- Evolent (Concord, NH)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… more
- HCA Healthcare (Manchester, NH)
- …Center we support our colleagues in their positions. Join our Team as a(an) RN Clinical Nurse Leader Cardiovascular Tele and access programs to assist with every ... certifications and job skills. Apply today for our RN Clinical Nurse Leader Cardiovascular Tele opening and...registration in the State of NH as a Registered Nurse . Catholic Medical Center (CMC) (https://catholicmc.com/) is… more
- Veterans Affairs, Veterans Health Administration (Manchester, NH)
- Summary This Registered Nurse - Clinical Nurse Coordinator position is located in the Office of Community Care at the Brady Sullivan Tower Building in ... thinking skills. Possesses intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical … more
- Fresenius Medical Center (Lowell, MA)
- …or federal surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
- Fresenius Medical Center (Lowell, MA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- Cognizant (Concord, NH)
- …necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with Medicare, Medicaid, and ... as well as timely filing deadlines and processes. + Review clinical denials including but not limited...thinking skills to interpret guidelines of internal policies for clinical determination. + Medical Necessity Reviews can… more
- Elevance Health (Manchester, NH)
- ** Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role enables associates to work virtually ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The ** Clinical Fraud Investigator II** is responsible… more
- HCA Healthcare (Manchester, NH)
- …for some benefits may vary by location._** **Job Summary and Qualifications** The HCA Nurse Residency Program at Catholic Medical Center provides you with the ... join an organization that invests in you?_ **At** **Catholic Medical Center** **, you come first!** HCA Healthcare is...growth and development of our future nurses! The **HCA Nurse Residency Program** is a year-long program designed to… more
- HCA Healthcare (Derry, NH)
- …for some benefits may vary by location._** **Job Summary and Qualifications** The HCA Nurse Residency Program at Parkland Medical Center provides you with the ... join an organization that invests in you?_ **At** **Parkland Medical Center** **, you come first!** HCA Healthcare is...growth and development of our future nurses! The **HCA Nurse Residency Program** is a year-long program designed to… more
- HCA Healthcare (Manchester, NH)
- …set us apart from any other healthcare provider. We are seeking a(an) RN Medical Surgical Registered Nurse to join our healthcare family. **Benefits** Catholic ... passion for patient care. Apply today for our RN Medical Surgical Registered Nurse opportunity. **Job Summary...physical and psychosocial status based on interview, examination and review of clinical data. .Assesses potential for… more