- Monte Nido (Dedham, MA)
- …disorder treatment at Walden Behavioral Care. + Collaborate with psychiatrists, nurse practitioners, therapists, dietitians, and nursing staff to ensure holistic, ... + Conduct routine medical assessments and follow-ups, including laboratory review and medication management. + Participate in interdisciplinary team meetings… more
- Actalent (Austin, TX)
- Clinical Review Nurse - Concurrent Review Location: Remote - Compact Nursing License required; must be able to work CST hours Schedule: Tuesday-Friday, ... rotation basis Business Unit: Medicaid About the Role We are seeking a Clinical Review Nurse to perform concurrent reviews for Medicaid members, ensuring… more
- Actalent (Orlando, FL)
- Clinical Review Nurse - Concurrent Review Location: Remote - Candidates can be live anywhere in the US but must be able to work CST hours Schedules ... + Sunday-Wednesday, 8:00 AM - 6:30 PM CST Position Overview We are seeking Clinical Review Nurses to join our remote team. In this role, you will perform… more
- Centene Corporation (Trenton, NJ)
- …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
- Emory Healthcare/Emory University (Decatur, GA)
- …development _,_ and leadership programs + And more **Description** We're seeking a ** Clinical Utilization Review Nurse Preceptor (Registered Nurse ... as a whole. + Will demonstrate foresight regarding the impact of both the clinical and administrative roles within the utilization review process based on… 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 (Savannah, GA)
- …personal growth, we encourage you to apply for our Clinical Research Nurse opening. We promptly review all applications. Highly qualified candidates will be ... have Cardiovascular experience. Do you have the career opportunities as a ** Clinical Research Nurse ** you want with your current employer? We have an exciting… more
- Naven Health (Nashville, TN)
- …Summary:** The Quality Assurance Chart Review Nurse is responsible for the review of assigned clinical records. The Quality Assurance Chart Review ... deficiencies in the patient's clinical records. The Quality Assurance Chart Review Nurse utilizes audit tools and systems to collect data for the Quality… 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
