- Hackensack Meridian Health (Eatontown, NJ)
- …for coding, OASIS and Hospice, and other clinical assessment tools as needed. + Review every Medicare and Managed Medicare admission chart to determine ... in the system if inappropriate codes are identified. + Review each Hospice assessment to assure each CTI, 485...of the certified operation, Hospice Clinical Director, and the Nurse Manager for the appropriate operation. Demonstrates the ability… more
- US Tech Solutions (Chicago, IL)
- …experience with Utilization Review ? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions is a global staff ... clinical policy, regulatory and accreditation guidelines. + Responsible for the review and evaluation of clinical information and documentation. + Reviews… more
- US Tech Solutions (May, OK)
- …clinical policy, regulatory and accreditation guidelines. . Responsible for the review and evaluation of clinical information and documentation. . Reviews ... Care cases across all lines of business (Commercial and Medicare ). . Independently coordinates the clinical resolution with internal/external.... 1+ years of inpatient hospital experience . Registered Nurse in state of residence . Must have prior… more
- Albany Medical Center (Albany, NY)
- …documents findings based on Departmental standards.* While performing utilization review identifies areas for clinical documentation improvement and contacts ... Demonstrates proper use of MCG and documentation requirements through case review and inter-rater reliability studies.* Facilitates removal of delays and documents… more
- Centene Corporation (Austin, TX)
- …discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in ... determinations or provide recommendations based on requested services and concurrent review findings + Assists with providing education to providers on utilization… more
- Intermountain Health (Murray, UT)
- …than 1 million members. Select Health's line of businesses (LOB) includes Medicare , Medicaid, FEHB, Marketplace Qualified Health Plans, fully funded and self-funded ... Commercial plans. Utilization Review nurses at Select Health proactively oversee inpatient and...and Written Communication **Qualifications** Minimum Qualifications + Current RN ( Nurse ) compact license to practice in all states that… more
- CareOregon (Portland, OR)
- …and implements planned nursing and medical interventions as delegated by registered nurse /clinician. + Perform duties in compliance with Medicare Condition of ... care costs and increase provider/care team satisfaction. Housecall Providers has saved Medicare millions of dollars, while providing better care to our patients,… more
- PruittHealth (Blue Ridge, GA)
- **LPN MDS COORDINATOR** **JOB PURPOSE:** RN Register Nurse Responsible for coordinating assessments for each resident including Resident Assessment Instrument (RAI), ... annual and significant change assessments as well as any required Medicare assessment. Responsibilities include maintaining accurate and timely assessments, meeting… more
- New York State Civil Service (Rochester, NY)
- …Yes Agency Addiction Services and Supports, Office of Title Registered Nurse Supervisor 1 Psychiatric (Norris ATC) Occupational Category Health Care, Human/Social ... Avenue City Rochester State NY Zip Code 14620 Duties Description The Nurse Administrator 1 (Psychiatric) will provide administrative and clinical addiction support… more
- CareOregon (Portland, OR)
- …care costs and increase provider/care team satisfaction. Housecall Providers has saved Medicare millions of dollars, while providing better care to our patients, ... diseases. This trend will continue as roughly 10,000 baby boomers a day enter the Medicare system. If you receive an offer of employment for this position, it is… more