- WellLife Network (South Richmond Hill, NY)
- …during inspections. 13. Ensure all work is reviewed and cosigned by an agency Registered Nurse (to be scheduled by clinical supervisor) 14. Administer TB tests. ... location and schedules are subject to change. 5. Attend certification inspections, utilization review and independent professional reviews as needed. 6. Attend… more
- Colorado State University (Fort Collins, CO)
- …Record System, or other EHR + Experience as a Medical Assistant, Licensed Practical Nurse , Registered Nurse , or other relevant medical experience Knowledge, ... summaries related to referral activity, patient outcomes, or service utilization , as needed for institutional review or...or service utilization , as needed for institutional review or reporting + Audits and ensures accuracy of… more
- DePaul (Rochester, NY)
- …overall Quality Management planning. + Performs all other duties as assigned. Qualifications + Registered Nurse or Licensed Practical Nurse with 3 years of ... trends for reporting and follow-up consultation and training. + Responsible for Utilization Record Review functions to include Individual record audits,… more
- Trinity Health (Mason City, IA)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** The Utilization Review Case Manager responsibilities include case screening, insurance ... Qualifications: + Current and valid license to practice as Registered Nurses in Iowa, BSN or approved **BA is...cases per established organizational standards + Discuss cases with Utilization Review Committee and/or third party entities… more
- Select Medical (Hummelstown, PA)
- …of acute transfers and other CQI indicators. **Qualifications** **Minimum Qualifications** + Registered Nurse with valid state license. Legacy employees may ... documentation related to the hospital's CQI program. + Performs basic chart review activities with appropriate staff for outcome utilization , infection control… more
- University of Miami (North Miami, FL)
- …CORE QUALIFICATIONS Education: Bachelor of Science in nursing Certification and Licensing: Registered nurse license Experience: Minimum 5 years of relevant ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The University of… more
- Presbyterian Homes and Services (Roseville, MN)
- …communicate at IDT + Site specific education + Key measure management Qualifications + Registered nurse with current licensure from the State Board of Nursing in ... splits + Reviewing all expedited appeals and ALJ level appeals + Monthly QI/QM review for assigned region and provide recommendations to IDT and MDS + Participating… more
- HCA Healthcare (San Antonio, TX)
- …or obtained within 12 months (Or CPHQ) + Current Texas State licensure as a registered nurse preferred. Methodist Hospital Stone Oak is equipped with the most ... (multi-site campus, service lines). The Director ensures the facilitation and utilization of diverse strategies and communication for quality and performance… more
- Select Medical (Miami, FL)
- …of acute transfers and other CQI indicators. **Qualifications** **Minimum Qualifications** + Registered Nurse with valid state license. Legacy employees may ... documentation related to the hospital's CQI program. + Performs basic chart review activities with appropriate staff for outcome utilization , infection control… more
- Colorado State University (Fort Collins, CO)
- …and getting authorizations/pre-authorizations + Experience as a Medical Assistant, Licensed Practical Nurse , Registered Nurse , or other relevant medical ... as delegated by lead or manager + Notifies call nurse in appropriate clinic of emergent situations + Monitors...summaries related to referral activity, patient outcomes, or service utilization , as needed for institutional review or… more