- Actalent (Tigard, OR)
- Job Title: Clinical Review Nurse - Concurrent Review Work Environment + This is a 100% remote position + The schedule is Tuesday to Saturday, 10 AM ... , case management, and concurrent review . Job Description The Clinical Review Nurse will perform concurrent reviews to assess the member's… more
- Actalent (Tigard, OR)
- Job Title: Clinical Review Nurse - Concurrent Review (West Coast) Job Description We are seeking a dedicated Clinical Review Nurse to ... experience with at least 2 years in acute care. + Strong skills in clinical review , utilization management, and concurrent review . + Self-starter with… more
- Centene Corporation (Sacramento, CA)
- …hold a current CA license **Must have** **5-7 years related** **experience in UM- Concurrent Review . 2+ years of acute care experience required. 10% Travel ... on projects within utilization management as part of the clinical review team + Partners and works...diagnoses, prognoses, resources, and/or preferences + Manages and maintains concurrent review findings, discharge plans, and actions… more
- Centene Corporation (Sacramento, CA)
- …hold a current CA license.** **Must have** **2-4 years related** **experience in UM- Concurrent Review . 2+ years of acute care experience required. 10% Travel ... needed to discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member… more
- Actalent (Bakersfield, CA)
- Remote Concurrent Review Nurse Job...on projects within utilization management as part of the clinical review team + Partners and works ... Description We are seeking a dedicated Concurrent Review Nurse to perform concurrent ...Additional Skills & Qualifications + Case management experience. + Clinical review skills. + For Health Net… more
- Children's Mercy Kansas City (Kansas City, MO)
- …can improve the lives of children beyond the walls of our hospital. Overview The Clinical Review Nurse Care Manager utilizes clinical expertise, ... authorization per contracts for medically appropriate level of care. Manages concurrent clinical denials through completion of verbal reconsideration process.… more
- Northwell Health (Lake Success, NY)
- … clinical documentation in the patient's medical record through a concurrent review process throughout the patient's inpatient stay. 4.Requests clarification ... of clinical documentation from the physician(s) on a ...date. *Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications… more
- LifePoint Health (Hickory, NC)
- *_Registered Nurse (RN), Clinical Case Manager PRN_* *_PRN/Days_* * * * * *Schedule:* Monday-Friday 7:30a-4:00p/8:00a-4:30p * *Your experience matters* Frye ... to care. * Coordinates changes to the care plan as needed. *6. Utilization Review & Documentation* * Performs admission and concurrent medical record reviews. *… more
- LifePoint Health (Hickory, NC)
- *_Registered Nurse (RN), Clinical Case Manager PRN_* *_PRN days_* ** ** *Schedule:* Monday-Friday 7:30a-4:00p/8:00a-4:30p * *Your experience matters* Frye ... care. Coordinates changes to the care plan as needed. *6. Utilization Review & Documentation*Performs admission and concurrent medical record reviews. Documents… more
- AdventHealth (Celebration, FL)
- …in the defeat of illness and disease **The role you'll contribute:** The Clinical Nurse Education Facilitator (CNEF) is an expert clinician, highly skilled ... thinking, critical reflection, and life-long learning to adapt quickly to changing clinical environments and escalating patient care needs. The CNEF will use a… more
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