, TX)
- …HCA Houston Healthcare Northwest!** **Job Summary and Qualifications** **The Quality Review Nurse position encompasses multiple responsibilities including Core ... **Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer you want in your...Measure chart abstraction, Stroke & STEMI chart review and coordination; performs concurrent chart reviews & is… more
- Public Consulting Group (Albany, NY)
- **Overview** ** Nurse Reviewer - Quality Assurance in Albany, NY** Staffing Solutions Organization LLC (SSO), a wholly owned subsidiary of Public Consulting ... the Bureau of Quality and Surveillance Director, the Registered Nurse will complete tasks including, but not limited to:...will complete tasks including, but not limited to: + Review of potential Immediate Jeopardy/ Substandard Quality of care… more
- Medical Mutual of Ohio (OH)
- …Nursing Board. Bachelor's degree preferred. + 3 years as a Registered Nurse with a combination of clinical and or utilization/case management experience, preferably ... care in Medical/Surgical/Critical Care/ ambulatory care experience preferred. + Registered Nurse with current State of Ohio unrestricted license. + Intermediate… more
- Lee County Board of County Commissioners (Fort Myers, FL)
- Plan Reviewer Print (https://www.governmentjobs.com/careers/leecounty/jobs/newprint/4393761) Apply Plan Reviewer Salary $50,185.72 - $102,274.64 Annually ... + Questions Description JOIN OUR TEAM AS A PLAN REVIEWER ! *SALARY IS BASED ON POSSESSION OF CERTIFICATION AREA(S).... attends meetings, as required, and conducts preliminary plan review meetings with architects, engineers, developers and owners to… more
- Ascension Health (Birmingham, AL)
- …including data collection, data entry, and data retrieval/statistical conversion. + Review trauma admission records for data collection and abstraction. + Analyze ... + High school diploma or GED required. **Additional Preferences** Licensed Practical Nurse LPN **Why Join Our Team** Ascension St. Vincent's employs over 4,800… more
- Centers Plan for Healthy Living (Margate, FL)
- …For Healthy Living is currently accepting applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works ... UM Clinical Reviewer 5297 W Copans Rd, Margate, FL 33063,...to improve their quality of life. Utilization Management Clinical Reviewer will assess and process all authorization requests to… more
- Kepro (Richmond, VA)
- …join our growing team. Job Summary: Our Behavioral Health Utilization Management Clinical Reviewer will use clinical expertise to review medical records against ... in and be licensed in the State of Virginia. Job Responsibilities: + Review and interpret patient records and compare against criteria to determine medical necessity… more
