- Dignity Health (Northridge, CA)
- …to accuracy and attention to detail will shine through as you review patient records, distill complex information into clear case summaries, and rigorously ... uphold the confidentiality inherent in the peer review process. Success in this role hinges on your...quality and safety initiatives. **Job Requirements** + Licensed Registered Nurse , Licensed Clinical Pharmacist, or other Licensed Clinical Staff,… more
- Stanford Health Care (Palo Alto, CA)
- …include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness ... ensuring optimum use of resources, service delivery, and compliance with external review agencies' requirements. Case Managers act as consultants to the clinical… more
- Dignity Health (Sacramento, CA)
- …experience, efficiency, FMEAS, root cause analyses and medical staff improvement (eg case review for peer review , OPPE, FPPE). + Participates in an integral ... tracers. **Job Requirements** **Education and Experience:** + Licensed Registered Nurse , Licensed Clinical Pharmacist, or other Licensed Clinical Staff **and**… more
- KidsPeace Childrens Hospital (Schnecksville, PA)
- …the interdisciplinary treatment team planning process as well as complete and concurrent documentation in the medical record. The Psychiatrist will adhere to ... and Statistical Manual of Mental Disorders, written treatment orders, admissions on-call review for all legal commitment status documents and review and… more
- HCA Healthcare (Tallahassee, FL)
- …for patients in accordance with Utilization Plan using ISD criteria, and performs concurrent stay reviews at least every 72 hours for medical necessity using ISD ... patient families. **What qualifications you will need:** + Registered Nurse , or Advance Practice Registered Nurse (APRN)...to apply for our Manager Case Management opening. We review all applications. Qualified candidates will be contacted by… 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 ... Bending, reaching overhead. **Minimum Qualifications** Certification by the American Association of Nurse Anesthetists ( AANA ) as a Certified Registered Nurse … more
- AdventHealth (Daytona Beach, FL)
- …stewardship in the management of resources entrusted to them. + Reviews concurrent medical record for compliance including completeness and accuracy for severity of ... of mortality (ROM) and quality. + Completes accurate and timely record review to ensure the integrity of documentation compliance. Completes accurate and concise… more
- Rochester Regional Health (Rochester, NY)
- …necessary and delivered at the most appropriate level; actively participate in the concurrent review process and communicate/intervene with third party payors to ... SUMMARY As a Registered Nurse - Care Manager, your excellent interpersonal, leadership...managed care payment principles helpful RESPONSIBILITIES + Evaluation & Review . Evaluate hospital admissions to assure care is medically… more
- Kaleida Health (Buffalo, NY)
- …team, Nursing, Patient Management, Quality Department and ancillary staff to perform concurrent analytical review of clinical documentation and coding data.The ... of the health care team. The CDS is also responsible for audit review to identify potential documentation deficiencies in specific records and to identify clinical… more
- University of Rochester (Rochester, NY)
- …reviewing patient charts for additional data indicators, and completion of concurrent data abstraction. + Coordinate with other program staff, departments, and ... for the Pediatric Trauma Program including Pediatric Multidisciplinary Trauma Peer Review and Trauma Systems and Operations Committee meetings + Attends weekly… more