- Vitalief (Philadelphia, PA)
- …to local clinical sites as needed. Required Skills: + Professional licensure as a Registered Nurse in the Commonwealth of PA. + Preferred Education: Bachelor's ... and grow sustainably. The Role We are seeking an experienced Clinical Research Nurse to join our exceptional team as a full-time Vitalief employee. In this… more
- Northwell Health (Lake Success, NY)
- …to clarify clinical documentation in the patient's medical record through a concurrent review process throughout the patient's inpatient stay. 4.Requests ... of mortality, and complexity of care provided. Responsible for concurrent inpatient medical record reviews for Medicare, Medicaid and...of employment date. *Current License to practice as a Registered Professional Nurse in New York State… more
- Genesis Healthcare (Albuquerque, NM)
- …while making a meaningful impact in the communities we serve. Responsibilities The MDS Nurse -- RN manages the overall process and tracking of all ... Overview **Ladera Care Center seeks a part time MDS Nurse !** At Genesis Healthcare, we are dedicated to improving...assessments including case-mix, OBRA and OSRA required assessments. *Perform concurrent MDS review to insure appropriate RUGs… more
- Centene Corporation (San Diego, CA)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine… 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 ... of the interdisciplinary team. + Completes and documents admission, concurrent , and discharge reviews of all inpatients and selected...a clinical nursing role + Current State of PA RN licensure OR Current multi-state licensure through the enhanced… more
- Medical Center Hospital (Odessa, TX)
- …Physician Advisors. + Qualifications: A. Education: Holds a current Texas license as a Registered Nurse OR a current Texas Licensed Vocational Nurse . B. ... + Position Summary: The Utilization Review Specialist/Outcomes Specialist conducts concurrent and...A. Education: Holds a current Texas license as a Registered Nurse OR a current Texas Licensed… more
- Access Dubuque (Dubuque, IA)
- …program + Develops a quality improvement plan utilizing the trauma registry and concurrent patient review + Addresses quality issues with nurses, physicians and ... Trauma Nurse Coordinator - Emergency - Full Time Days...Family! We are looking to hire a Trauma Coordinator, RN in our Emergency Department! **SCHEDULE:** + Full Time… more
- Northwell Health (Staten Island, NY)
- …* Bachelor's Degree in Nursing, required. * Current license to practice as a Registered Professional Nurse in New York State. * Case Management Certification, ... to another level of care according to regulatory standards. * * Performs concurrent utilization management using Interqual criteria. * Conducts chart review for… more
- Community Health Systems (Franklin, TN)
- …Knowledge of HIPAA regulations and patient confidentiality standards. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... **Job Summary** The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to… more
- BrightSpring Health Services (Austin, TX)
- …Graduate of an accredited school/college with current registration of practice as a Registered Professional Nurse + Excellent communicator with ability to handle ... meetings + Chairing committees as appropriate, safety, infection control, incident review , and human rights committees + Facilitating communication and serving as… more