- HCA Healthcare (Sun City Center, FL)
- …medical staff and board members on analysis of risk assessment, historical and concurrent occurrence and claims data and national trends. . You will ensure ... field required; Master's Degree preferred . Current Florida licensure as a Registered Nurse preferred _**If serving as facility's primary Risk Manager, VP must have… more
- 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
- 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
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …* Support proactive denial prevention by reviewing high-risk accounts and participating in concurrent review processes * Track appeal success rates and denial ... supporting a denials prevention program * Collaborate with UM staff to review for medical necessity and authorization-related denials to determine appeal potential… more