- BayCare Health System (St. Petersburg, FL)
- …that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence. **The Team Lead Utilization Review responsibilities include:** + ... the daily operations of the UM department responsible for concurrent reviews and observation management + Ensuring that the...**Position** Utilization Review Team Lead **Location** St Petersburg:St Anthonys | Clinical | Full Time **Req ID**… more
- ManpowerGroup (Austin, TX)
- …Registered Nurse , you will be part of the Operations Department supporting clinical review processes. The ideal candidate will have strong analytical skills, ... abilities which will align successfully in the organization. **Job Title:** Registered Nurse **Location:** Austin, TX **Pay Rate:** Up to $40.74 **What's the Job?**… more
- Genesis Healthcare (Albuquerque, NM)
- …of the MDS assessments including case-mix, OBRA and OSRA required assessments. *Perform concurrent MDS review to insure appropriate RUGs category is achieved ... Overview **Ladera Care Center seeks a part time MDS Nurse !** At Genesis Healthcare, we are dedicated to improving...through the capture of appropriate clinical information and in this process identify opportunities to… more
- Trinity Health (Dubuque, IA)
- …program + Develops a quality improvement plan utilizing the trauma registry and concurrent patient review + Addresses quality issues with nurses, physicians and ... other departments as needed (eg, Shared Services for contract review ) + Works with Stroke Coordinator to improve pre-hospital...Center + Liaises with NICC and promotes a positive clinical experience for EMT students at Mercy One +… more
- UPMC (Mechanicsburg, PA)
- The Manager oversees the day-to-day operations of the Clinical Care Coordination and Discharge Planning Department under the direction of the Director. The Manager ... for timely and accurate documentation of appropriate data relating to concurrent denials. Assures regulatory compliance in determining denial of service and/or… more
- Providence (Mission Hills, CA)
- …retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review medical records daily during admission for all ... **Description** **RN Utilization Review - Remote. This position will work full-...by the health plans. This role requires a strong clinical background combined with well-developed knowledge and skills in… more
- Prime Healthcare (Lynwood, CA)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum...of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five… more
- Prime Healthcare (Riverdale, GA)
- …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/230280/case-manager-registered- nurse /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySouthern Regional… 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/230113/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/228334/registered- nurse -case-manager/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityEast Liverpool… more