- University of Utah Health (Salt Lake City, UT)
- …continued stay review . + Communication to third-party payers for initial and concurrent clinical review . + Reviews patient chart to ensure patient continues ... cost, or over/under-utilization of resources. + Performs verbal/fax clinical review with payer as determined by nursing judgment and/or...Required** + Current license to practice as a Registered Nurse in the State of Utah, or obtain one… more
- Beth Israel Lahey Health (Plymouth, MA)
- …using Interqual criteria. + Integrates clinical knowledge with billing knowledge to review , evaluate, and appeal clinical denials related to the care provided to ... the hospitalized patient. + Conducts concurrent reviews to determine the continued need for acute care setting, appropriateness and timeliness of… more
- Beth Israel Lahey Health (Cambridge, MA)
- …reliability processes to reduce serious safety events and improve patient outcomes. The nurse works with clinical staff to review clinical charts, interpret ... Quality & Patient Safety, the Quality and Patient Safety nurse specialist plays a role in reviewing publicly reported...to collect data for reporting quality measures, including both concurrent medical record review and periodic medical… more
- AdventHealth (Daytona Beach, FL)
- …**The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise by analyzing patient records to ... order or a status conflict is indicated, the UM nurse is responsible for escalation to the Physician Advisor...to the Physician Advisor or designated leader for additional review as determined by department standards. Additionally, the UM… more
- Baystate Health (Springfield, MA)
- …Center (BMC), a Magnet Hospital for Nursing Excellence is looking for a** ** Nurse Educator** **to join our** **Cardiac Cath and Electrophysiology Lab!** **The ... Nurse Educator, utilizes innovative and flexible solutions** **_(including leveraging...advancement of clinical nursing practice and professional development through review , critique, and dissemination of relevant current literature, research… more
- HCA Healthcare (Portsmouth, NH)
- …to you, we encourage you to apply for our Patient Safety Coordinator Registered Nurse opening. Our team will promptly review your application. Highly qualified ... in their positions. Join our Team as a Patient Safety Coordinator Registered Nurse and access programs to assist with every stage of your career. **Benefits**… more
- UHS (Johnson City, NY)
- Position OverviewThe Trauma Resource Nurse (TRN) has responsibility for concurrent trauma performance improvement and patient safety activities for the Trauma ... by working closely with the TPM and Trauma Registrars to assure accurate, concurrent clinical data abstraction and entry into the trauma registry. The TRN maintains… more
- HCA Healthcare (Nashville, TN)
- …charitable organizations. Apply today! **Job Summary and Qualifications** The Quality Nurse Coordinator coordinates and facilitates Quality/Peer Review Committee ... role:** + Perform timely and accurate data collection via concurrent and retrospective clinical medical record reviews. + Participate...growth, we encourage you to apply for our Quality Nurse Coordinator opening. We promptly review all… more
- ERP International (Barksdale AFB, LA)
- …including identification of types ofhealthcare services for which preauthorization or concurrent review will be required.Reviews previous and present medical ... **Overview** ERP International is seeking a **Utilization Management Registered Nurse (RN)** for a full-time position supporting the 2d Medical Group, Barksdale AFB,… more
- Sacramento County (Sacramento, CA)
- Supervising Registered Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448883) Apply Supervising Registered Nurse D/CF Salary ... 5:00 pm on: 2/3/25, 4/7/25, 6/2/25, 8/4/25, 10/6/25, 12/1/25 Supervising Registered Nurse - Detention/Correctional Facility is the first level supervisory class in… more