- State of Colorado (Denver, CO)
- Medical Clinic and Employee Health Supervisor - NURSE III Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5047383) Apply Medical Clinic ... and Employee Health Supervisor - NURSE III Salary $100,443.20 Annually...training for procedures such as EKGs, including documentation, physician review , billing compliance, and staff competency validation. + Supports… more
- State of Colorado (Denver, CO)
- Central Medical Supply Supervisor - NURSE III - G Wing Fort Logan Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5044626) Apply Central ... Medical Supply Supervisor - NURSE III - G Wing...Clinic operations management (skill in organizing and running multiple concurrent clinic services) + Strong communication and interpersonal skills… more
- NJM Insurance (Parsippany, NJ)
- …obtain clinical information and updates needed to effectively and accurately perform concurrent review . + Identify medical and community needs and ... in clinical nursing (Med-Surg or Critical Care preferred), Utilization Management Review /Hospital concurrent reviews, and/or Case Management preferred. +… more
- Indian Health Service (Gallup, NM)
- …and reviews work and administering employee matters in absence of the Chief Nurse Executive (CNE) or Unit Supervisor . Manages patient flow for admissions, ... announced concurrently under Direct Hire Authority (DHA) procedures. Please review vacancy announcement number IHS-25-GA-12656361-DHA; for eligibility requirements. NOTE:… more
- CareFirst (Baltimore, MD)
- …Navigator RNs. Utilizes MCG to act as a resource for the nurses to conduct concurrent review for medical necessity and appropriate level of care for Commercial ... Management. + Oversees associates conducting care coordination activities including concurrent review utilizing MCG. Collaborates with CareFirst medical… more
- Centene Corporation (Atlanta, GA)
- …a fresh perspective on workplace flexibility. **Position Purpose:** Supervises Prior Authorization, Concurrent Review , and/or Retrospective Review Clinical ... between utilization management team, members, and providers + Monitors prior authorization, concurrent review , and/or retrospective clinical review nurses… more
- UPMC (Mckeesport, PA)
- UPMC McKeesport's Addiction Medicine Unit is searching for a Supervisor of Clinical Care and Discharge Planning! Join our dedicated team on UPMC McKeesport's ... on their recovery journey. We are seeking an experienced Supervisor to oversee the programmatic and regulatory aspects of...alongside the Unit Director, RN Clinician and Addiction Medicine Nurse Liaison to ensure patients are enjoying robust daily… more
- Mount Sinai Health System (New York, NY)
- …/ appeals as specified by Insurance / State & Federal regulation. + Enters concurrent review information for Review Nurses in Allscripts + Obtains/Prepares ... identifies location and distribute to appropriate departments + Monitors Concurrent Nurse denial phone calls for UM...of the hospital staff and extended community. + Notifies Supervisor of obstacles / problems affecting the completion of… more
- Fallon Health (Worcester, MA)
- …related to prior authorization which includes but is not limited to preservice, concurrent and retrospective reviews for medical necessity or benefit review . ... Prior Authorization UM. + Oversees all activities of the Supervisor , PA RN and their direct and indirect reports...and clinical issues that arise during the outpatient authorization review process (OP auth's include, but are not limited… more
- Sharp HealthCare (San Diego, CA)
- …an effective in-patient Care Management program that includes initial and concurrent review ; case management/discharge planning activities. Responsible for ... **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse (RN) - CA Board of Registered Nursing; Bachelor's Degree **Hours** **:**… more