- McLaren Health Care (Bay City, MI)
- …peer to peer reviews with payer/providers. 7. Actively participates in clinical case review /rounds with the interdisciplinary team regarding continued ... documentation is sufficient to support the level of care being billed. Conducts concurrent reviews to ensure criteria for patient status and continued stay are met… more
- Geisinger (Danville, PA)
- …Trauma RN Case Manger is responsible for ensuring optimal quality, clinical and financial outcomes; networking, assuring availability and coordinating needed patient ... and resolving patterns of variance having a negative quality, clinical and financial impact, and creating action plans and...Trauma Registry. + Maintains trauma roster and updates on concurrent basis. + Summarizes concurrent daily chart… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a*Utilization Review Manager* to join ourTransitional Care Team.This is a full-time role and will be required to work onsite. ... *Manages the design, development, implementation, and monitoring of utilization review functions. Oversees daily operations, which include supervising staff… more
- Stanford University (Stanford, CA)
- …supervision. CERTIFICATIONS & LICENSES: * Current license as a California Registered Nurse . * Certified Research Administrator or Clinical Research Coordinator ... Research Nurse 2 **School of Medicine, Stanford, California, United...Post Date 5 hours ago Requisition # 107827 The Clinical and Translational Research Unit (CTRU) is the leading… more
- University of Michigan (Ann Arbor, MI)
- …Minimum of five (5) years of nursing experience with demonstration of progressive clinical competence + Nurse Leadership certification or completion within two ... CLINICAL NURSING DIRECTOR (CS Mott Children's Hospital: 10-West...of their children. The Pediatric Cardiothoracic Intensive Care Unit nurse cares for patients in a technology-intensive environment, including… more
- HCA Healthcare (El Paso, TX)
- …medical services and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical records for purposes ... knowledge of case management philosophy/process/role, needs assessment, principles of utilization review /quality assurance, use of InterQual(R) or other clinical … more
- Tenet Healthcare (Detroit, MI)
- …for Secondary Physician review per Tenet policy. Ensures timely communication of clinical data to payers to support admission, level of care, length of stay and ... Registered Nurse Case Manager (RN) - 2506003132 Description :...accurate medical necessity screening and submission for Physician Advisor review , b) care coordination, c) transition planning assessment and… more
- CareFirst (Baltimore, MD)
- …Onsite Clinical Navigator (RN) embedded at a partnering hospital will conduct concurrent review of inpatient level of care, managing the timely and smooth ... course of action and level of care. Applies sound clinical knowledge and judgment throughout the review ...on evolving business needs. **Licenses/Certifications** : RN - Registered Nurse - State Licensure And/or Compact State Licensure: RN… more
- Sacramento County (Sacramento, CA)
- Nurse Practitioner Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/1780920) Apply Nurse Practitioner Salary $132,483.60 - $161,026.56 ... 9/26/2025, 10/24/2025, 11/26/25, 12/26/25, 1/23/26, 2/27/26, 3/27/26, 4/24/26, 5/22/26, 6/26/26 Nurse Practitioners provide a range of health care services involving… more
- HCA Healthcare (El Paso, TX)
- …medical services and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical records for purposes ... knowledge of case management philosophy/process/role, needs assessment, principles of utilization review /quality assurance, use of InterQual(R) or other clinical … more