- Beth Israel Lahey Health (Plymouth, MA)
- …using Interqual criteria. + Integrates clinical knowledge with billing knowledge to review , evaluate, and appeal clinical denials related to the care provided to ... or continued stay. + Acts as a liaison between physicians and payers, coordinating peer -to- peer phone calls. + Collects and compiles data as required. _It is… more
- Houston Methodist (Houston, TX)
- …Officer (IBFCSM) **AND** + CPPS - Certified Professional in Patient Safety (IHI) **AND** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure ... ensure compliance to accreditation standards and regulatory agency requirements. Conducts record review for performance improvement, peer review , patient… more
- Houston Methodist (Houston, TX)
- …decision support or similar information analysis role **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact ... design to hardwire patient safety processes. + Conducts record review for performance improvement, peer review , patient safety, risk management and other… more
- Covenant Health Inc. (Morristown, TN)
- …ensure processes are in place to achieve desired outcomes. + Collaborates with the Peer Review /PQPR medical staff chair to operationalize assessments of peer ... their annual mammograms, biopsies, and can meet with a nurse navigator if needed. The Women's Center offers six...resources. + At a minimum participates in the Quality, Peer Review , Regulatory, Infection Prevention, and Credentials… more
- Intermountain Health (Richfield, UT)
- **Job Description:** The Registered Nurse ( RN ) is a professional caregiver who assumes responsibility and accountability for assessing, planning, ... implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of technology,...**Minimum Qualifications:** + Current license to practice as a Registered Nurse in state of practice. Valid… more
- HCA Healthcare (Weatherford, TX)
- …and the maintenance of confidential physician quality files. **What qualifications you will need:** + ( RN ) Registered Nurse + Associate Degree + 5 Years in ... data, including, but not limited to Mortality reviews, physician peer review , clinical data collection and report...encourage you to apply for our Quality Coordinator - RN opening. We promptly review all applications.… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- …lives? Join the Community Care team at the Fargo VA Health Care System as a Registered Nurse - Home and Community Based Services (HCBS) Case Manager. In this ... unrestricted license from any US State or territory The Registered Nurse - Home and Community Based...Services (HCBS) Case Manager is responsible for coordinating the review and disposition of HCBS consults. These consults include… more
- HCA Healthcare (Orange Park, FL)
- …patients. + Coordinate multidisciplinary monthly Trauma Systems & Operations Committee and Peer Review meetings. **What qualifications you will need:** + 3+ ... personal growth, we encourage you to apply for our RN Trauma Performance Improvement opening. We promptly review... RN Trauma Performance Improvement opening. We promptly review all applications. Highly qualified candidates will be contacted… more
- Luke Staffing (Agana Heights, GU)
- ** REGISTERED NURSE - NEONATAL INTENSIVE CARE UNIT** **We encourage Military Veterans and Military Spouses to apply** **SITE OF SERVICE** **:** . The work to be ... years' experience within the last five years as a Registered Nurse in NICU setting. . **Licensure**...situations. If weaknesses or deficiencies are identified either by peer reviews, quality control retorts (QCRs), or evaluations the… more
- HCA Healthcare (Webster, TX)
- …in your career path, we encourage you to apply for our Registered Nurse Manager Critical Care opening. We review all applications. Qualified candidates will ... **Introduction** Do you have the career opportunities as a Registered Nurse Manager Critical Care you want...conduct at all times** + **Demonstrates and maintains good employee/ peer relationship and teamwork** + **Prioritize work and duties… more