- Prime Healthcare (Bristol, PA)
- …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
- Ansible Government Solutions (Memphis, TN)
- …our customers' success as if it is their own. Responsibilities + Act as the Registered Nurse Advisor for the facility's CDI program, focusing on both inpatient ... and outpatient services + Review health records concurrently to identify opportunities for improved...(SNOMED-CT) consistent with ICD-10 CM code sets + Conduct concurrent or retrospective reviews of health records to clarify… more
- Beth Israel Lahey Health (Cambridge, MA)
- …reliability processes to reduce serious safety events and improve patient outcomes. The nurse works with clinical staff to review clinical charts, interpret ... Quality & Patient Safety, the Quality and Patient Safety nurse specialist plays a role in reviewing publicly reported...to collect data for reporting quality measures, including both concurrent medical record review and periodic medical… more
- RWJBarnabas Health (Jersey City, NJ)
- …licensure as a Certified Nurse Midwife required; current New Jersey licensure as a Registered Nurse required. + BSN and MSN in nurse -midwifery from an ... Nurse Midwife-PD Days-MMG Concurrent -Jersey City-NJReq #:0000192616...for patients with deviations from standard guidelines; performs ongoing review of care, including evaluation, and documentation in the… more
- Northwell Health (Mount Kisco, NY)
- …five (5) years of job entry date. + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as ... Responsibility + Facilitates patient management throughout hospitalization. + Performs concurrent utilization management using evidence based medical necessity criteria.… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a CDI Concurrent Review and Query Specialist? At HCA Healthcare, you come first. HCA Healthcare ... a difference. We are looking for a dedicated CDI Concurrent Review and Query Specialist like you...acute care facility required Licenses, Certifications, & Training: + Registered Nurse - Currently licensed as a… more
- HCA Healthcare (Tomball, TX)
- …**What qualifications you will need:** + Bachelor of Science in Nursing/ BSN required + Registered Nurse from Texas Nursing Board + Masters of Science in Nursing ... colleagues in their positions. Join our Team as a Nurse Manager RN Women's Services and access...RN Women's Services opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- SSM Health (Madison, WI)
- …Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) + And + Registered Nurse ( RN ) - Missouri Division of Professional Registration + ... improvement projects G. Lead stroke quality improvement teams/meetings H. Concurrent chart review I. Participation in the...Or + Registered Nurse ( RN ) Issued by...Or + Registered Nurse ( RN ) Issued by Compact State State… more
- AdventHealth (Altamonte Springs, FL)
- …: Remote **The role you will contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing ... RN is responsible for denial avoidance strategies including concurrent payer communications to resolve status disputes. The Utilization...carrier. **The expertise and experiences you'll need to succeed:** RN - Registered Nurse -… more
- Guthrie (Binghamton, NY)
- Summary The Registered Nurse ( RN ) Utilization Management (UM) in collaboration with Care Coordination, Guthrie Clinic offices, other physician offices, and ... reimbursement requirements of commercial and government payers. The UM RN responsibilities include performing a variety of concurrent...of patient status. 1. Collaborate and set standards with registered nurse ( RN ) case managers… more