- Centene Corporation (Trenton, NJ)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in… more
- Centene Corporation (New York, NY)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... and cost effectiveness of medical care. + Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in… more
- Emory Healthcare/Emory University (Decatur, GA)
- …development _,_ and leadership programs + And more **Description** We're seeking a ** Clinical Utilization Review Nurse Preceptor (Registered Nurse ... as a whole. + Will demonstrate foresight regarding the impact of both the clinical and administrative roles within the utilization review process based on… more
- UCLA Health (Los Angeles, CA)
- Description The Quality Management Nurse is responsible for conducting comprehensive facility site reviews (FSRs) to ensure compliance with healthcare standards and ... regulations. This role involves evaluation clinical practices, identifying areas for improvement, and implementing quality improvement initiatives to enhance patient… more
- UCLA Health (Los Angeles, CA)
- … documentation related to prior authorization requests for medical services. The UM Review Nurse applies clinical judgment, regulatory standards, and ... Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role...benefit coverage. + Applies UCLA Health protocols and national clinical guidelines (eg, InterQual, Milliman) in review … more
- Naven Health (Nashville, TN)
- …Summary:** The Quality Assurance Chart Review Nurse is responsible for the review of assigned clinical records. The Quality Assurance Chart Review ... deficiencies in the patient's clinical records. The Quality Assurance Chart Review Nurse utilizes audit tools and systems to collect data for the Quality… more
- HCA Healthcare (Savannah, GA)
- …personal growth, we encourage you to apply for our Clinical Research Nurse opening. We promptly review all applications. Highly qualified candidates will be ... have Cardiovascular experience. Do you have the career opportunities as a ** Clinical Research Nurse ** you want with your current employer? We have an exciting… more
- HCA Healthcare (Nashville, TN)
- …growth, we encourage you to apply for our Cardiology Clinical Research Nurse opening. We promptly review all applications. Highly qualified candidates will ... We care like family! Jump-start your career as a Clinical Research Nurse today with TriStar Centennial...or other data collection tools by careful source document review ; monitors data for missing or implausible data** +… more
- HCA Healthcare (Austin, TX)
- …step in your career path, we encourage you to apply for our Float Pool Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Description** **Introduction** Do you have the career opportunities as a(an) Float Pool Clinical Nurse Coordinator you want in your current role? We invest in… more
- HCA Healthcare (Austin, TX)
- …Program Manager using facility approved audit tools. As the NICU Clinical Nurse Reviewer, . You will review patient's medical record and documents' ... us apart from any other healthcare provider. We are seeking a(an) Clinical Nurse Reviewer Neonatal ICU to join our healthcare family. **Benefits** St. David's… more
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