- Adecco US, Inc. (Minneapolis, MN)
- …applying benefits and criteria to clinical reviews . Utilization Management, pre-authorization, concurrent review , or appeals experience **Why work for Adecco?** ... Adecco Healthcare & Life Sciences is hiring remote RN Appeals Reviewers! This role is remote /...and Holiday pay upon meeting eligibility criteria. **IMPORTANT:** This ** Registered Nurse ** role is being recruited for… more
- HCA Healthcare (Miami, FL)
- …, and CancerCare. **What qualifications you will need:** + Associate Degree, Preferred + ( RN ) Registered Nurse , Required + Quality/PI, Acute Care Nursing, ... Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) RN Quality Coordinator with HCA Florida Mercy Hospital you can be a part… more
- HCA Healthcare (Aventura, FL)
- …database to ensure adequate documentation as required by regulatory agencies. + Complete concurrent review of cases to identify quality, timelines and systems of ... from any other healthcare provider. We are seeking a RN Trauma Injury Prevention Outreach Coord to join our...+ Quality/Performance Improvement preferred. + Current Florida license as Registered Nurse or Recognized Compact Licensure (subject… more
- HCA Healthcare (Manchester, NH)
- …required. Licensure/Certification: + Current registration in the State of NH as a Registered Nurse + Current BLS, ACLS, PALS, TNCC required. CEN certified ... join an organization that invests in you as a RN Manager Trauma Program? At Catholic Medical Center, you...and state levels. Participates in State Trauma committees. Conducts concurrent monitoring and evaluation of trauma system plan by… more
- Beth Israel Lahey Health (Burlington, MA)
- …New England States for consideration** The Clinical Documentation Improvement (CDI) Specialist Registered Nurse ( RN ) assists with the appropriate ... of Morality (ROM), during an inpatient hospitalization. CDI Specialist RN initiates concurrent queries to providers as...assignment, risk of morality, and severity of illness. Track review details in 3M software. Conducts follow-up reviews of… more
- Dignity Health (Rancho Cordova, CA)
- …or Case Manager role. - Associates of Nursing degree. - Clear and current CA Registered Nurse ( RN ) license. - Comprehensive knowledge of care management and ... advocacy, clinical social work and best practice in medical necessity determination and concurrent review . This position will supervise the department in an… more
- Prime Healthcare (Victorville, CA)
- …Voluntary Benefit Options! (https://www.primehealthcare.com/careers/benefits/) Responsibilities The Case Manager Registered Nurse (CMRN) works collaboratively as ... and to perform a holistic and comprehensive admission and concurrent review of the medical record for...of illness. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current state Registered Nurse license. 2. One year work… more
- UPMC (Pittsburgh, PA)
- …within 30 days of hire + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Registered Nurse ( RN ) + Act 34 *Current licensure either in the ... experienceLicensure, Certifications, and Clearances: + Current Pennsylvania licensure as a Registered Professional Nurse license or eligible for State Board… more
- Northwell Health (Forest Hills, NY)
- …Degree, preferred.Current license to practice as a Registered Professional Nurse in New York State.Patient Review Instruments (PRI) Certification, preferred. ... in Case Management, preferred.Minimum five (5) years clinical experience as a registered nurse . Prior experience in utilization management and/or discharge… more
- Nuvance Health (Norwalk, CT)
- …are executed to the appropriate level within the care continuum. Provides clinically based concurrent review of the medical record to assess and procure accurate ... *Description* *Clinical Care Coordinator/ RN Case Manager - Per Diem Opportunity!* *Rate:...in Nursing and minimum of three years job-related experience. Registered Nurse license State of CT with… more