- 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
- Kaleida Health (Buffalo, NY)
- …coding team, Nursing, Patient Management, Quality Department and ancillary staff to perform concurrent analytical review of clinical documentation and coding ... care team. The CDS is also responsible for audit review to identify potential documentation deficiencies in specific records...acute care, medical/surgical or ICU/ED as a licensed Registered Nurse required. 1 year of experience in Clinical… more
- Kaleida Health (Buffalo, NY)
- …coding team, Nursing, Patient Management, Quality Department and ancillary staff to perform concurrent analytical review of clinical documentation and coding ... require leadership abilities.** **Education And Credentials** Bachelors degree required. Registered Nurse required. Cert. Clinical Doc Specialist (CCS) required… 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
- Dignity Health (Rancho Cordova, CA)
- …This position may be assigned cases in pre-authorization areas, in skilled nursing facility review or in concurrent review . Responsibilities may include: - ... the Greater Sacramento, CA region.** **Position Summary:** The Utilization Review (UR) LVN uses clinical judgement in...LVN experience. - Clear and current CA Licensed Vocational Nurse (LVN) license. - Knowledge of health plans. Medical… 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
- 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
- Hartford HealthCare (Farmington, CT)
- …tasks as necessary, provides coverage and back up when manager is absent. **Documentation Review ** . Day to day clinical documentation reviews and second level ... and provides education for the CDI team. . Inputs review workflows, accurate data, and CDI query impact into...Clinical Documentation team. . Leads and manages multiple concurrent projects, prioritizes tasks and adapts to frequent changes… 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
- Medical Center Hospital (Odessa, TX)
- + Position Summary: The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital ... Nurse OR a current Texas Licensed Vocational Nurse . B. Training and Experience: Three years clinical... Nurse . B. Training and Experience: Three years clinical nursing experience in general medical/surgical setting or appropriate… more