• VNS Health (Manhattan, NY)
    VNS Health is seeking a Registered Nurse ( RN ) Utilization Review for a nursing job in Manhattan, New York.Job Description & RequirementsSpecialty: ... Develops forms, record abstracts, reports, and other tools used to implement concurrent and retrospective patient care review , including the design, testing… more
    JobGet (09/03/24)
    - Save Job - Related Jobs - Block Source
  • Protouch Staffing - Permanent (El Paso, TX)
    Protouch Staffing - Permanent is seeking a Registered Nurse ( RN ) Case Management for a nursing job in EL Paso, Texas.Job Description & RequirementsSpecialty: ... medical services and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical records for purposes… more
    JobGet (09/06/24)
    - Save Job - Related Jobs - Block Source
  • Quality Concurrent Reviewer

    Trinity Health (Fresno, CA)
    …Nursing, Health Science, or related field is preferred. 2. Current licensure as a Registered Nurse in the State of California is required. 3. Thorough knowledge ... maintaining current knowledge of clinical indicators and compliance requirements, conducting concurrent medical record review to ensure documentation compliance… more
    Trinity Health (06/15/24)
    - Save Job - Related Jobs - Block Source
  • Concurrent Review Nurse

    InnovaCare (San Juan, PR)
    …customer focus to the business. MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the ... confers daily regarding patient and physician related issues.8. Performs concurrent quality review and reports...* Bachelor's Degree in Science of Nursing. * Current RN permanent license in Puerto Rico and Collegiate. *… more
    InnovaCare (07/17/24)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse Clinical…

    HCA Healthcare (Corpus Christi, TX)
    …we encourage you to apply for our Registered Nurse Clinical Reviewer PRN opening. We review all applications. Qualified candidates will be contacted by ... **Introduction** **Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer PRN...Medical Center Bay Area!** **Job Summary and Qualifications** **The Quality Review Nurse position encompasses… more
    HCA Healthcare (08/02/24)
    - Save Job - Related Jobs - Block Source
  • RN Clinical Reviewer

    HCA Healthcare (Corpus Christi, TX)
    …in your career path, we encourage you to apply for our Registered Nurse Clinical Reviewer opening. We review all applications. Qualified candidates will ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer you...including Core Measure chart abstraction, Stroke & STEMI chart review and coordination; performs concurrent chart reviews… more
    HCA Healthcare (06/25/24)
    - Save Job - Related Jobs - Block Source
  • RN Clinical Documentation Specialist, First…

    SSM Health (MO)
    …Division of Professional Registration + Or + Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by Compact State + Or + Registered ... is responsible for facilitating the improvement in the overall quality and completeness of provider-based clinical documentation in the...+ Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by… more
    SSM Health (09/05/24)
    - Save Job - Related Jobs - Block Source
  • Case Manager

    Ellis Medicine (Schenectady, NY)
    …practice as a RN in New York State. Experience: Previous Utilization Review , Quality Assessment, Discharge Planning or Home Care experience is highly ... post admission with communication to insurance as needed. Does concurrent review on criteria and nursing judgment....continuum to plan best management plan. * Ensures effective concurrent Quality Assurance. Works closely with chiefs/QA… more
    Ellis Medicine (08/26/24)
    - Save Job - Related Jobs - Block Source
  • Case Manager Registered Nurse

    HCA Healthcare (Richmond, VA)
    …your career path, we encourage you to apply for our Case Manager Registered Nurse RN opening. We review all applications. Qualified candidates will be ... you have the career opportunities as a(an) Case Manager Registered Nurse RN you want...function in this role is to Performs admission and concurrent review for all payers and maintains… more
    HCA Healthcare (07/31/24)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse RN - Case…

