- AdventHealth (Kissimmee, FL)
- …of care systems and assures compliance with quality measures through concurrent and retrospective review , identification of deficiencies, and implementing ... in collaboration with medical and hospital staff. This position offers clinical and professional expertise to patients, families, staff members, and healthcare… more
- Actalent (Sacramento, CA)
- …Certified Case Manager (CCM), CPUR, or CPHM credential preferred. + Background in concurrent review or inpatient census oversight preferred. + Strong critical ... Remote Licensed Vocational Nurse (LVN) Fully remote but MUST reside within...Conduct in-person hospital rounds 2-3 days per week, telephonic review and participate in interdisciplinary case reviews + Escalate… more
- HCA Healthcare (Austin, TX)
- …of medical services and discharge planning for specified patient populations. Performs concurrent and retrospective review of patient medical records for ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...purposes of utilization review , care coordination compliance with requirements of external … more
- HCA Healthcare (Austin, TX)
- …of medical services and discharge planning for specified patient populations. Performs concurrent and retrospective review of patient medical records for ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...purposes of utilization review , care coordination compliance with requirements of external … more
- University of Utah (Salt Lake City, UT)
- …External Posting **Pay Rate Range** 216,000.00-240,000.00 **Close Date** 12/16/2025 **Priority Review Date (Note - Posting may close at any time)** **Job ... monthly to support your well-being throughout the year. For any work beyond your clinical commitment, you'll earn an **impressive $145 per hour** . And all of this… more
- BrightSpring Health Services (Harlingen, TX)
- …Registered Professional Nurse + Excellent communicator with ability to handle concurrent tasks and responsibilities + Ability to travel within assigned area + ... monitoring both skilled and non-skilled healthcare services + Directly supervises clinical personnel + Providing clinical teaching and conducting performance… more
- Highmark Health (Pittsburgh, PA)
- …operational areas regarding issues related to supported technology. Manage utilization review , translation of foreign claims, coordination of benefits (COB), and ... Program (FEP) and Medicare Advantage. **ESSENTIAL RESPONSIBILITIES** + Coordinates the clinical care with the patient, family, physician(s), and other members of… more
- Great River Health (West Burlington, IA)
- …(United States of America) Required Qualifications: Acute Inpatient Rehabilitation Department 1. Review potential admits with Clinical Liaison to assess for ... manage multiple priorities + Accurate input of data and review of quality metrics. + Demonstrate an understanding of...of Care (IPOC) power forms as indicated. 6. Complete concurrent insurance reviews. 7. Initiate post discharge follow-up phone… more
- Prime Healthcare (Victorville, CA)
- …and cost-effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, ... Voluntary Benefit Options! (https://www.primehealthcare.com/careers/benefits/) Responsibilities The Case Manager Registered Nurse (CMRN) works collaboratively as part of the ECM… more
- Health Care Service Corporation (Downers Grove, IL)
- …professional development. **Job Summary** This position is responsible for performing concurrent review in accordance with approved departmental guidelines; ... within the scope of their benefit plan. **Required Job Qualifications:** + Registered Nurse (RN) with current, valid, unrestricted license to practice in state of… more
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