- CVS Health (Salt Lake City, UT)
- …in a collaborative process to implement, coordinate, monitor and evaluate medical review cases. + Applies the appropriate clinical criteria/guideline and plan ... critical thinking, evidenced based clinical criteria and clinical practice guidelines. Med Review nurses use...referral as needed. + Assists management with training new nurse reviewers/business partners or vendors to include initial and… more
- US Tech Solutions (Chicago, IL)
- … clinical policy, regulatory and accreditation guidelines. + Responsible for the review and evaluation of clinical information and documentation. + Reviews ... and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations. + Considers all documented...Review ? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions… more
- HCA Healthcare (Austin, TX)
- …Austin Medical Center.** **Preferred: Computer skills** **EDUCATION AND EXPERIENCE** **:** **Required: Clinical Background - Registered Nurse with a minimum of ... The APC is responsible for all program management, report generation and review , process improvement, patient satisfaction, facilities review , and administrative… more
- HCA Healthcare (Houston, TX)
- …clinical specialty is required. + Licensed professional in Texas in a clinical health care specialty (ie Registered Nurse , Licensed Physical Therapist, ... your career path, we encourage you to apply for our Clinical Rehab Liaison opening. We review all applications. Qualified candidates will be contacted by a… more
- Sharing Hope SC (North Charleston, SC)
- …Range Undisclosed Travel Percentage Road Warrior Job Shift Rotating Shift Job Category Nurse Description Summary The Clinical Donation Coordinator I (CDC I) ... Clinical Donation Coordinator - Charleston Job Details Level...(CDC) guidelines and recommendations. + Completes hospital medical record review , including history of present illness and past medical… more
- Stony Brook University (Stony Brook, NY)
- …Medicine: Neurology **Description** The Department of Neurology is seeking two Nurse Practitioners (FNP)/Physician Assistants who will work with physicians and ... diagnosis based on this information, as well as, initiate, review and revise treatment plans and record and present...higher). Current registration to practice as a Licensed Registered Nurse in New York State. Must have excellent communication… more
- Memorial Sloan-Kettering Cancer Center (New York, NY)
- …Kettering Institute, scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our understanding of ... Join our dynamic team as an Advanced Practice Provider ( Nurse Practitioner or Physician Assistant) in our Urgent Care...Physician Assistant) in our Urgent Care Center (UCC) and Clinical Decision Unit (CDU)! In this role, you'll provide… more
- Mount Sinai Health System (New York, NY)
- …preferred. + Current New York State license as a Registered Professional Nurse or other licensed/certified clinical professional strongly preferred; foreign ... Cause Analysis investigations, which includes assessing need for focused review by departments, and or clinical chairpersons...for focused review by departments, and or clinical chairpersons for peer reviews. 5. Maintains risk management… more
- Monroe County, NY (Rochester, NY)
- Full Jobs List Full Exams List Registered Nurse (RN) - Utilization Review Unit, Per Diem Location: Rochester, NY Title: Registered Nurse (RN) - Utilization ... Description of Duties This position is in the Utilization Review Unit and functions as an assessment nurse...for providing nursing care that may include bedside and/or clinical care to convalescent, chronically ill, and seriously ill… more
- Molina Healthcare (Warren, MI)
- …identified by the Payment Integrity analytical team; requires decision making pertinent to clinical experience + Documents clinical review summaries, bill ... Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Utilizing clinical... review , and medical coding. **Job Summary** Utilizing clinical knowledge and experience, responsible for review … more