- Sacramento County (Sacramento, CA)
- …Employment Qualifications Minimum Qualifications Possession of a current valid license as a Registered Nurse and a Nurse Practitioner certification issued by ... improperly rejected may request the Employment Services Division to review its decision to reject the application. If the...must submit a copy of both my current valid Registered Nurse license AND my Nurse… more
- UCHealth (Aurora, CO)
- …board of nursing approved Registered /Professional Nursing program. + State licensure as a Registered Nurse ( RN ). 5 years of recent clinical experience in ... Description Clinical Documentation Specialist RN Location: UCHealth Leprino Building AMC, US:CO: Aurora...Pay is dependent on applicant's relevant experience Summary: Performs concurrent review of clinical documentation in written… more
- HCA Healthcare (Nashville, TN)
- …and accreditation standards. **What qualifications you will need:** + Current licensure as a Registered Nurse ( RN ) in the state of Tennessee or compact ... charitable organizations. Apply today! **Job Summary and Qualifications** The Quality Nurse Coordinator coordinates and facilitates Quality/Peer Review Committee… more
- Omaha Children's Hospital (Omaha, NE)
- …management. + Should be a creative, flexible, risk taker. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State ... for the severity of illness. UM includes retrospective and concurrent clinical reviews with third-party payors and actively collaborates...Licensure Required and + RN -BC - Case Management Nurse Preferred Children's… more
- Nuvance Health (Danbury, CT)
- …payers. * If concurrent inpatient case does not meet medical necessity review criteria during the first level review , discuss with the attending MD ... REQUIRED* * *Hybrid/Remote* * *Summary:* The purpose of the Denial Prevention Nurse is to ensure that all patient admissions are appropriately status within… more
- Prime Healthcare (Coshocton, 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
- Prime Healthcare (Woonsocket, RI)
- …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 license2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing… more
- Baystate Health (Springfield, MA)
- …Diem Hospital Case Manager** The ** RN Hospital Case Manager** is a registered nurse responsible for the coordination of clinical care, quality, and financial ... and implements interventions for patients at risk for readmissions + Manages concurrent denials and works with physicians to overturn for appropriate reimbursement… more
- Prime Healthcare (Victorville, CA)
- …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.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing… more
- Prime Healthcare (Mount Prospect, IL)
- …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 2. Grandfathered prior to...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred. 3. Five years acute care… more