- Centene Corporation (Austin, TX)
- …needed to discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member ... approve medical determinations or provide recommendations based on requested services and concurrent review findings + Assists with providing education to… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... concurrent medical record review for medical necessity...regarding any claim issues or concerns that may require clinical review during the pre-bill, audit, or… more
- ChenMed (Houston, TX)
- …+ Participates in surveys, studies and special projects as assigned. + Conducts concurrent medical record review using specific indicators and criteria as ... resources and mobilizes resources to assist in achieving desired clinical outcomes within specific timeframe. + Conducts review...clinical field preferred. + A valid, active Registered Nurse (RN) license in State of employment required. +… more
- HCA Healthcare (Kingwood, TX)
- …plans, education techniques, and evaluate program effectiveness.. + You will perform concurrent review of stroke patients for core measure compliance. What ... do in this role: + You will coordinate the clinical management of the stroke patient population across the...path, we encourage you to apply for our Registered Nurse Stroke Coordinator opening. We review all… more
- HCA Healthcare (Kingwood, TX)
- …database to ensure adequate documentation as required by regulatory agencies. + Complete concurrent review of cases to identify quality, timelines and systems of ... you passionate about delivering patient-centered care? Submit your application for Registered Nurse Trauma Coordinator position and spend more time at the bedside… more
- HCA Healthcare (Brownsville, TX)
- …database to ensure adequate documentation as required by regulatory agencies + Complete concurrent review of cases to identify quality, timelines and systems of ... **Are you passionate about delivering patient-centered care?** Submit your application for Registered Nurse RN Coord Trauma PI position and spend more time at the… more
- HCA Healthcare (Brownsville, TX)
- …in developing and implementing processes to comply with regulatory standards + Conducts concurrent and retrospective chart review for the purpose of identifying ... in their positions. Join our Team as a(an) Registered Nurse RN Chest Pain Coordinator and access programs to...Joint Commission requirements, CMS Core Measure standards and ACC clinical practice guidelines for chest pain. In collaboration with… more
- HCA Healthcare (Tomball, TX)
- …Tomball we support our colleagues in their positions. Join our Team as a Nurse Manager RN Women's Services and access programs to assist with every stage of ... and more affordable to gain certifications and job skills. Apply today for our Nurse Manager RN Women's Services opening and continue to learn! **Job Summary and… more
- HCA Healthcare (Houston, TX)
- …to you, we encourage you to apply for our Registered Nurse Clinical Reviewer opening. Our team will promptly review your application. Highly qualified ... in their positions. Join our Team as a(an) Registered Nurse Clinical Reviewer and access programs to...resource to Hospital and Medical Staff + Responsible for concurrent audits of patient charts. Inputs data for tracking,… more
- HCA Healthcare (Conroe, TX)
- …database to ensure adequate documentation as required by regulatory agencies. + Complete concurrent review of cases to identify quality, timelines and systems of ... you passionate about delivering patient-centered care?** Submit your application for Registered Nurse Trauma Coordinator position and spend more time at the bedside… more