- PeaceHealth (Vancouver, WA)
- …status, documentation for medical necessity of admission and continued hospitalization and concurrent review . Educates patients and families about their hospital ... safe, compassionate care; every time, every touch. As a RN Case Manager at Southwest Medical Center in Vancouver,...of education and/or experience) Credentials + Required: WA State Registered Nurse License + Required Upon Hire:… more
- St. Luke's University Health Network (Allentown, PA)
- …and telephone conversations. Ability to walk and stand 80% of work time. EDUCATION: Registered Nurse required, BSN preferred. Will consider NP, PA, or physician. ... care. The Clinical Documentation Specialist is responsible for the review of inpatient medical records to facilitate the accurate...accuracy rate of 94% or greater in identifying correct concurrent initial and possible DRG when 2 or more… 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 (Winchester, 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
- HCA Healthcare (Salem, VA)
- …projects, charge reviews and patient audits. **Qualifications that you will need:** + Registered Nurse Degree required. + Minimum 1 year directly related ... join an organization that invests in you as a Revenue Integrity Charge Analyst - RN ? At Parallon, you come first. HCA Healthcare has committed up to $300 million in… more
- Cambridge Health Alliance (Somerville, MA)
- …Campus **Work Days:** Mon-Fri; 8:00-4:30, rotating weekends and holidays **Category:** Registered Nurse **Department:** Inpatient Case Management SH **Job ... RN Case Manager - Inpatient Case Management SH...**This position in onsite in Somerville** Department Description: Utilization review (UR) in behavioral health that evaluates the medical… more
- HCA Healthcare (Charleston, SC)
- …Basic Cardiac Life Support must be obtained within 90 days of employment start date + ( RN ) Registered Nurse + Associate Degree Trident Health is a 445-bed ... as indicated. Assists with analysis and action plans for concurrent database monitoring. Role also acts as a resource...personal growth, we encourage you to apply for our RN Navigator Cardiovascular PRN opening. We review … more
- Actalent (Sunrise, FL)
- Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing requests for ... management, behavioral health, and mental health. + Proficiency in clinical and utilization review processes. + Current unrestricted Florida RN or LPN License. +… more
- Beth Israel Lahey Health (Plymouth, MA)
- …the job that may reasonably be required._ **Education/Experience Required:** _Required_ + State of MA Registered Nurse ( RN ) + 3-5 years acute care nursing + ... cost, 4) reducing readmissions. **Duties/Responsibilities:** **A. Utilization Management** Performs review of anticipated admissions utilizing InterQual criteria to assess… 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