- Beth Israel Lahey Health (Burlington, MA)
- …necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue integrity, these specialized case managers ... necessity of the hospital care. Using the concepts of utilization review , clinical documentation improvement and revenue integrity, these specialized case managers… more
- University of Virginia (Charlottesville, VA)
- …Science in Nursing required within 5 years of hire. Experience: 3 years relevant Registered Nurse experience required. Previous home health, home care, or home ... quality review , quality improvement, intake and referral review and orientation. Nurse Coordinators work closely...experience highly recommended. Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia… more
- Veterans Affairs, Veterans Health Administration (Las Vegas, NV)
- …and analytical review of clinical information. Responsibilities The Revenue Utilization Review (RUR) Registered Nurse is under the supervision of ... of revenue reimbursement processes and under moderate supervision and instruction by the registered nurse manager. Responsibilities of the RUR nurse include,… more
- Community Health Systems (Naples, FL)
- Join us as a ** Registered Nurse ( RN ) - Utilization Review position** at Physicians Regional Collier Unit: Utilization Review Shift: Mon-Fri (this is ... for Full and Part-Time roles **Job Summary** The Utilization Review Nurse - RN reviews...patient-centered service and continuous improvement. **Licenses and Certifications** + RN - Registered Nurse -… more
- Walworth County (Elkhorn, WI)
- Registered Nurse ( RN ) -...Process Formal Walworth County Electronic Application Education & Experience Review Verification of Registered Nurse ... Full-Time PM Shift Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/5061122) Apply Registered Nurse ( RN ) - Full-Time PM Shift Salary… more
- Molina Healthcare (San Diego, CA)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... California residents preferred.** **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_3-12 NIGHT SHIFT 7:30PM...in the USA if they have a valid CALIFORNIA RN license and must work the Pacific Time Zone… more
- Ascension Health (Tulsa, OK)
- …processes and procedures. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Oklahoma Board of Nursing ... and coordinate the activities and flow of work for the peer review program. + Collect, evaluate, and maintain practitioner-specific data concerning physician and… more
- Avera (Sioux Falls, SD)
- …cause undue hardship to the employer. **Required Education, License/Certification, or Work Experience:** + Registered Nurse ( RN ) - Board of Nursing An active ... Utilizes third party clinical guidelines for level of care reviews (first level review ), and refers cases to the internal or external physician advisor for… more
- Intermountain Health (Miles City, MT)
- …provide 24/7 critical care and oversight. Part of a Level 4 trauma team. The Registered Nurse ( RN ) is a professional caregiver who assumes responsibility and ... BSN by the above deadline, there will be a review process on the nurse 's individual circumstances....possess a minimum of ten (10) years of proven Registered Nurse experience in an acute care… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …will be discussed as part of individual professional development during the annual performance review . **Title:** *Staff Nurse ( RN ), Casual - Jail Health ... Healthcare System Relationship-Based Care practice model, and under general supervision, the registered nurse provides and coordinates nursing care by: *… more