- Prime Healthcare (East Liverpool, OH)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... post-graduation of an accredited school of nursing and a current state Registered Nurse license. + Grandfathered prior to April 1, 2015. Minimum 5 years post… more
- Prime Healthcare (East Liverpool, OH)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/240947/registered- nurse -case-manager/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityEast Liverpool… more
- Prime Healthcare (East Liverpool, OH)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236790/registered- nurse -case-manager/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityEast Liverpool… more
- ChenMed (Columbus, OH)
- …+ Participates in surveys, studies and special projects as assigned. + Conducts concurrent medical record review using specific indicators and criteria as ... we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving...with patient and family. + Facilitates patient/family conferences to review treatment goals and optimize resource utilization; provides family… more
- Molina Healthcare (Cleveland, OH)
- …requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the denial process. * Monitors appropriate care ... for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. * Provides leadership and consultation… more
- Elevance Health (Mason, OH)
- …complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians. **How You Will Make an Impact** ... guidelines within scope of licensure. + These reviews may require in-depth review ; however, any deviation from application of benefits plans will require guidance… more
- Trinity Health (Columbus, OH)
- …accuracy, and integrity of medical record documentation through extensive record review . Through extensive interaction with physicians and other members of the ... within the model of the ANCC Magnet Recognition Program(R). + Conducts concurrent reviews of selected patient records to address legibility, clarity, completeness,… more
- Elevance Health (Cincinnati, OH)
- …complex case types that do not require the training or skill of a registered nurse . **How you will make an impact.** Primary duties may include, but are not limited ... less experienced staff. + Conducts and may approve precertification, concurrent , retrospective, out-of-network, and/or appropriateness of treatment setting reviews… more
- Oracle (Columbus, OH)
- …(ECD) alignments, Critical Care workflow implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal ... and patient care improvements. Manage the nursing needs for multiple concurrent optimization projects, from requirements analysis and solution design to testing,… more