- Prime Healthcare (Woonsocket, RI)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... post-graduation of an accredited school of nursing and a current state Registered Nurse license2. Grandfathered prior to April 1, 2015. Minimum 5 years post graduate… more
- Brockton Hospital (Brockton, MA)
- …Medicine, Nursing, Case Management, the Quality Department and ancillary staff to perform concurrent analytical review of the medical record to ensure an ... license from Commonwealth of Massachusetts to practice as a Registered Nurse Experience: Minimum of five years clinical experience required. Software/Hardware: Word,… more
- Prime Healthcare (East Liverpool, OH)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... post-graduation of an accredited school of nursing and a current state Registered Nurse license. + Grandfathered prior to April 1, 2015. Minimum 5 years post… more
- UPMC (York, PA)
- …for timely and accurate documentation of appropriate data relating to concurrent denials. Assures regulatory compliance in determining denial of service and/or ... AND SKILLS:Expertise in care management, discharge planning and utilization review processes. Ability to build credible and effective relationships with… more
- Carle Health (Urbana, IL)
- …(COC) or + Certified Inpatient Coder (CIC) or + Licensed Registered Professional Nurse (RN) or + Certified Coding Specialist - Physician-Based (CCS-P) or + ... changes related to coding. + Ensures proper coordination between Concurrent Clinical Documentation Specialists, inpatient coders, outpatient coders, physician… more
- Highmark Health (Pittsburgh, PA)
- …operational areas regarding issues related to supported technology. Manage utilization review , translation of foreign claims, coordination of benefits (COB), and ... other members of the interdisciplinary team. + Completes and documents admission, concurrent , and discharge reviews of all inpatients and selected outpatients. +… more
- Elevance Health (Independence, OH)
- …complex case types that do not require the training or skill of a registered nurse . **How you will make an impact.** Primary duties may include, but are not limited ... less experienced staff. + Conducts and may approve precertification, concurrent , retrospective, out-of-network, and/or appropriateness of treatment setting reviews… more
- Baystate Health (Springfield, MA)
- …Hospital Case Manager** The **RN Hospital Case Manager** is a registered nurse responsible for the coordination of clinical care, quality, and financial outcomes ... and implements interventions for patients at risk for readmissions + Manages concurrent denials and works with physicians to overturn for appropriate reimbursement… more
- HCA Healthcare (Charleston, SC)
- …up education to staff as indicated. Assists with analysis and action plans for concurrent database monitoring. Role also acts as a resource internally and in the ... 90 days of employment start date + (RN) Registered Nurse + Associate Degree Trident Health is a 445-bed...apply for our RN Navigator Cardiovascular PRN opening. We review all applications. Qualified candidates will be contacted for… more
- Prime Healthcare (Victorville, CA)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... post-graduation of an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum 5 years post… more