- 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
- Guthrie (Binghamton, NY)
- …a Bachelor of Arts (BA) degree in addition to a degree in Nursing. A registered nurse with five (5) years relevant experience willing to pursue a BSN or BA degree ... two (2) years of hire. Individual consideration may be given to a registered nurse , with significant clinical experience, who holds a bachelor's degree in a related… more
- Beth Israel Lahey Health (Plymouth, MA)
- …4) reducing readmissions. **Duties/Responsibilities:** **A. Utilization Management** Performs review of anticipated admissions utilizing InterQual criteria to assess ... the overall transition plan of care based on initial assessment and concurrent collaboration with other care givers, external service organizations, agencies and… more
- AdventHealth (Altamonte Springs, FL)
- …Balance, Excellence, Stewardship, and Teamwork + Completes accurate and timely record review to ensure the integrity of clarification compliance for all CDSs ... Quality reviews consist of, but are not limited to; concurrent , mortality, Retrospect and other internal CDI audits to...REQUIRED:** . Current active State license as a Registered Nurse , Nurse Practitioner, or Physician's Assistant .… more
- HCA Healthcare (Miami, FL)
- …At HCA Florida Kendall Hospital, our nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want to create your own personal career ... and Qualifications** The Burn PI Coordinator performs retrospective and concurrent reviews of patient care records and assesses for...thorough written presentation is developed to facilitate a formal review by BMD, BPD, and Burn M&M Committee when… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …overall quality and completeness of clinical documentation. Inpatient CDI focuses on the concurrent review of patient records with an emphasis on improving ... encounters through retrospective, ideally prior to coding and billing, review of outpatient encounters and extensive provider education. Applies comprehensive… more
- Molina Healthcare (Idaho City, ID)
- …requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the denial process. + Monitors appropriate care ... Public Health, Healthcare Administration, etc. **PREFERRED EXPERIENCE:** + Peer Review , medical policy/procedure development, provider contracting experience. + Experience… more