- Saint Agnes Medical Center (Fresno, CA)
- …through the effective utilization of the facility's resources. 1. Current licensure as a Registered Nurse ( RN ) in the state of California is required. 2. ... *Employment Type:* Part time *Shift:* *Description:* This position coordinates utilization review service for defined patient populations across the acute care… more
- University Health (Seguin, TX)
- …recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is preferred. ... Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred....of the State of Texas to practice as a registered nurse is required. National certification in… more
- Stony Brook University (Stony Brook, NY)
- …Department may include the following but are not limited to:** + Completes Utilization review screen for inpatient and observation cases. Activity includes UR ... cases for authorization for in patient stay. + Staff review short stay, long stay and complex cases to...required. **Qualifications** **Required** : A Bachelor's degree or a nurse working on their degree with an RN… more
- Battelle Memorial Institute (Colorado Springs, CO)
- …two years' nursing experience + Current, full, active, and unrestricted license as a Registered Nurse in any US State, the District of Columbia, Guam, Puerto ... (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support...professional parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- … RN Appeals Coordinator.** This role collaborates with clinical review staff, medical directors/physician reviewers, network physicians, and network facilities to ... 8:00 AM - 5:00 PM CST (Flexible) **Responsibilities** A. Performs necessary review to ensure compliance with HHSC and other regulatory entities + Collaborate:… more
- Stanford Health Care (Palo Alto, CA)
- …Lead APP also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), or the ... and adherence to policy through practice analysis and case review of APPs with physicians. . Investigate and respond...under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse… more
- Fresenius Medical Care (Olmito, TX)
- …state regulations, and accrediting agency standards where applicable. Participate in review business and finances of the site, including financial reports, market ... maintain the security and integrity of facility Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply… more
- ERP International (Camp Pendleton, CA)
- **Overview** ERP International, LLC is seeking a **Licensed Vocational / Practical Nurse ** for a full-time position supporting the **Branch Health Clinics** at ... Recognize urgent or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as directed. - Perform… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …knowledge of different claim types is desired. (Preferred) + Current Washington State License: Registered Nurse ( RN ), Advanced Registered Nurse ... bundling edits, and recommend action steps regarding code configuration issues, annual utilization and review analysis. + Maintain current knowledge of coding… more
- Christian Park Healthcare Center (Escanaba, MI)
- …with American Association of Nursing Assessment Coordinators (AANAC) requirements. Qualifications Registered Nurse ( RN ) licensure AANC certification a ... Are you an experienced MDS nurse interested in the next step? The MDS...team Assesses resident through physical assessment, interview and chart review . Discusses resident care needs with care givers, including… more
