- Christus Health (Alexandria, LA)
- …carefully Please make your application promptly. Summary: The Clinical Documentation Registered Nurse collaborates extensively with physicians, nursing staff, ... participates in their resolution. Coordinates with quality department by: providing concurrent review for core measures documentation, providing retrospective… more
- Luminis Health (Lanham, MD)
- Position Objective: Conducts concurrent and retrospective chart review for clinical, financial, and resource utilization information. Provides intervention and ... to decrease avoidable delays and denial of payment. Essential Job Duties: 1. Chart Review : Reviews the medical record by applying utilization review criteria,… more
- Integrated Resources Inc. (Miami, FL)
- …LPN - Licensed Practical Nurse . An Associate's Degree is required for the LPN and the RN - Registered Nurse - A Bachelor's Degree is required for the ... of Inpatient Medical experience, 3 years of Utilization experience, Concurrent Review experience and HMO exp. A...RN Additional Information All your information will be kept… more
- AlohaCare (Honolulu, HI)
- …and HEDIS/STARS metrics initiatives. Oversees Utilization Management toward an effective concurrent review process and case management across the continuum ... clinical services and quality outcomes. Oversees Utilization Management toward an effective concurrent review process and case management across the continuum of… more
- Centene Corporation (Carson City, NV)
- …needed to discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member ... **This is a Remote position - Nevada LPN or RN License required** **Position Purpose:** Performs concurrent ...determinations or provide recommendations based on requested services and concurrent review findings + Assists with providing… more
- Rochester Regional Health (Rochester, NY)
- …BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education Department ... Job Title: Registered Nurse I Department: Utilization Management...40 hours (Full-Time) Schedule: Monday - Friday, Days SUMMARY: Review all inpatient medical necessity denials for the health… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse ( RN ) - Case Manager - 2506003285 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered ... and is determined by employment status Job Description: The RN Case Manager is responsible to facilitate care along...management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- Trinity Health (Howell, MI)
- …weeks from 8 am to 5 pm Monday through Friday. **WHAT YOU WILL DO** + The RN Registered Nurse Case manager is responsible for conducting a focused assessment ... economic/financial and discharge planning needs. + One would also review , on a concurrent basis, the appropriateness,...and clinical risk issues and documentation completeness. + The RN Registered Nurse Case Manager… more
- Geisinger (Scranton, PA)
- …theft protection, universal life and pet and legal insurance Position Details The Registered Nurse Care Manager works with physician and multidisciplinary team ... Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE… more
- Geisinger (Danville, PA)
- …Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... rewarding, lasting career with impact. Job Duties The Trauma RN Case Manger is responsible for ensuring optimal quality,...Trauma Registry. + Maintains trauma roster and updates on concurrent basis. + Summarizes concurrent daily chart… more
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