- Tufts Medicine (Burlington, MA)
- …**Minimum Qualifications for CDI level I:** 1. Associate's degree in Nursing 2. Active Registered Nurse ( RN ) license in Massachusetts or compact state 3. ... level II:** 1. Bachelor's Degree in Nursing 2. Active Registered Nurse ( RN ) license in...duties and responsibilities may be assigned. 1. Performs initial concurrent review of new patients every day… more
- Sacramento County (Sacramento, CA)
- …Psychiatrist, Psychologist, Licensed Clinical Social Worker, Marriage and Family Therapist, or Registered Nurse . AND Either: Two years of experience coordinating ... a Psychiatrist, Psychologist, Licensed Clinical Social Worker, Marriage Family Therapist, or Registered Nurse . Note: Failure to maintain a required license may… more
- CareFirst (Baltimore, MD)
- …required in addition to the required work experience. **Licenses/Certifications Upon Hire Required:** RN - Registered Nurse Active State Licensure and/or ... act as a resource for the nurses to conduct concurrent review for medical necessity and appropriate...health care costs. **We are looking for an experienced Registered Nurse and people leader with UM/CM… more
- CareFirst (Baltimore, MD)
- …On-Site Clinical Navigator ( RN ) embedded at a partnering hospital will conduct concurrent review of inpatient level of care, managing the timely and smooth ... in addition to the required work experience. **Licenses/Certifications Upon Hire Required** : + RN - Registered Nurse - State Licensure And/or Compact State… more
- Nuvance Health (Danbury, CT)
- …in nursing, health administration, or a related field preferred * Current licensure as a registered nurse ( RN ) * Minimum of 5 years of clinical experience ... level of care. Develop clinical criteria and guidelines for efficient UR processes. * * Concurrent Review :* Oversee the concurrent review process,… more
- CareFirst (Baltimore, MD)
- …Onsite Clinical Navigator ( RN ) embedded at a partnering hospital will conduct concurrent review of inpatient level of care, managing the timely and smooth ... care. Applies sound clinical knowledge and judgment throughout the review process. Follows member benefit contracts to assist with...in addition to the required work experience. **Licenses/Certifications:** + RN - Registered Nurse -… 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
- Tufts Medicine (Burlington, MA)
- …**Job Description** **Minimum Qualifications:** 1. Bachelor's Degree in Nursing 2. Active Registered Nurse ( RN ) license in Massachusetts or compact ... compliance related to the CDI and coding functions. 2. Performs initial concurrent review of new patients every day and concurrent re-reviews approximately… more
- 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
- 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