- Geisinger (Danville, PA)
- …procedures for accurate DRG assignment, risk of mortality, severity of illness; and initiate documentation of the review . + Pursues a subsequent review of ... on site position located in Danville, Pennsylvania. The Clinical Documentation Improvement Program (CDI) is designed to improve the...highly trained staff members to perform a concurrent inpatient review of the record. This allows the record to… more
- Geisinger (Danville, PA)
- …and procedures for accurate assignment, risk of mortality, severity of illness; and initiate documentation of the review . + Pursues a subsequent review of ... Job Summary The Clinical Documentation Improvement Program is designed to improve the...discharge. + Consistently meets established productivity targets for record review . + Identifies strategies for sustained work process changes… more
- Community Health Systems (Fort Wayne, IN)
- …queries. + Conducts follow-up reviews of patient records to identify new documentation opportunities and ensures accuracy through continuous review . + Tracks ... **Job Summary** The Clinical Documentation Specialist (CDS) performs clinical documentation ...corporate policies. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
- Hackensack Meridian Health (Eatontown, NJ)
- …assessments. Work directly with team members to educate and support appropriate documentation for coding, OASIS and Hospice, and other clinical assessment tools as ... needed. + Review every Medicare and Managed Medicare admission chart to...consistently matched. Perform chart reviews to determine if the documentation is appropriately/accurately completed per the patients' diagnosis, as… more
- Equitable (Charlotte, NC)
- Clinical Review Nurse , Disability Claims ( 25000067 ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** : UNITED STATES-Remote, UNITED ... help unlock your potential? Equitable is seeking a Clinical Review Nurse to join our Group Disability...various stakeholders. **Key Job Responsibilities** + **Clinical Evaluation:** + Review and analyze medical records and documentation … more
- Adecco US, Inc. (Houston, TX)
- Adecco Healthcare & Life Sciences is assisting a client hire a Utilization Review Nurse in Houston, TX! This role is in person / on site. Please read below and ... 8am to 5pm **Pay:** $85,00 to $110,000 yearly **Responsibilities of the Utilization Review Nurse :** . ** Review Medical Records:** Thoroughly evaluate patient… more
- CDPHP (Albany, NY)
- …Utilization Review (UR) Nurse is responsible for the clinical review and documentation for services requiring prior authorization. This includes approval ... with Medical Directors on denials. In addition, the UR nurse is responsible for completing inpatient level of care...to provide excellent customer service. + Demonstrated ability to review health care delivery against established criteria. + Must… more
- Matrix Providers (Aurora, CO)
- Utilization Review Nurse (RN) Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... provider-to-patient ratios and fair, reliable schedules. Matrix Providers is hiring a Utilization Review Nurse (RN) to join our team of talented professionals… more
- UCLA Health (Los Angeles, CA)
- Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery of high-quality, evidence-based care. This ... related to prior authorization requests for medical services. The UM Review Nurse applies clinical judgment, regulatory standards, and established guidelines… more
- Rochester Regional Health (Rochester, NY)
- …(ROM), complexity of care, and quality + Accurate and timely record review + Recognize opportunities for documentation improvement + Formulate clinically ... SUMMARY The CDS facilitates accurate documentation for severity of illness, expected risk of...quality in the medical record. This involves extensive record review and interaction with members of the healthcare team… more
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