- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …for a detailed definition of mastery level certification. OR, Clinical experience, such as Registered Nurse ( RN ), Medical Doctor (MD), or Doctor of ... overall quality and completeness of clinical documentation. Inpatient CDI focuses on the concurrent review of patient records with an emphasis on improving… more
- Elevance Health (Las Vegas, NV)
- …relatively complex case types that do not require the training or skill of a registered nurse . Acts as a resource for more junior Clinicians. Primary duties may ... and/or utilization review experience. + Current active, valid and unrestricted RN license and/or certification to practice as a health professional within the… more
- HealthTrust Workforce Solutions (Myrtle Beach, SC)
- …nationwide. **_JOB SUMMARY_** The Interim Leader of Case Management Services is a Registered Nurse who participates as an active administrative member of the ... to assure that the following functions of the role are completed: Utilization Review for medical necessity of admission and concurrent stay, Social Services… more
- Queen's Health System (Honolulu, HI)
- … concurrent medical records reviews and query process. * Responsible for the concurrent review of provider documentation to ensure the appropriate capture of ... A. EDUCATION/CERTIFICATION AND LICENSURE: * Current Hawaii State License as a Registered Nurse . * Bachelor's degree in Nursing. * Current certification as a… more
- Elevance Health (New Hyde Park, NY)
- …moderately complex case types that do not require the training or skill of a registered nurse . **Primary duties may include but are not limited to:** + ... less experienced staff. + Conducts and may approve precertification, concurrent , retrospective, out-of-network, and/or appropriateness of treatment setting reviews… more
- Elevance Health (Miami, FL)
- …following standard procedures that do not require the training or skill of a registered nurse . **How You Will Make an Impact** Primary duties may include, ... plans and/or contracts. + Conducts and may approve precertification, concurrent , retrospective, out-of-network, and/or appropriateness of treatment setting reviews… more
- Elevance Health (Cincinnati, OH)
- …following standard procedures that do not require the training or skill of a registered nurse . **How you will make an impact:** + Confirms medical services ... plans and/or contracts. + Conducts and may approve precertification, concurrent , retrospective, out-of-network, and/or appropriateness of treatment setting reviews… more
- Queen's Health System (Honolulu, HI)
- …QUALIFICATIONS: A. EDUCATION/CERTIFICATION AND LICENSURE: * Current Hawaii State license as a Registered Nurse . * Associate degree in nursing or higher. * Valid ... responsible for competency in coordinating and performing day-to-day operations, providing concurrent and/or retrospective review , and improving documentation of… more
- Prime Healthcare (East Liverpool, OH)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... an accredited school of nursing and a current state Registered Nurse license. + Grandfathered prior to...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. + Five years acute care… more
- Elevance Health (Independence, OH)
- …moderately complex case types that do not require the training or skill of a registered nurse . **How you will make an impact.** Primary duties may include, but ... less experienced staff. + Conducts and may approve precertification, concurrent , retrospective, out-of-network, and/or appropriateness of treatment setting reviews… more