- Health Care Service Corporation (Downers Grove, IL)
- …health needs within the scope of their benefit plan. **Required Job Qualifications:** + Registered Nurse ( RN ) with current, valid, unrestricted license to ... professional development. **Job Summary** This position is responsible for performing concurrent review in accordance with approved departmental guidelines;… more
- HCA Healthcare (Englewood, CO)
- …Licensure/Certification/Registration: o Current licensure in the State of Colorado as a Registered Nurse , or current active multistate nursing licensure, or LCSW ... with the efficacious and cost effective utilization of resources. Through concurrent clinical case management, patients will be assessed to determine appropriateness… more
- Presbyterian Homes and Services (Roseville, MN)
- …sites by directing the other RAI Directors on the approved plan. Qualifications + Registered nurse with current licensure the State Board of Nursing in states ... review all expedited appeals and ALJ level appeals. Perform concurrent MDS review to assure appropriate RUGs category is achieved through the capture of… more
- Dignity Health (Northridge, CA)
- …around critical quality and safety initiatives. **Job Requirements** + Licensed Registered Nurse , Licensed Clinical Pharmacist, or other Licensed Clinical ... to accuracy and attention to detail will shine through as you review patient records, distill complex information into clear case summaries, and rigorously… more
- Dignity Health (Sacramento, CA)
- …mock survey tracers. **Job Requirements** **Education and Experience:** + Licensed Registered Nurse , Licensed Clinical Pharmacist, or other Licensed Clinical ... experience, efficiency, FMEAS, root cause analyses and medical staff improvement (eg case review for peer review , OPPE, FPPE). + Participates in an integral… more
- KidsPeace Childrens Hospital (Schnecksville, PA)
- …as necessary collaboration/supervision agreements with Advance Practice Professionals (Certified Registered Nurse Practitioners or Physician Assistants) and ... the interdisciplinary treatment team planning process as well as complete and concurrent documentation in the medical record. The Psychiatrist will adhere to… more
- AdventHealth (Daytona Beach, FL)
- …care unit, or Emergency Department experience. + Current active State license as a Registered Nurse , MD/DO, Nurse Practitioner, Physicians Assistant or an ... stewardship in the management of resources entrusted to them. + Reviews concurrent medical record for compliance including completeness and accuracy for severity of… more
- University of Rochester (Rochester, NY)
- …(RHIT) Program Preferred **_or_** + Licensure/credentials in clinical specialty such as Registered Nurse , Licensed Practical Nurse , or Emergency Medical ... reviewing patient charts for additional data indicators, and completion of concurrent data abstraction. + Coordinate with other program staff, departments, and… more
- Trinity Health (Livonia, MI)
- …overall revenue cycle operations required. **Additional Qualifications (nice to have)** Registered Nurse , strongly preferred Knowledge of Ambulatory Payment ... Responsible for charge capture in Revenue Integrity assigned areas. Review 's chart, including nursing notes, physician orders, progress notes,...regimens over long periods of time & work on concurrent tasks / projects. Frequent + Ability to read… more
- MVP Health Care (Rochester, NY)
- …York** **Qualifications you'll bring:** + Current New York State Licensure as a Registered Nurse required. + Certification in Case Management required within 24 ... the Medical Director to ensure appropriate outcomes. + Service Authorization & Review : Conduct prospective, concurrent , and retrospective reviews to determine… more