- Zelis (St. Petersburg, FL)
- …personal interests that shape who you are. Position Overview The Sr. Supervisor, Clinical Chart Review is focused on supervising a team of Clinician's performing ... providing team and operational support to the Manager, Clinical Chart Review , Sr. Level Clinicians and Operations...management of direct reports required. + Advanced competency in medical claim review and payment integrity preferred.… more
- Molina Healthcare (Albuquerque, NM)
- JOB DESCRIPTION **Job Summary** The Medical Claim Review Nurse provides support for medical claim review activities. Responsible for ensuring timely ... including diagnosis. Candidates with knowledge of CPT/HCPCS codes, record review , chart audit, provider disputes, appeals, and...hospital setting, including at least 1 year of utilization review , medical claims review , claims… more
- Elevance Health (Hialeah, FL)
- **HEDIS Medical Records Review Project Nurse **...Minimum of 2 years of experience as a HEDIS medical chart reviewer preferred. Please be advised that ... employment, unless an accommodation is granted as required by law._ The **HEDIS Medical Records Review Project Nurse ** is responsible for HEDIS medical … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …And more **Description** We're seeking an **Inpatient Registry Utilization Review Nurse (PRN)** who is responsible for conducting medical necessity reviews ... utilizing Milliman and Interqual Guidelines in conjunction with a review of the patient chart , clinical nursing...conjunction with a review of the patient chart , clinical nursing judgement, and discussions with the attending… more
- University of Utah Health (Salt Lake City, UT)
- …third-party payers for initial and concurrent clinical review . + Reviews patient chart to ensure patient continues to meet medical necessity. + Documentation ... organization through the provision of quality based patient care focusing on the medical necessity and efficiency of the delivery of such care; achieved via managing… more
- Fresenius Medical Center (Rialto, CA)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine safety checks… more
- Henry Ford Health System (Flint, MI)
- …Nurse | Graduate Nurse + Sign on Bonus: $4,500 + Department: Medical ICU + Schedule: Part-Time, Nights - 7pm-7:30am Weeknights & Every 3rd Weekend + Hospital: ... medications, and tests ordered are expeditiously carried out and documented. + Review patient medical record/reports and confers with physician regarding… more
- Cleveland Clinic (Cleveland, OH)
- …status. Develops a working diagnosis and treatment plan to provide continuing medical care, including daily examinations, writing orders, chart notes, ... Care Institute is currently seeking a Physician Assistant or Nurse Practitioner (Acute Care Certified) for a full time...Care Certified) for a full time Intensivist position in Medical and Cardiac ICUs at Fairview, Hillcrest, and Main… more
- Guthrie (Cortland, NY)
- …Nights Guthrie Cortland Medical Center is hiring a dynamic Licensed Practical Nurse to join our Acute Care Nursing Unit. In this position, you will experience ... Team Nursing Care model. We care for a mixed medical /surgical and telemetry patients. We offer: + Up to...blood pressure, temperature, additional testing, and records same on chart . Will also interview patient to obtain history allergies,… more
- Hartford HealthCare (Willimantic, CT)
- …Recommends and develops new services and programs. 14. Participates in peer review , chart reviews, staff education, clinical guidelines development, and other ... Nurse Practitioner or Physician Assistant - Addiction Treatment Medical Staff Office - Willimantic, CT* **Location:** *Connecticut-Willimantic-289 Windham Rd… more
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