    Trinity Health (Ann Arbor, MI)
    …weeks from 8 am to 5 pm Monday through Friday. **WHAT YOU WILL DO** + The RN Registered Nurse Case manager is responsible for conducting a focused assessment ... economic/financial and discharge planning needs. + One would also review , on a concurrent basis, the appropriateness,...and clinical risk issues and documentation completeness. + The RN Registered Nurse Case Manager… more
    Trinity Health (08/29/24)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Reviewer

    CDS Life Transitions (Webster, NY)
    …regulations Education and Experience: + Bachelor's degree in Nursing + State licensure as a Registered Nurse ( RN ) + Minimum 2 years of prior experience in ... and appropriateness of those services, with the purpose of controlling costs and monitoring quality of care. The Utilization Management Reviewer will play a key… more
    CDS Life Transitions (08/05/24)
    - Save Job - Related Jobs - Block Source
  • UM Reviewer

    Apex Health Solutions (Houston, TX)
    …as well as carrying out day today pre-authorization functions. The Utilization Review Nurse will also be responsible for issuing pre-authorization ... of Nursing) Licenses/Certifications: Current, unrestricted Texas licensure to practice as a Registered Nurse or Licensed Vocational Nurse required and… more
    Apex Health Solutions (06/23/24)
    - Save Job - Related Jobs - Block Source
  • RN - Registered Nurse - Acute…

    Geisinger (Danville, PA)
    …and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE & ... quality of care using predetermined criteria, reporting potential risk and quality management issues identified from medical record review to appropriate… more
    Geisinger (09/01/24)
    - Save Job - Related Jobs - Block Source
  • RN - Care Manager Registered

    Geisinger (Scranton, PA)
    …Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... quality of care using predetermined criteria, reporting potential risk and quality management issues identified from medical record review to appropriate… more
    Geisinger (08/10/24)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse ( RN )…

    Prime Healthcare (Garden Grove, CA)
    …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license + Grandfathered prior to April 1, 2015. Minimum 5… more
    Prime Healthcare (08/13/24)
    - Save Job - Related Jobs - Block Source
  • HMSA Care Manager - BH, UM Reviewer

    Magellan Health Services (Honolulu, HI)
    …- Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... with mental health and substance abuse issues, and participates in special quality improvement projects. + Monitors inpatient and/or outpatient level of care… more
    Magellan Health Services (08/23/24)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse Quality

    HCA Healthcare (Mcallen, TX)
    …efficiently. Are you passionate about delivering patient-centered care? Submit your application for Registered Nurse Quality position and spend more time at ... may vary by location._ **Job Summary and Qualifications** The Review Nurse Clinical Reviewer position...year of experience + At least one year of RN experience + Executes quality projects and… more
    HCA Healthcare (08/22/24)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse Supervisor…

    BrightSpring Health Services (Hillsborough, NH)
    …processes within the programs offering guidance as needed + Documentation of all nurse delegation training's/in-services, as required. + Ensure review of medical ... energetic and compassionate leader to fill the role of RN Supervisor. Take the next step in your career...appropriate documentation. + Have a thorough understanding of the nurse practice act and how it applies to … more
    BrightSpring Health Services (08/23/24)
    - Save Job - Related Jobs - Block Source
  • Supervising Registered Nurse D/CF

    Sacramento County (Sacramento, CA)
    Supervising Registered Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448883) Apply  Supervising Registered Nurse ... are at 5:00 pm on: 2/5/24, 4/2/24, 6/3/24, 8/5/24, 10/7/24, 12/2/24 Supervising Registered Nurse - Detention/Correctional Facility is the first level supervisory… more
    Sacramento County (07/16/24)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse D/CF (Level I/II)

    Sacramento County (Sacramento, CA)
    …read and understood the above instructions. 02 Select the one box that best describes your Registered Nurse ( RN ) license issued by the State of California. + ... Registered Nurse D/CF (Level I/II) Print...examination will evaluate the relevance, level, recency, progression and quality of candidate's education, training and experience. The candidate's… more
    Sacramento County (07/16/24)
    - Save Job - Related Jobs - Block Source