- Sacramento County (Sacramento, CA)
- …Licensed Clinical Social Worker, Marriage and Family Therapist, or Registered Nurse . AND Either: Two years of experience coordinating and/or supervising mental ... Two years of experience in the class of Mental Health Counselor, Psychiatric Nurse , Senior Mental Health Counselor, Senior Psychiatric Nurse , or Supervising… more
- Sacramento County (Sacramento, CA)
- …of California to practice as a: Either: 1. Psychiatric Technician Or: 2. Registered Nurse Or: 3. Vocational Nurse Note: The word "experience" referenced in the ... applications have been improperly rejected may request the Employment Services Division to review its decision to reject the application. If the applicant desires to… 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 aspects of… more
- Queen's Health System (Honolulu, HI)
- … concurrent medical records reviews and query process. * Responsible for the concurrent review of provider documentation to ensure the appropriate capture of ... EDUCATION/CERTIFICATION AND LICENSURE: * Current Hawaii State License as a Registered Nurse . * Bachelor's degree in Nursing. * Current certification as a Certified… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …you to apply today. SUMMARY OF JOB The Clinical Documentation Specialist (CDS) performs concurrent review of the medical record to promote the integrity of the ... Medical or Surgical Inpatient Care Nursing, as an RN, Physician Assistant (PA), Nurse Practitioner (NP)/Advanced Practice nurse (APN), medical school graduate OR… more
- Sharp HealthCare (San Diego, CA)
- …Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse (RN) - CA Board of Registered Nursing; Accredited Case Manager (ACM) ... requires the ability to combine clinical/quality considerations with regulatory/financial/utilization review demands to assure patients are receiving care in the… more
- Sharp HealthCare (La Mesa, CA)
- …Case Manager (CCM) - Commission for Case Manager Certification; California Registered Nurse (RN) - CA Board of Registered Nursing **Hours** **:** **Shift Start ... requires the ability to combine clinical/quality considerations with regulatory/financial/utilization review demands to assure patients are receiving care in the… more
- AmeriHealth Caritas (Washington, DC)
- …When necessary, cases are escalated to the Medical Director for further review . The reviewer independently applies medical and behavioral health guidelines to ... or denial decisions + Identify and escalate complex cases requiring physician review or additional intervention + Ensure compliance with Medicaid industry standards… more
- Dignity Health (Rancho Cordova, CA)
- …advocacy, clinical social work and best practice in medical necessity determination and concurrent review . This position will supervise the department in an ... manner to ensure timely and compliant care coordination, discharge planning, utilization review and social work interventions resulting in quality patient care. The… 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 ... Healthcare Quality (CPHQ) - National Association for Healthcare Quality; California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Professional in… more