- HCA Healthcare (Austin, TX)
- …of medical services and discharge planning for specified patient populations. Performs concurrent and retrospective review of patient medical records for ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...purposes of utilization review , care coordination compliance with requirements of external … more
- Arnot Health (Elmira, NY)
- …qualified Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review and appeal as appropriate for concurrent and retrospective ... with physicians and other Arnot Health departments in matters of auth/denial review decisions. 8. Maintains a working relationship with Physician Advisor regarding… more
- Sharp HealthCare (San Diego, CA)
- …an effective in-patient Care Management program that includes initial and concurrent review ; case management/discharge planning activities. Responsible for ... 1 **Shift Start Time** **Shift End Time** California Registered Nurse (RN) - CA Board of Registered Nursing; Bachelor's...preferably in a managed care setting + California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED… more
- AdventHealth (Maitland, FL)
- …stewardship in the management of resources entrusted to them. + Reviews concurrent medical record for compliance including completeness and accuracy for severity of ... (ROM) and quality. + Completes accurate and timely record review to ensure the integrity of documentation compliance. +...of Clinical Documentation Specialist experience + RN - Registered Nurse - State Licensure and/or Compact State Licensure +… more
- AdventHealth (Orlando, 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
- AdventHealth (Orlando, FL)
- …to all. **The value you'll bring to the team:** + Reviews concurrent medical record for documentation compliance including completeness and accuracy for severity ... (ROM), and quality. + Completes accurate and timely record review to ensure the integrity of documentation compliance. +...experience + Current active State license as a Registered Nurse , Nurse Practitioner, Physicians Assistant or an… more
- HCA Healthcare (Richmond, VA)
- …screens/indicators consistently in evaluating medical necessity. + Performs admission and concurrent review for all payers and maintains legible documentation ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...school of nursing required, BSN preferred. + Current Registered Nurse license in Virginia or current Multistate Registered State… more
- Houston Methodist (Houston, TX)
- …include the notification of and follow through with the Employee Health Nurse when such contacts have involved Hospital personnel.) **SERVICE ESSENTIAL FUNCTIONS** + ... practical surveillance program which incorporates the systematic and current review of healthcare associated infections (HAIs), significant communicable diseases,… more
- HCA Healthcare (Panama City, FL)
- …to appropriate agencies and third party payers regarding pre-admission screening, concurrent , outpatient and retrospective review process as it relates ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...compact license required within 90 days of hire. Advanced Nurse Practitioner license acceptable + 5 years Case Management… more
- BrightSpring Health Services (Gainesville, FL)
- …of Nursing is unavailable + Participates on the safety, infection control, incident review and human rights committees + Facilitates communication and serves as a ... have completed post-secondary education coursework to facilitate licensure as a Registered Nurse (RN) + Must have healthcare management experience with multiple age… more