- BronxCare Health System (Bronx, NY)
- …Licensed Practical Nurse : Under the direct supervision of a physician and/ or Registered Nurse , participates in the application of the nursing process to an ... (according to the NPSG), intake screening of patient, pre-visit planning (if applicable), review of medical record to determine visit requirements such as HEIDS… more
- Veterans Affairs, Veterans Health Administration (Jamaica Plain, MA)
- …appointments. Telephone and video care are encouraged. Each physician is assigned a registered nurse , clinical associate, and scheduler. There is no call, and ... are seeking an enthusiastic internist with a passion for medical education for a full time position as ...VHA Education Loan Repayment Services program office after complete review of the EDRP application. EDRP Authorized: Contact VHA… more
- San Antonio Behavioral Health (San Antonio, TX)
- …May consult with staff as needed. Essential Duties: + Collaborate and set standards with registered nurse ( RN ) case managers (CMs) and outcome managers to ... The Utilization Review Coordinator conducts utilization reviews to determine if...and extended hospitals stays. Completing data collection of demographics, claim and medical information; non- medical … more
- CVS Health (Raleigh, NC)
- …+ 3+ years of clinical experience in a healthcare setting. + 2+ years as a Registered Nurse ( RN ) or License Practical Nurse / License Vocational ... Nurse . + Active, current, and unrestricted RN /LVP/LPN license in the state of residence. + Proficiency in Microsoft Office Suite (Outlook, Excel) and ability to… more
- LA Care Health Plan (Los Angeles, CA)
- …Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse ( RN );current and unrestricted California ... health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes… more
- Houston Methodist (Sugar Land, TX)
- …care for government and nongovernmental payers preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- ... Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management and appeals… more
- NHS Management, LLC (Fayetteville, AR)
- …with company match + Paid Holidays and Paid Vacation Requirements + Must be a Registered Nurse in good standing + Previous experience in a supervisory capacity ... way. We are in search of a qualified Regional Nurse Consultant: The Regional Nurse Consultant will...to include reviews of significant events/unusual occurrences and a review of the medical record. We offer… more
- Beth Israel Lahey Health (Plymouth, MA)
- …Services and Medical Staff Officers with tracking/trending of adverse outcomes and medical malpractice claims in order to improve quality of care and advance ... for BID-P including all phases of actual and potential claims management. Identifies exposures to loss and analyzes the...safety and address other serious issues. + Collaborates with Nurse Directors, Managers, providers and other staff to keep… more
- University of Virginia (Charlottesville, VA)
- …as an Advance Practice Provider ( Nurse Practitioner, Physician Associate, Certified Registered Nurse Anesthetist, and Certified Nurse Midwife) as set ... the state of Virginia. If Nurse Practitioner, license to Practice as a Registered Nurse in the Commonwealth of Virginia is required. Must demonstrate and… more
- University of Virginia (Charlottesville, VA)
- …as an Advance Practice Provider ( Nurse Practitioner, Physician Associate, Certified Registered Nurse Anesthetist, and Certified Nurse Midwife) as set ... UVA Health Medical Center seeks a highly motivated Nurse... Nurse Practitioner, license to Practice as a Registered Nurse in the Commonwealth of Virginia… more