- Kaiser Permanente (Hyattsville, MD)
- …mind, body, and spirit, join us at the heart of health care. Pediatric Clinical Nurse Specialist II, Acute Care Services - Advanced Urgent Care Hyattsville, ... License (Virginia and District of Columbia) required within 6 months of hire AND Clinical Nurse Specialist Certificate (District of Columbia) within 6 months of… more
- Siouxland Community Health Center (Sioux City, IA)
- Nurse Practitioner (ARNP) or Physician Assistant (PA-C) 1- Full-time (4 day work week with 1 late evening per week) The successful candidate must have: Current ... Licensure in the state of IA. One to two years clinical experience. Current BCLS and Mandatory Reporter certification (preferred). Basic computer skills. Bilingual… more
- Mesalands Community College (Tucumcari, NM)
- FLSA exempt position (YES/NO): YES Full/Part-time: Full-time Classification: Staff The Clinical Nursing Instructor reports to the Director of Nursing and is ... responsible for the overall administration and supervision of the comprehensive clinical instruction for nursing. The instructor oversees placement of nursing… more
- Anderson Hospital (Maryville, IL)
- …as follows: Receiving Walk-In ER Patients : As of August of 2016, the ER Triage Nurse will greet walk-in patients as soon as they enter into the ER for services. ... triage. As part of this intake process the Triage Nurse will be responsible for identifying in system if...the responsibility of each registrar in Patient Access to review their EcareNext Work List that compiles the list… more
- Oklahoma City County Health Department (Oklahoma City, OK)
- CLINIC SUPERVISOR Location: Oklahoma City, Oklahoma Department: Clinical Services Location Name: 2600 NE 63rd Street Starting at: 79,000.00 Position Type: Exempt ... is primarily responsible for supervising and coordinating the activities of the clinical setting and providing or ensuring the provision of nursing services to… more
- Abbott (Kansas City, MO)
- …, with a schedule of **Monday-Friday, 8:00 AM - 5:00 PM** . The position of Clinical Review Nurse is within our Toxicology division located at our **Kansas ... City, MO** site within Workplace Solutions. In this role, the ** Clinical Review Nurse ** is responsible for accuracy and integrity of the Workplace Solutions… more
- Centene Corporation (Denver, CO)
- …management to identify and implement opportunities for improvement. + Oversees the clinical review of outcomes including creating and editing correspondence ... State, and NCQA standards + Provides expert insight and guidance on the clinical review process of correspondence to ensure compliance with all applicable… more
- Centene Corporation (Oklahoma City, OK)
- …rotating holidays.** **Location Requirement: Must reside in Oklahoma.** + **Conduct clinical reviews for medical necessity (utilization review ).** + ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Actalent (Baton Rouge, LA)
- Job Title: Prior Authorization NurseJob Description The Prior Authorization Nurse plays a critical role in analyzing prior authorization requests to determine the ... cost-effectiveness of medical care. Responsibilities + Perform medical necessity and clinical reviews of authorization requests to determine the appropriateness of… more
- Centene Corporation (Indianapolis, IN)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in… more
- Centene Corporation (Austin, TX)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in… more
- Actalent (Miami, FL)
- Urgent Hiring for "Remote Clinical Review Nurses" Job Description: + Review approximately 20 cases a day for medical necessity. + Advocate for and protect ... complete cases. Qualifications: + 3+ years of utilization management, concurrent review , prior authorization, utilization review , case management, and discharge… more
- Evolent (Lansing, MI)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care… more
- System One (Baltimore, MD)
- Job Title: Clinical Medical Review Nurse Location: Baltimore, MD 21224 Type: Contract, 5 mos with chance of extension Compensation: Based on experience ... plus occassional travel to providers for record retrieval, as needed. Clinical Medical Review Nurse / Medical Records Abstraction Specialist Schedule: 8-hour… more
- UCLA Health (Los Angeles, CA)
- Description The Quality Management Nurse is responsible for conducting comprehensive facility site reviews (FSRs) to ensure compliance with healthcare standards and ... regulations. This role involves evaluation clinical practices, identifying areas for improvement, and implementing quality improvement initiatives to enhance patient… more
- UCLA Health (Los Angeles, CA)
- … documentation related to prior authorization requests for medical services. The UM Review Nurse applies clinical judgment, regulatory standards, and ... Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role...benefit coverage. + Applies UCLA Health protocols and national clinical guidelines (eg, InterQual, Milliman) in review … more
- HCA Healthcare (Austin, TX)
- …step in your career path, we encourage you to apply for our Float Pool Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Description** **Introduction** Do you have the career opportunities as a(an) Float Pool Clinical Nurse Coordinator you want in your current role? We invest in… more
- HCA Healthcare (Nashville, TN)
- …growth, we encourage you to apply for our Cardiology Clinical Research Nurse opening. We promptly review all applications. Highly qualified candidates will ... We care like family! Jump-start your career as a Clinical Research Nurse today with TriStar Centennial...or other data collection tools by careful source document review ; monitors data for missing or implausible data** +… more
- HCA Healthcare (Port Charlotte, FL)
- …personal growth, we encourage you to apply for our Clinical Research Nurse opening. We promptly review all applications. Highly qualified candidates will be ... We care like family! Jump-start your career as a Clinical Research Nurse today with HCA Florida...or other data collection tools by careful source document review ; monitors data for missing or implausible data +… more
- HCA Healthcare (Fort Walton Beach, FL)
- …career path, we encourage you to apply for our Registered Nurse -ED- Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Description** **Introduction** Do you have the career opportunities as a Registered Nurse -ED- Clinical Nurse Coordinator you want in your current role? We… more