- Elevance Health (San Juan, PR)
- …organization, providing information technology and business operations services for health plans._ ** Nurse Reviewer I** **Location:** This position will work a ... time zones that the unit will be supporting. The ** Nurse Reviewer I** is responsible for conducting...medical necessity clinical screening and determines if initial clinical information presented meets medical necessity… more
- SSM Health (MO)
- …Division of Professional Registration + Or + Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by Compact State + Or + Registered ... the level of services rendered. The CDI Specialist assesses clinical documentation through extensive review of the...+ Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by… more
- Centers Plan for Healthy Living (Margate, FL)
- RN - Grievance and Appeals Clinical Reviewer 5297 W Copans Rd, Margate, FL 33063, USA Req #461 Monday, August 5, 2024 Centers Plan for Healthy Living's goal ... for healthy living. JOB SUMMARY: The Grievance & Appeal Clinical Reviewer performs complex medical necessity reviewed on Initial Adverse Determinations or… more
- Loretto Management Corporation (Syracuse, NY)
- …For more information, call our Nursing Recruiter at: ### Qualifications + Active NY Registered Nurse ( RN ) licensure + Excellent communicaiton skills + ... In collaboration with Unit Nurse Manager, the Clinical Coordinator performs initial assessments and re-assessments...and supervisory duties for entire unit. Provide direction to Clinical Coordinator/ RN and Assistant Nurse … more
- Loretto Management Corporation (Auburn, NY)
- …For more information, call our Nursing Recruiter at: ### Qualifications + Active NY Registered Nurse ( RN ) licensure + Excellent communicaiton skills + ... and supervisory duties for entire unit. Provide direction to Clinical Coordinator/ RN and Assistant Nurse ...In collaboration with Unit Nurse Manager, the Clinical Coordinator performs initial assessments and re-assessments… more
- Fresenius Medical Center (Bronx, NY)
- …SCOPE:** Functions as part of the hemodialysis health care team as a Team Leader Registered Nurse to ensure provision of quality patient care on a daily basis ... + Identifies and communicates patient related issues to the Clinical Manager or physician. + Initiates Initial ...of nursing experience and an additional 3 months of clinical experience in dialysis. + RN Team… more
- HCA Healthcare (Kansas City, MO)
- …step in your career path, we encourage you to apply for our Registered Nurse RN Burn opening. We review all applications. Qualified candidates will be ... **Description** **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN Burn you want in your current role? We invest in what… more
- Fresenius Medical Center (Breese, IL)
- …or federal surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical ... Outpatient Dialysis Clinic Clinical Manager ( RN ) **PURPOSE AND SCOPE:**...patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely… more
- Fresenius Medical Center (San Antonio, TX)
- …or federal surveys. * Participates in the completion of the FMS Administrative Clinical Review . PHYSICAL DEMANDS AND WORKING CONDITIONS: * The physical demands ... applicable federal, state and local laws and regulations. * Ensures all FMS Clinical Quality policies and procedures are communicated to and implemented by the… more
- Banner Health (Mesa, AZ)
- …include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. Banner Registry and Travel physician practice ... Phoenix's Best Hospitals. As a Cardiovascular Intensive Care Unit RN , you will have the opportunity to care for...require a minimum of one year experience as a Registered Nurse in a physician practice or… more
- HCA Healthcare (San Antonio, TX)
- …path, we encourage you to apply for our Rapid Response Team RRT Registered Nurse RN opening. We review all applications. Qualified candidates will be ... the career opportunities as a(an) Rapid Response Team RRT Registered Nurse RN you want...routine presence of RN RRT will provide nurse 's support, clinical knowledge and expertise to… more
- HCA Healthcare (San Antonio, TX)
- …Methodist Healthcare we support our colleagues in their positions. Join our Team as a(an) Registered Nurse RN Labor and Delivery Resource and access programs ... gain certifications and job skills. Apply today for our Registered Nurse RN Labor and...indirect patient care under the supervision of the licensed nurse . * Obtains and records initial and… more
- Fresenius Medical Center (Garden City, NY)
- …is based at a hospital located in West Islip, NY. **PURPOSE AND SCOPE:** The professional registered nurse Inpatient RN CAP 2 may be an entry level ... designation into the Clinical Advancement Program (CAP) for new employees who meet...from the Educator, Preceptor, or in collaboration with another Registered Nurse . + Performs ongoing, systematic collection… more
- Bon Secours Mercy Health (Midlothian, VA)
- …stewardship to create an environment where associates want to work and help communities thrive. ** Registered Nurse - RN - Research Manager - St Francis Med ... Center - Richmond, VA** **Primary Function/General Purpose of Position** Serve as RN Research (Exempt) Clinical Research Nurse Coordinator for Bon Secours… more
- Helping Hands Home Care Service (Hermitage, PA)
- …and family care needs are being met. Duties: * As a member of the IDT, the Registered Nurse ( RN ) utilizes the nursing process to contribute to each patient's ... Hands is looking for a weekend Start of Care RN . Overview Oversees primary caseload of In-Home Health or...Licensure, Registration, and/or Certification * Must have a current Registered Nurse license in good standing in… more
- WTW (Boston, MA)
- …report any issues or impact to timeline proactively to Project Manager + Complete initial review of carrier responses for parity projects + Draft comparative ... Regulatory Agency, Legal/Compliance Firm, or insurance company + Active, unrestricted RN license preferred, but commensurate clinical compliance experience may… more
- Banner Health (Gilbert, AZ)
- …include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. Banner Registry and Travel physician practice ... center that will bring 109 new patient beds upon initial opening, with additional beds being added at a...require a minimum of one year experience as a Registered Nurse in a physician practice or… more
- AdventHealth (Celebration, FL)
- …Degree Nursing + Current valid State of Florida or multistate license as a Registered Nurse + 2 years of medical/ hospital nursing experience **Preferred ... efficient and cost-effective care through appropriate resources monitoring, and clinical care escalations. The RN Care Manager...all. **The value you'll bring to the team:** Completes Initial Evaluation for transition of care needs on all… more
- Fresenius Medical Center (Bronx, NY)
- …AND SCOPE:** Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis ... related issues to Team Leader or physician. + Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and...for other staff members. + Routinely meets with the Clinical Manager to discuss personnel and patient care status,… more
- Fresenius Medical Center (Martinsville, VA)
- …Manager for patients with various shifts and work hours. **PURPOSE AND SCOPE:** The professional registered nurse (Home Therapy CAP RN 2) position may be an ... + Primarily works in the clinic setting and conducts initial home visits with another staff member present. +... RN 2 level or advance to CAP RN 3. + Performs ongoing, systematic review … more