- Highmark Health (Dover, DE)
- …+ 5 - 7 years in Social Work **LICENSES OR CERTIFICATIONS** **Required** + Registered Nurse or + Licensed Clinical Social Worker (LCSW) - Non-Specific ... with all compliance, regulatory and contractual requirements. Conducts ongoing audit review programs, develops tools to assess current outcomes and trends along… more
- Nuvance Health (Norwalk, CT)
- …action plans to prevent event recurrence and mitigate risk. 9. Collaborates and coordinates with Peer Review partners during the Peer Review Process, ... to achieve top decile quality and patient safety outcomes. The performance improvement specialist partners with service line, medical and unit leaders to review … more
- STG International (Holly Springs, MS)
- …and the VAMC. + Participate in staff development programs and Performance Excellence and Peer Review Programs. + Perform, under the Primary Care Provider's and ... The primary purpose of this position is to serve as the Patient Relations Specialist , who represents the interests of Veteran patients in all areas of the clinic… more
- University of Southern California (Arcadia, CA)
- …impact DRG assignments. + Minimum of three years' experience in clinical disciplines ( RN , MD, FMG) or utilization review /case management in an acute care ... and other clinical staff. + Meets established productivity targets for record review and appropriate query placement. + Demonstrates working knowledge of ICD-10 CM… more
- UnityPoint Health (Fort Dodge, IA)
- …clinical risk management activities . Conducts or participates in medical staff peer review activities . Oversite and/or contributes to security management ... Improvement + Shift: Weekdays 8a-4:30pm + Job ID: 175674 Overview RN Performance Improvement Specialist FTE: .6 (Part-time, 24 hours per week) Weekdays from… more
- Highmark Health (Pittsburgh, PA)
- …record/ process reviews and audits, measuring compliance to protocols. Coordinates the peer review process when appropriate and escalates recognized deviations ... opportunities to employees. **GENERAL OVERVIEW:** The Performance Improvement (PI) Specialist is responsible to planning, coordinating and managing all performance… more
- AnMed Health (Anderson, SC)
- …information to required third parties in a timely and knowledge manner within defined review and/or contractual standards. + Initiates peer -to- peer ie MD to ... include but are not limited to initial medical necessity review , continued stay/concurrent review , retrospective review...of clinical experience required with current SC license as RN . + Bachelor of Science in nursing. + Excellent… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …in confidentiality, integrity, creativity, and initiative */License/Certifications:/* * Current Registered Nurse licensure upon hire * National certification ... *_SUMMARY:_* We are currently seeking a*Utilization Review Manager* to join ourTransitional Care Team.This is a full-time role and will be required to work onsite.… more
- Iowa Department of Administrative Services (Anamosa, IA)
- …Degree in Nursing and certification as a clinical nurse specialist , nurse midwife, nurse practitioner or registered nurse anesthetist; OR ... difference in people's lives Supportive professional environment with ongoing peer and leadership support. Work-life balance with stable hours...as a clinical nurse specialist , nurse midwife, nurse practitioner or registered… more
- Roper St. Francis (Summerville, SC)
- …for Primary Charge Nurse I. **Experience:** At least 2 years' experience as a registered nurse in a direct care patient setting for Primary Charge Nurse ... Nurse role. **Licensure/Certification:** Applicant must be currently licensed as a Registered Nurse in South Carolina or hold a current compact/multi-state… more