- Hackensack Meridian Health (Brick, NJ)
- …educate and support appropriate documentation for coding, OASIS and Hospice, and other clinical assessment tools as needed. + Review every Medicare and Managed ... issues to the Director of the certified operation, Hospice Clinical Director, and the Nurse Manager for...clinical audits. Trend data obtained from reports and review results with managers. + Identify areas for improvement… more
- Actalent (Dallas, TX)
- …degree in Nursing. + 2-4 years of related experience. + LPN - Licensed Practical Nurse - State Licensure required. + Clinical knowledge and ability to analyze ... Job Title: Prior Authorization NurseJob Description The Prior Authorization Nurse is responsible for analyzing all prior authorization requests to determine the… more
- Centene Corporation (Nashville, TN)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... and cost effectiveness of medical care. + Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in… more
- Centene Corporation (Sacramento, CA)
- …administered with quality, cost efficiency, and are within compliance. + Performs a clinical review of post-care services by reviewing medical records against ... Position that requires California RN Licensure. **Position Purpose:** Performs a clinical retrospective review of services previously provided to determine… more
- Centene Corporation (Sacramento, CA)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... years of related experience. 2+ years of acute care experience required. + Clinical knowledge and ability to determine overall health of member including treatment… more
- CommonSpirit Health Mountain Region (Durango, CO)
- …flourish and leaders who care about your success. Assist with training and coordinating clinical review and quality assurance. Lead and review the ... clinical care and documentation practices related to patients/residents. Review and evaluate quality data to determine areas needing...of the home health and/or hospice patient. + Registered Nurse + Valid CO Driver's License. + BLS Sedentary… more
- R1 RCM (Chicago, IL)
- …AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Nurse ** , you will help review and interpret medical records to ... production-drive position. **Here's what you will experience working as a Clinical Coding Appeals Nurse :** + Review and interpret medical records to appeal… more
- HCA Healthcare (Mcallen, TX)
- …for benefits may vary by location._ **Job Summary and Qualifications** The Review Nurse Clinical Reviewer position encompasses multiple responsibilities ... Are you passionate about delivering patient-centered care? Submit your application for Registered Nurse Quality position and spend more time at the bedside with the… more
- Prime Therapeutics (Columbus, OH)
- …Description Summary** This position has managerial and clinical oversight of the Clinical Pharmacist and Registered Nurse Review Team, playing a key ... drives every decision we make. **Job Posting Title** Supervisor Clinical Pharmacist Review - Remote in California...the clinical performance of a team of Clinical Pharmacist and Nurse Reviewers while supporting… more
- Spaulding Rehabilitation (Cambridge, MA)
- …patient to obtain a "snapshot" of his or her health status and needs. * Rounding to review care plans: The clinical nurse leader reviews the care plans for ... Clinical Nurse Leader - ( 3305092... Clinical Nurse Leader - ( 3305092 ) **Description** **Summary**...unit-based nurse leadership position serves as the clinical nurse leader, who ensures continuity of… more
- HCA Healthcare (San Antonio, TX)
- …step in your career path, we encourage you to apply for our Clinical Nurse Coord Nurse opening. We review all applications. Qualified candidates will be ... **Description** **Introduction** Do you have the career opportunities as a(an) Clinical Nurse Coord Nurse you want in your current role? We invest in what… more
- HCA Healthcare (Austin, TX)
- …step in your career path, we encourage you to apply for our Dialysis Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Description** **Introduction** Do you have the career opportunities as a(an) Dialysis Clinical Nurse Coordinator you want in your current role? We invest in… more
- HCA Healthcare (San Antonio, TX)
- …step in your career path, we encourage you to apply for our Medical ICU Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Introduction** Do you have the career opportunities as a(an) Medical ICU Clinical Nurse Coordinator you want in your current role? We invest in what… more
- HCA Healthcare (San Antonio, TX)
- …next step in your career path, we encourage you to apply for our ICU Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Description** **Introduction** Do you have the career opportunities as a(an) ICU Clinical Nurse Coordinator you want in your current role? We invest in what… more
- R1 RCM (Salt Lake City, UT)
- …position. **Here's what you will experience working as a Clinical Appeals Nurse :** + Conduct a detailed review of patient medical records and payer ... encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals Nurse ** , you will help our hospital… more
- HCA Healthcare (San Antonio, TX)
- …next step in your career path, we encourage you to apply for our ICU Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Description** **Introduction** Do you have the career opportunities as a(an) ICU Clinical Nurse Coordinator you want in your current role? We invest in what… more
- HCA Healthcare (Plano, TX)
- …in your career path, we encourage you to apply for our Ortho Trauma PCU Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Description** ** Clinical Nurse Coordinator / CNC -...**Description** ** Clinical Nurse Coordinator / CNC - Orthopedic Trauma PCU**...have the career opportunities as an Ortho Trauma PCU Clinical Nurse Coordinator you want in your… more
- HCA Healthcare (Plano, TX)
- …in your career path, we encourage you to apply for our Surgical Oncology Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Description** ** Clinical Nurse Coordinator - Surgical Oncology** **Shift: Full time - Nights** **Location: Medical City Plano Hospital** **Introduction** Do… more
- HCA Healthcare (Plano, TX)
- …in your career path, we encourage you to apply for our Ortho Trauma PCU Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Description** ** Clinical Nurse Coordinator / CNC -...**Description** ** Clinical Nurse Coordinator / CNC - Orthopedic Trauma PCU**...have the career opportunities as an Ortho Trauma PCU Clinical Nurse Coordinator you want in your… more
- HCA Healthcare (Austin, TX)
- …in your career path, we encourage you to apply for our Cardiac Telemetry Clinical Nurse Coordinator opening. We review all applications. Qualified candidates ... **Introduction** Do you have the career opportunities as a(an) Cardiac Telemetry Clinical Nurse Coordinator you want in your current role? We invest in what… more