- Dayton Children's Hospital (Dayton, OH)
- …concurrent and retrospective denials. The Physician Advisor role will support the Utilization Review RN for second level clinical reviews for cases that do ... Facility:Dayton Children's - Main CampusDepartment:Utilization Review TeamSchedule:Part timeHours:8Job Details:Under the supervision of the Manager of Utilization… more
- Veterans Affairs, Veterans Health Administration (MO)
- …consists of multi-disciplinary team including clinical pharmacist, social worker, clinical psychologist, and nurse care manager. There are different level ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- HCA Healthcare (Fort Worth, TX)
- …to the RN duties and responsibilities, the RN scope includes charge duties. The clinical supervisor or charge nurse makes patient assignments and supervises and ... and other members of the health care team, the clinical RN is responsible for assessing the nursing care...License or RN Compact State License + (RN) Registered Nurse + BSN preferred. If hired into RN required… more
- University of Utah Health (Salt Lake City, UT)
- …stay review . + Communication to third-party payers for initial and concurrent clinical review . + Reviews patient chart to ensure patient continues to meet ... expected cost, or over/under-utilization of resources. + Performs verbal/fax clinical review with payer as determined by...Required** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one… more
- HonorHealth (AZ)
- …urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, ... Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization of health care services… more
- Veterans Affairs, Veterans Health Administration (Boston, MA)
- …appointments. Telephone and video care are encouraged. Each physician is assigned a registered nurse , clinical associate, and scheduler. There is no call, and no ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Contact VHA EDRP Program Support. Responsibilities We… more
- Veterans Affairs, Veterans Health Administration (Hampton, VA)
- …medical students, PA students as assigned. Provides supervisory oversight of the clinical care of Nurse Practitioners and Physician Assistants as appropriate. ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- University of Miami (Miami, FL)
- …goals. Job functions: + Will supervise and provide leadership to the clinical team, which includes Advanced Registered Nurse Practitioner (APRNs), two ... Clinical Pharmacists and a Nurse Specialist, including overseeing daily operations , coordinating patient care activities, adherence to clinical standards,… more
- UNC Health Care (Kinston, NC)
- …the right place at the right time. To accomplish these goals, the UR, Nurse applies established criteria to evaluate the appropriateness of admission, level of care, ... movement of patients throughout the continuum of care by conducting concurrent review and proactively resolving care, service, or transition of care delays/issues as… more
- Fairview Health Services (St. Paul, MN)
- …the development of denial reports and other statistical reports. + Collaborates with Clinical Denials Nurse Specialist and Leadership in high-dollar claim denial ... denials, including but not limited to: DRG downgrade, DRG Validation, Clinical Validation, diagnosis codes not supported, and/or general coding error denials.… more