- UPMC (Pittsburgh, PA)
- …departmental staff and outside vendors as necessary to address issues and concerns. + Registered Nurse ( RN ), or Bachelor of Science in Nursing (BSN). ... products (Excel, Access, and Word).Licensure, Certifications, and Clearances:CPC Designation preferred. + Registered Nurse ( RN ) *Current licensure either in… more
- Independent Health (Buffalo, NY)
- …with regulatory standards, clinical criteria, and member benefit contract. **Qualifications** + Registered Nurse ( RN ) with active, current, unrestricted NYS ... Clinical Reviewer will be responsible for the collection and review of medical records specific to quality...such as Outlook, Word, Excel, and specific clinical and claims platforms. + Possess initiative, attention to detail, and… more
- CDPHP (Latham, NY)
- …on nationally recognized criteria and CDPHP policies, and procedures. QUALIFICATIONS: + Registered Nurse with a current New York State license required. ... to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the...years of acute care experience is required as a Registered Nurse . + Minimum of two (2)… more
- The County of Los Angeles (Los Angeles, CA)
- …mental health team. Option III : A valid, current license to practice as a registered nurse issued by the appropriate State of California licensing agency -AND- ... of care and establishes and modifies program monitoring and review methods as necessary. + Oversees audits and the...have a valid, current license to practice as a registered nurse issued by the appropriate State… more
- The County of Los Angeles (Los Angeles, CA)
- …Evaluator, Nursing** -OR- Option II: One year of work experience* as a registered nurse enforcing local licensing and certification requirements relating to ... assigned to a district office, providing technical and administrative review of reports submitted pertaining to areas affecting the...Certificate(s) Required: A current license to practice as a Registered Nurse issued by the California Board… more
- The County of Los Angeles (Los Angeles, CA)
- …as a nursing instructor* or an equivalent . -AND- A license to practice as a Registered Nurse issued by the California Board of Registered Nursing. LICENSE ... compete in this examination process, applicants must have a license to practice as a Registered Nurse issued by the California Board of Registered Nursing.… more
- Zelis (FL)
- …Guidelines, AHA Coding Clinic and client specific coverage policies. Conduct prompt claim review to support internal inventory management to achieve greatest ... plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records...standards regarding privacy What you'll bring to Zelis: + Registered Nurse licensure preferred + Inpatient Coding… more
- The County of Los Angeles (Los Angeles, CA)
- …change management goals. Requirements SELECTION REQUIREMENTS: + A License to practice as a Registered Nurse issued by the California Board of Registered ... hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty...INFORMATION; A current active license to practice as a Registered Nurse issued by the California Board… more
- Lincoln Financial (Hagatna, GU)
- …**What we're looking for** Education * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where ... organization. This position will be responsible for reviewing, analyzing, and interpreting medical information available for disability claims . In this role you… more
- Dignity Health (Long Beach, CA)
- …not to exceed 10% of salary for this position.** Our ideal candidate will be a Registered Nurse ( RN ) with experience in patient safety and risk management ... Manager of Patient Safety and Risk at St. Mary Medical Center, you will oversee the facility's Patient Safety...of the organization. Preferred Qualifications: + Licensure as a Registered Nurse ( RN ). \#LI-DH **Where… more