- AdventHealth (Celebration, FL)
- …in specialty unit_ Current valid State of Florida or multistate license as a Registered Nurse Basic Life Support (BLS) certification * ACLS certification, per ... the defeat of illness and disease **The role you'll contribute:** The Clinical Nurse Education Facilitator (CNEF) is an expert clinician, highly skilled in nursing… more
- 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
- Cedars-Sinai (Beverly Hills, CA)
- …by assessing their needs, coordinating care, communicating with health plans, including concurrent review to determine the appropriateness of services rendered ... of care and level of care. Use evidence based review guidelines to conduct utilization review as...are transitioning to the Skilled Nursing Facilities, refers to nurse practitioner and case manager assigned to the SNF's… more
- Cedars-Sinai (Beverly Hills, CA)
- …assessing their needs, coordinating care, communicating with health plans (including concurrent review , which assists the hospitalist/specialist and case manager ... are transitioning to the Skilled Nursing Facilities, refer to nurse practitioner and case manager assigned to the SNF's...and case manager assigned to the SNF's for continued review and follow up. + Authorize all appropriate services… 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
- Bassett Healthcare (Cooperstown, NY)
- …in a healthcare setting, preferred Licensure/Certifications: + Current NYS licensure as a Registered Professional Nurse , if applying as a nurse , required ... of life possible. What you'll do The Case Manager RN supports the physician and interdisciplinary team in facilitating...both areas. + Refers cases and issues to Case Review , Utilization Committee, Medical Director, and Director of Quality… more
- Genesis Healthcare (Charles Town, WV)
- …while making a meaningful impact in the communities we serve. Responsibilities The MDS Nurse -- RN manages the overall process and tracking of all ... assessments including case-mix, OBRA and OSRA required assessments. *Perform concurrent MDS review to insure appropriate RUGs...graduate of an accredited School of Nursing with current RN licensure in the state in which employment occurs… 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
- Omaha Children's Hospital (Omaha, NE)
- …of service for the severity of illness. UM includes retrospective and concurrent clinical reviews with third-party payors and actively collaborates with NCM and ... Guides admitting physician in protocols for conducting physician to physician review with third-party payers. * Appropriately documents all relevant communications… more
- Centene Corporation (Raleigh, NC)
- …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