- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- Summary The Quality and Patient Safety office (QPS) Peer Review Nurse completes and/or coordinates all aspects of the Peer Review Program. The incumbent ... consistent, timely, credible, comprehensive, useful, non-punitive, and balanced. Responsibilities Peer Review Nurse completes and/or coordinates all aspects of… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE ... comprehensive information regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team. Whether you're… more
- Geisinger (Danville, PA)
- …procedures for accurate DRG assignment, risk of mortality, severity of illness; and initiate documentation of the review . + Pursues a subsequent review of ... on site position located in Danville, Pennsylvania. The Clinical Documentation Improvement Program (CDI) is designed to improve the...highly trained staff members to perform a concurrent inpatient review of the record. This allows the record to… more
- Geisinger (Danville, PA)
- …and procedures for accurate assignment, risk of mortality, severity of illness; and initiate documentation of the review . + Pursues a subsequent review of ... Job Summary The Clinical Documentation Improvement Program is designed to improve the...discharge. + Consistently meets established productivity targets for record review . + Identifies strategies for sustained work process changes… more
- Geisinger (Danville, PA)
- Job Summary The Clinical Documentation Improvement Program (CDI) is designed to improve the physician's documentation in the patient's medical record, supporting ... care of the patient. The role of the Clinical Documentation Improvement Specialist (CDIS) is to assist the providers...highly trained staff members to perform a concurrent inpatient review of the record. This allows the record to… more
- Northwell Health (Lake Success, NY)
- **Req Number** 157409 Job Description Facilitates and obtains appropriate clinical documentation for all clinical conditions or procedures to support the appropriate ... discussions with physicians for clarification of ambiguous or conflicting documentation . Job Responsibility 1.Facilitates clarification of clinical documentation … more
- Cedars-Sinai (Los Angeles, CA)
- …Fair Chance Initiative for Hiring. **Req ID** : 10457 **Working Title** : Registered Nurse - Clinical Documentation Specialist - 8 Hour Days **Department** : ... Report has named us one of America's Best Hospitals. As our next Clinical Documentation Specialist, you will work under the general direction of the HID CDI/Core… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... concurrently determines the appropriateness of inpatient or observation services following review of relevant medical documentation , medical guidelines, and… more
- CDPHP (Albany, NY)
- …Utilization Review (UR) Nurse is responsible for the clinical review and documentation for services requiring prior authorization. This includes approval ... with Medical Directors on denials. In addition, the UR nurse is responsible for completing inpatient level of care...to provide excellent customer service. + Demonstrated ability to review health care delivery against established criteria. + Must… more
- Actalent (Sunrise, FL)
- Utilization Management Nurse !Job Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing service authorization requests to ensure ... staff to direct utilization and capture data effectively. Responsibilities + Review prior authorization requests for medical necessity and appropriateness, utilizing… more