- Other Executive (Highland Park, TX)
- …of Case Management & Continuing Care, the Sr. Director of Utilization Review (UR) is responsible for overseeing the development, implementation, and performance ... management of Utilization Review services performed across the Tenet enterprise. Leads Tenet...Revenue Analysis (DRAs), and Managed Care Contracting to design concurrent processes to secure authorizations and prevent clinical denials.… more
- Kaiser Permanente (Atlanta, GA)
- …of care for hospitalized members by carrying out daily utilization and quality review , monitoring for inefficiencies and opportunities to improve care, ... care by chart review and discussion with attending physician, admission and concurrent review for inpatient admissions, meetings with patient and families to… more
- Christus Health (Santa Fe, NM)
- …of 40 hours a week. FTE breakdown will consist of 60% concurrent assignment/chart review and 40% administrative time. RequirementsMINIMUM QUALIFICATIONS: ... healthcare required. Prior experience in clinical documentation improvement, utilization review /management, discharge planning, quality management, case management… more
- Maria Parham Health (Henderson, NC)
- …excellent interpersonal skillsRequires a working knowledge of community resources and Utilization/ Quality Review standards and activities conducted by third ... Summary The RN Case Manager is responsible for the coordination of clinical care, quality , and financial outcomes of a designated population of patients. The RN Case… more
- Strategic Staffing Solutions (Charlotte, NC)
- …modernize the application stack and enabling Agile teams to deliver with quality and speed.The ideal candidate is passionate about technology, especially when it ... class digital solutions* Experience using Terraform (CI/CD) to ensure high quality and repeatable deliverables of software products, including delivery of… more
- Acushnet Company (Fairhaven, MA)
- …of dedicated golfers through superior product performance, technological innovation, unmatched quality , and exceptional service. We are more than a collection of ... budget and are in line with the financial goals of the organization. Oversee review and approval of expense reporting process and perform periodic audits to ensure… more
- System One (York, PA)
- …Objective The System Engineer is the primary engineering resource for one or more concurrent system jobs. Duties include some project management of each job, and a ... project. Leadership of other project team members and technical review of all engineering disciplines on a project is...2-5 other employees; Required to control costs, adhere to a schedule, and improve the quality of a product/service;… more
- GCR Professional Services (Boonton, NJ)
- …when necessary, such as other engineers, manufacturing, purchasing, and quality assurancePrimary Responsibilities: Design Electromechanical Actuators from a blank ... and correct production/vendor issues. Perform failure investigations of designs. Create/ Review and Approve processes for assembly, test, and related activities… more
- Trinity Health (Fresno, CA)
- …maintaining current knowledge of clinical indicators and compliance requirements, conducting concurrent medical record review to ensure documentation compliance ... **Employment Type:** Full time **Shift:** **Description:** Reporting to the Manager Quality & Accreditation*, Quality Resource, this position offers vital… more
- InnovaCare (San Juan, PR)
- …and resolution and confers daily regarding patient and physician related issues.8. Performs concurrent quality review and reports identified quality ... focus to the business. MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the inpatient… more
- Apex Health Solutions (Houston, TX)
- …two (2) years' experience in a Managed Care environment performing preauthorization, concurrent review or case management *Knowledgeable and compliant with all ... as a contact and resource person to Health Solutions' members for the utilization review (UR) of healthcare services. The UM Reviewer will be responsible for… more
- Kepro (AL)
- …solutions in the public sector. Acentra is looking for a Physical Therapist Reviewer (Remote) join our growing team. Are you an experienced Physical Therapist ... looking for a new challenge? + Do you value care management and quality improvement? + Are you motivated, energetic, and excited to become part of the Acentra Health… more
- CDS Life Transitions (Webster, NY)
- …and appropriateness of those services, with the purpose of controlling costs and monitoring quality of care. The Utilization Management Reviewer will play a key ... Summary: Utilization Management Reviewer (UR) is the critical evaluation of health... will facilitate the timely access to necessary, appropriate, high- quality services for members. Essential Job Functions: + Conduct… more
- HCA Healthcare (Houston, TX)
- …multiple responsibilities including Core Measure chart abstraction, Stroke & STEMI chart review and coordination; performs concurrent chart reviews & is ... thrive? Submit your application for our Registered Nurse Clinical Reviewer opening with The Woman's Hospital of Texas today...that we continue to provide all patients with high quality , efficient care. Did you get into our industry… more
- HCA Healthcare (Corpus Christi, TX)
- …multiple responsibilities including Core Measure chart abstraction, Stroke & STEMI chart review and coordination; performs concurrent chart reviews & is ... career path, we encourage you to apply for our Registered Nurse Clinical Reviewer opening. We review all applications. Qualified candidates will be contacted… more
- Kepro (Los Angeles, CA)
- …the linchpin for ensuring the accuracy and consistency of the Psychiatric Inpatient Concurrent Review process in alignment with the esteemed California Mental ... in the public sector. Acentra seeks a Utilization Clinical Reviewer to join our growing team. Job Summary As...must reside and work in California. Job Responsibilities: + Review and interpret patient records against established criteria to… more
- Centers Plan for Healthy Living (Queens, NY)
- …are in need of additional care or support in their home to improve their quality of life. The Utilization Management Reviewer will assess and process Therapy ... Physical Therapy Reviewer Jamaica, Queens, NY, USA Req #1050 Monday,...support involved in the member's care. + Provides utilization review for preauthorization, concurrent and post service… more
- HCA Healthcare (Corpus Christi, TX)
- …Christi Medical Center Bay Area!** **Job Summary and Qualifications** **The Quality Review Nurse position encompasses multiple responsibilities including Core ... Measure chart abstraction, Stroke & STEMI chart review and coordination; performs concurrent chart reviews...encourage you to apply for our Registered Nurse Clinical Reviewer PRN opening. We review all applications.… more
- Chinook Systems (Arlington, VA)
- …for you. The Work: We are currently seeking an experienced Architectural Plan Reviewer and Code Inspector for our government-focused team. This role is primarily ... projects. In this role, you will support Chinook's clients by providing plan review and code inspection services for both new and existing construction efforts… more
- HCA Healthcare (Mcallen, TX)
- …benefits may vary by location._ **Job Summary and Qualifications** The Review Nurse Clinical Reviewer position encompasses multiple responsibilities including ... patient-centered care? Submit your application for Registered Nurse Clinical Reviewer position and spend more time at the bedside...Core Measure chart abstraction, Stroke & STEMI chart review and coordination; performs concurrent chart reviews… more
