- HCA Healthcare (Austin, TX)
- …Associates Degree or higher level education . Bachelor's Degree in Nursing - preferred . Registered Nurse ( RN ) license in Texas. If Compact License, Texas ... colleagues in their positions. Join our Team as a(an) Registered Nurse Quality Coordinator and access programs...Stroke, STS, and CathPCI) . You will perform daily concurrent review and retrospective reviews as needed… more
- ERP International (Barksdale AFB, LA)
- **Overview** ERP International is seeking a **Utilization Management Registered Nurse ( RN )** for a full-time position supporting the 2d Medical Group, ... identification of types ofhealthcare services for which preauthorization or concurrent review will be required.Reviews previous and...Utilization Management is required. Full time employment as a registered nurse within the last 36 months… more
- HCA Healthcare (Houston, TX)
- …Hospital we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Clinical Reviewer and access programs to assist with every stage ... gain certifications and job skills. Apply today for our Registered Nurse Clinical Reviewer opening and continue...Nurse Clinical Reviewer opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Case Manager Contingent Days - 2506002318 Description : DMC Sinai-Grace Hospital is DMC's largest hospital, offering a comprehensive heart ... hospitals and physicians throughout the nation. Job Description: The RN Case Manager is responsible to facilitate care along...management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- Prime Healthcare (Riverdale, GA)
- …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
- Cognizant (Juneau, AK)
- …expectations. **What you need to have to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...as well as timely filing deadlines and processes. . Review clinical denials including but not limited to referral,… more
- Beth Israel Lahey Health (Plymouth, MA)
- …using Interqual criteria. + Integrates clinical knowledge with billing knowledge to review , evaluate, and appeal clinical denials related to the care provided to ... the hospitalized patient. + Conducts concurrent reviews to determine the continued need for acute...may reasonably be required._ **Education/Experience Required:** + Current MA RN licensure + Bachelor's Degree in Nursing or advanced… more
- Wellpath (Fort Lauderdale, FL)
- …and point of care support. **How you make a difference** The Utilization Management Registered Nurse works under the guidance of the Utilization Provider to ... and acute care using InterQual Criteria, ensuring adherence to department procedures. * Review concurrent clinical information and document it in the ERMA Care… more
- Geisinger (Lewistown, PA)
- …Experience Minimum of 2 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... National Healthcare Safety Network (NHSN) reporting criteria and requirements. + Performs concurrent and retrospective medical record review including review … more
- Sutter Health (Roseville, CA)
- …school of nursing + Bachelor's in Nursing preferred. **CERTIFICATION & LICENSURE:** + RN - Registered Nurse of California Upon Hire **TYPICAL EXPERIENCE:** + ... Sutter Health! **Organization:** SMCS-Valley Administration **Position Overview:** Conducts preauthorization, concurrent , and retrospective utilization management review using… more