- Sharp HealthCare (La Mesa, CA)
- …Professional in Healthcare Quality (CPHQ) - National Association for Healthcare Quality; California Registered Nurse ( RN ) - CA Board of Registered ... potential quality issues through measurement and analysis along with concurrent and retrospective review of performance information....Board for Professionals in Patient Safety -PREFERRED + California Registered Nurse ( RN ) - CA… more
- Sacramento County (Sacramento, CA)
- …the State of California to practice as a: Either: 1. Psychiatric Technician Or: 2. Registered Nurse Or: 3. Vocational Nurse Note: The word "experience" ... improperly rejected may request the Employment Services Division to review its decision to reject the application. If the...hold to practice in: + Psychiatric Technician + Vocational Nurse + Registered Nurse +… more
- Centene Corporation (New York, NY)
- …of related experience. Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse - State Licensure and/or ... license.** **Inpatient Utilization Management** **Position Purpose:** Supervises Prior Authorization, Concurrent Review , and/or Retrospective Review Clinical… more
- Sharp HealthCare (San Diego, CA)
- …**Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse ( RN ) - CA Board of Registered Nursing; ... + 2 Years Medical Management experience, preferably in a managed care setting + California Registered Nurse ( RN ) - CA Board of Registered Nursing… more
- HCA Healthcare (Tallahassee, FL)
- …options and costs to patient and patient families. **What qualifications you will need:** + Registered Nurse , or Advance Practice Registered Nurse (APRN) ... accordance with Utilization Plan using ISD criteria, and performs concurrent stay reviews at least every 72 hours for...to apply for our Manager Case Management opening. We review all applications. Qualified candidates will be contacted by… more
- AdventHealth (Orlando, FL)
- …**The role you'll contribute:** The Clinical Documentation Integrity Manager is a Registered Nurse and/or a Registered Health Information Administrator ... and clinical documentation specialists. This role will oversee the review processes of complex patients that vary in age...Licenses and Certifications Current active State license as a Registered Nurse , Nurse Practitioner, Physicians… more
- UPMC (Pittsburgh, PA)
- … Health Information Administrator OR Registered Health Information Technician (RHIT) OR Registered Nurse ( RN ) + Act 34 *Current licensure either in ... Licensure, Certifications, and Clearances: + Certified Coding Specialist (CCS) OR Certified Registered Nurse Practitioner OR Doctor of Medicine (MD) OR Doctor… more
- University of Michigan (Ann Arbor, MI)
- …contact Nurse Recruitment at ###. **Required Qualifications + Current licensure as a Registered Nurse in the State of Michigan. + Master's degree in Nursing ... and care of their children. The Pediatric Cardiothoracic Intensive Care Unit nurse cares for patients in a technology-intensive environment, including ECMO, CRRT,… more
- San Antonio Behavioral Health (San Antonio, TX)
- …May consult with staff as needed. Essential Duties: + Collaborate and set standards with registered nurse ( RN ) case managers (CMs) and outcome managers to ... The Utilization Review Coordinator conducts utilization reviews to determine if...condition. Monitors patient charts and records to evaluate care concurrent with patients' treatment. Reviews treatment plans and status… more
- AmeriHealth Caritas (Washington, DC)
- …(BSN) preferred + Minimum of 3 years of diverse clinical experience as a Registered Nurse in an Intensive Care Unit (ICU), Emergency Department (ED), ... reviews within a managed care organization preferred **Licensure** + Active and unencumbered Registered Nurse license in the District of Columbia + Valid and… more