- Tufts Medicine (Burlington, MA)
- …and regulatory compliance related to the CDI and coding functions. 2. Performs initial concurrent review of new patients every day and concurrent re-reviews ... **Location: 100% Remote ** **Certification and experience required for this role**...Overview** The role of the position is responsible for concurrent and retrospect review and analysis of… more
- Centene Corporation (Columbus, OH)
- …a fresh perspective on workplace flexibility. **Position Purpose:** Supervises Prior Authorization, Concurrent Review , and/or Retrospective Review Clinical ... between utilization management team, members, and providers + Monitors prior authorization, concurrent review , and/or retrospective clinical review nurses… more
- Tufts Medicine (Burlington, MA)
- …an all-inclusive list. Other duties and responsibilities may be assigned. 1. Performs initial concurrent review of new patients every day and concurrent ... **Location: 100% Remote ** **Certification and experience required for this role**...at Home **Job Overview** The position is responsible for review and analysis of the medical record to improve… more
- UNC Health Care (Goldsboro, NC)
- …as needed. 3. Works with Clinicians and Coders to successfully implement documentation review for MS-DRG and AP-DRG payers on assigned Hospital Units. 4. Utilizes ... in Clinician documentation, and to formulate and generate clear, compliant and concurrent questions to those Clinicians. 5. Utilizes inpatient admission criteria to… more
- University of Michigan (Ann Arbor, MI)
- …and care of their children. The Pediatric Cardiothoracic Intensive Care Unit nurse cares for patients in a technology-intensive environment, including ECMO, CRRT, ... in Nursing staff development programs and workshops. + Participate in a concurrent and retrospective evaluation of patient care consistent with the hospital quality… more
- GE Vernova (Wilmington, NC)
- …oversight of suppliers thru procurement and construction to develop, perform, and review unit, module, system, and integration test plans, procedures, and reports ... Engineer-Procure-Construct (EPC) partner(s), and suppliers. + Perform detailed oversight, review , and verification of deliverables from suppliers to ensure their;… more
- GE Vernova (Wilmington, NC)
- …regulatory certification or licensing document preparation, + Perform technical oversight, review , and verification of deliverables from suppliers to ensure their ... Vernova Nuclear Energy Headquarters in Wilmington, NC; but highly qualified (US based) remote candidates will be considered. + This role requires access to US… more
- Arnot Health (Elmira, NY)
- …qualified Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review and appeal as appropriate for concurrent and retrospective ... Job Description Remote work available! Up to $10,000 Sign on...and other Arnot Health departments in matters of auth/denial review decisions. 8. Maintains a working relationship with Physician… 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
- UCHealth (Aurora, CO)
- …/ hour. Pay is dependent on applicant's relevant experience Summary: Performs concurrent review of clinical documentation in written and electronic medical ... clinical documentation in the medical record. This is a 100% remote position. Eligible out-of-state candidates may be considered. Responsibilities: Reviews inpatient… more
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