• Clinical Documentation Specialist RN

    Hackensack Meridian Health (Neptune City, NJ)
    …admissions and observations as specified by the facility's Utilization Management/ Review Committee for documentation completeness and compliance with patient status. ... regarding hospital acquired conditions (HAC). Communicates the transfer of appropriate concurrent information to the inpatient Case Managers and the Clinical… more
    Hackensack Meridian Health (10/18/25)
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  • Case Manager (RN) - Social Work

    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
    Prime Healthcare (10/16/25)
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  • Director of Care Coordination (RN)

    Catholic Health Services (West Islip, NY)
    …Conditions of Participation. + Implements care management programs, including utilization review , intake and discharge planning. + Evaluates patient care data to ... and federal, state and QIO regulations. + Familiarity with admission and concurrent in-patient criteria is preferred. + Experience with data analytics preferred. +… more
    Catholic Health Services (10/16/25)
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  • Case Manager (RN)

    Prime Healthcare (North Las Vegas, NV)
    …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
    Prime Healthcare (10/14/25)
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  • Clinical Research Coordinator

    Vitalief (New Brunswick, NJ)
    …New Brunswick, NJ. Job Responsibilities: + Under the direct supervision of the Nurse Manager of Clinical Research Center (CRC), you will be responsible for ... plus. + Ability to work on 12 to 15 concurrent trials - must have strong organizational and prioritization...in preparation of documents for submission to the Institutional Review Board (IRB), continuing reviews, and submission of amendments… more
    Vitalief (10/13/25)
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  • Denial Analyst - Revenue Integrity - Full Time…

    Montrose Memorial Hospital (Montrose, CO)
    …and is responsible for completing, tracking, and reporting clinical denial review determinations. This individual will combine clinical, business, and regulatory ... skill to reduce financial risk and exposure caused by concurrent and retrospective denials. The Clinical Denial Analyst is...+ Must at least be Licensed as a Registered Nurse in the State of Colorado or possess a… more
    Montrose Memorial Hospital (10/07/25)
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  • Case Manager, Behavioral Health (Per Diem)

    St. Luke's University Health Network (Allentown, PA)
    …appropriate to the age of the patient treated. + Performs admission review on all inpatients. Attends daily patient rounds and shares professional knowledge, ... of patient care management. + Facilitates insurance authorization, pre-certification, and concurrent reviews for assigned patients. + Maintains clinical records of… more
    St. Luke's University Health Network (09/01/25)
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