- Dignity Health (Rancho Cordova, CA)
- …advocacy, clinical social work and best practice in medical necessity determination and concurrent review . This position will supervise the department in an ... This position will be hybrid in-office/clinic and work from home.** As the Supervisor of Care Coordination, you will be responsible for the oversight of day… more
- Centene Corporation (New York, NY)
- …license.** **Inpatient Utilization Management** **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
- BrightSpring Health Services (Austin, TX)
- …Registered Professional Nurse + Excellent communicator with ability to handle concurrent tasks and responsibilities + Ability to travel within assigned area + ... meetings + Chairing committees as appropriate, safety, infection control, incident review , and human rights committees + Facilitating communication and serving as… more
- BayCare Health System (Tampa, FL)
- …other related parties to ensure appropriate level of care through comprehensive concurrent review for medical necessity of outpatient observation and inpatient ... utilization of ancillary services + Perform other duties as assigned by the supervisor including but not limited to processing concurrent denials. + Preferred… more
- University of Southern California (Alhambra, CA)
- …of the major duties of the Case Manager overlap into inpatient duties including: Concurrent review of all patients to validate that the appropriate patient ... MCG competency testing. 8. Perform telephonic, and if appropriate, on-site initial/ concurrent review on identified in-patient members. Direct pertinent clinical… more
- University of Michigan (Ann Arbor, MI)
- …and care of their children. The Pediatric Cardiothoracic Intensive Care Unit nurse cares for patients in a technology-intensive environment, including ECMO, CRRT, ... in Nursing staff development programs and workshops. + Participate in a concurrent and retrospective evaluation of patient care consistent with the hospital quality… more
- Hartford HealthCare (Farmington, CT)
- …practices across the system.*__* *_Position Summary:_* The Clinical Documentation Integrity Supervisor provides a key role in facilitating long-term success of ... and support CDI at the system/ facility levels. The Clinical Documentation Supervisor will work in collaboration with the clinical documentation specialists (CDS),… more
- HCA Healthcare (Panama City, FL)
- …to appropriate agencies and third party payers regarding pre-admission screening, concurrent , outpatient and retrospective review process as it relates ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...decision support to the admitting office, registration and nursing supervisor as well as physicians' office staff regarding appropriateness… 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
- HCA Healthcare (Englewood, CO)
- …with the efficacious and cost effective utilization of resources. Through concurrent clinical case management, patients will be assessed to determine appropriateness ... o Current licensure in the State of Colorado as a Registered Nurse , or current active multistate nursing licensure, or LCSW required. o BLS… more