- BrightSpring Health Services (Gainesville, FL)
- …and + Must have completed post-secondary education coursework to facilitate licensure as a Registered Nurse ( RN ) + Must have healthcare management experience ... unavailable + Participates on the safety, infection control, incident review and human rights committees + Facilitates communication and...intellectually disabled individuals is preferred + Must be a Registered Nurse ( RN ) in good… 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
- Centene Corporation (Oklahoma City, OK)
- …experience preferred. Knowledge of utilization management principles preferred. **License/Certification:** + RN - Registered Nurse - State Licensure ... in challenging or high-stress situations **Position Purpose:** Manages Prior Authorization, Concurrent Review , and/or Retrospective Review Clinical … 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
- Hartford HealthCare (Farmington, CT)
- …others as needed. **Education** . Bachelor degree or equivalent experience **Experience** . Minimum: Registered Nurse ( RN ) with 3-5 years CDS experience . ... as necessary, provides coverage and back up when manager is absent. **Documentation Review ** . Day to day clinical documentation reviews and second level reviews as… more
- Kaleida Health (Buffalo, NY)
- …of Arts in Nursing or similar or Bachelors in Health care Administration required. Registered Nurse required. CDS must obtain CCDS credential within 12 months of ... experience in Patient Management, acute care, medical/surgical or ICU/ED as a licensed Registered Nurse required. 1 year of experience in Clinical Documentation… 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
- HCA Healthcare (Miami, FL)
- …and Cancer Care. **What qualifications you will need:** + Associate Degree, Preferred + ( RN ) Registered Nurse , Required + Quality/PI, Acute Care Nursing, ICU ... Summary and Qualifications** The Quality Coordinator is responsible for performing concurrent and retrospective quality management / practice improvement reviews as… more
- UNC Health Care (Goldsboro, NC)
- …information: Education BS Degree in nursing preferred. Licensure/Certification North Carolina Registered Nurse Licensure. Experience Minimum of 2 years' ... 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… more