- HCA Healthcare (Corpus Christi, TX)
- …database to ensure adequate documentation as required by regulatory agencies. + Complete concurrent review of cases to identify quality, timelines and systems of ... and Patient Safety (PIPS) Program. The PI Coordinator will review the continuum of care to determine compliance with...within 30 days of employment start date + Emergency Nurse Pediatric Cour must be obtained within 30 days… more
- Molina Healthcare (Fort Worth, TX)
- …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
- HCA Healthcare (Austin, TX)
- …of medical services and discharge planning for specified patient populations. Performs concurrent and retrospective review of patient medical records for ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...purposes of utilization review , care coordination compliance with requirements of external … more
- Baylor Scott & White Health (Dallas, TX)
- …to find trauma patients. Help collect data for Trauma Registry. + Carry out concurrent reviews of patient charts and stick to departmental deadlines for review ... a relevant field + Must be a licensed Registered Nurse + Basic Life Support (BLS) and Advanced Cardiac...of hire. + RN- Advanced Trauma Care (ATCN), Trauma Nurse Core Course (TNCC): TNCC or ATCN within 180… more
- Molina Healthcare (San Antonio, TX)
- …requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the denial process. + Monitors appropriate care ... Public Health, Healthcare Administration, etc. **PREFERRED EXPERIENCE:** + Peer Review , medical policy/procedure development, provider contracting experience. + Experience… more
- BrightSpring Health Services (Harlingen, 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
- Oracle (Austin, TX)
- …(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
- Health Care Service Corporation (Richardson, TX)
- …professional development. **Job Summary** This position is responsible for performing concurrent review in accordance with approved departmental guidelines; ... within the scope of their benefit plan. **Required Job Qualifications:** + Registered Nurse (RN) with current, valid, unrestricted license to practice in state of… more
- Baylor Scott & White Health (Dallas, TX)
- …executives and key stake holders. **Essential Functions of the Role** + Performs concurrent and retrospective medical record review to investigate quality and/or ... tasks to meet desired deadlines. + Licensed clinician such as nurse , physical therapist, occupational therapist, dietitian, respiratory therapist, etc. preferred.… more
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