- HCA Healthcare (Richmond, VA)
- …tasks. + Your Primary function in this role is to Performs admission and concurrent review for all payers and maintains legible documentation as directed by ... from any other healthcare provider. We are seeking a(an) Case Manager Registered Nurse RN PRN to join our healthcare family. **Benefits** Henrico Doctors' Hospital,… more
- Tufts Medicine (Burlington, MA)
- …and regulatory compliance related to the CDI and coding functions. 2. Performs initial concurrent review of new patients every day and concurrent re-reviews ... research structure. Tufts Medicine is comprised of the following clinical entities: . Tufts Medicine Professional Group (TMPG) ....Overview** The role of the position is responsible for concurrent and retrospect review and analysis of… more
- HCA Healthcare (Tomball, TX)
- …Tomball we support our colleagues in their positions. Join our Team as a Nurse Manager RN Women's Services and access programs to assist with every stage of ... and more affordable to gain certifications and job skills. Apply today for our Nurse Manager RN Women's Services opening and continue to learn! **Job Summary and… more
- CVS Health (Phoenix, AZ)
- …role in ensuring members receive timely, medically necessary care through thoughtful clinical review and collaboration with providers. This fully remote position ... facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Oncology and Transplant, you'll play...of experience in Oncology and Transplant either in UM, concurrent review , or prior authorization + 3+… more
- Humana (Columbus, OH)
- …include timely data entry in MSR. * Perform accurate and timely assessment and concurrent review of outlier admissions using InterQual criteria and document ... of our caring community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and setting, following… more
- HCA Healthcare (Houston, TX)
- …to you, we encourage you to apply for our Registered Nurse Clinical Reviewer opening. Our team will promptly review your application. Highly qualified ... in their positions. Join our Team as a(an) Registered Nurse Clinical Reviewer and access programs to...resource to Hospital and Medical Staff + Responsible for concurrent audits of patient charts. Inputs data for tracking,… more
- CVS Health (Phoenix, AZ)
- …outpatient programs. + At least 1 year of Utilization Management experience in concurrent review or prior authorization. + Strong decision-making skills and ... Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this role,...In this role, you'll be at the forefront of clinical decision-making, applying your expertise in Behavioral Health to… more
- Nuvance Health (Danbury, CT)
- …are executed to the appropriate level within the care continuum. Provides clinically based concurrent review of the medical record to assess and procure accurate ... *Description* Summary: The Clinical Care Coordinator - Unit is responsible for...between emergency services, surgical services, nursing, finance, physicians, utilization review and medical records to ensure appropriate status is… more
- Crouse Hospital (Syracuse, NY)
- …maintaining the quality of care. + Demonstrates proficiency with standard Utilization Review processes. + Responsible for concurrent and continued stay ... Coordination Services team is hiring a Utilization Management Registered Nurse (RN) to track and manage data and client...pharmacy, and certain retailers. + YMCA Subsidy program. + Clinical Nursing Pathway Program for Registered Nurses designed to… more
- Texas Health Resources (Plano, TX)
- …patient populations in terms of operation, services and patient care * Concurrent review of medical records against pre-established criteria/quality initiatives ... Quality Improvement Coordinator, Registered Nurse - Neuro Administration _We're looking for a...a health related field preferred * 3 years of clinical nursing experience in an acute care setting required… more