- Mount Sinai Health System (New York, NY)
- …information requested by the managed care companies as part of the concurrent review in a timely fashion. c. Provides clinical information requested by the ... for assessment, communication and monitoring of discharge planning process (The clinical nurse initiates the discharge planning process on admission).… more
- Mount Sinai Health System (New York, NY)
- …information requested by the managed care companies as part of the concurrent review in a timely fashion. 13. Provides clinical information requested by the ... for assessment, communication and monitoring of discharge planning process (The clinical nurse initiates the discharge planning process on admission).… more
- Intermountain Health (Grand Junction, CO)
- …**ccasional weekend or holiday work may surface.** **Essential Functions** + Provides concurrent review of medical record to ensure documentation meets quality ... of clinical information. + Facilitates modifications to clinical documentation through extensive concurrent interactions with...+ Work experience on an inpatient rehabilitation unit + Clinical license as a nurse , physical, occupational… more
- Centene Corporation (New York, NY)
- …Utilization Management** **Position Purpose:** Supervises Prior Authorization, Concurrent Review , and/or Retrospective Review Clinical Review ... between utilization management team, members, and providers + Monitors prior authorization, concurrent review , and/or retrospective clinical review … more
- ChenMed (Newport News, VA)
- …+ Participates in surveys, studies and special projects as assigned. + Conducts concurrent medical record review using specific indicators and criteria as ... we need great people to join our team. The Nurse Case Manager 1 (RN) is responsible for achieving...resources and mobilizes resources to assist in achieving desired clinical outcomes within specific timeframe. + Conducts review… more
- Sharp HealthCare (La Mesa, CA)
- …real and potential quality issues through measurement and analysis along with concurrent and retrospective review of performance information. Assists with ... and managing data collection as well as analyzing, interpreting and presenting clinical quality-related data. + Previous case review experience. **Preferred… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …to apply today. SUMMARY OF JOB The Clinical Documentation Specialist (CDS) performs concurrent review of the medical record to promote the integrity of the ... clinical documentation, via analysis of clinical indicators...Inpatient Care Nursing, as an RN, Physician Assistant (PA), Nurse Practitioner (NP)/Advanced Practice nurse (APN), medical… more
- Stanford Health Care (Palo Alto, CA)
- …improvement activities by identifying opportunities for improvement in such areas as clinical outcomes, utilization of resources and concurrent data collection; ... payers to assure reimbursement for patient services/procedures. Communicates with review organizations/payers to provide requested clinical and psychosocial… more
- HCA Healthcare (Riverside, CA)
- …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...The Trauma Performance Improvement RN Coordinator is a registered nurse with in-depth knowledge of the clinical … more
- Veterans Affairs, Veterans Health Administration (Butler, PA)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... substance abuse, a significant number of these patients have concurrent psychiatric disorders, personality disorders, medical conditions, and multiple psychosocial… more