- Magellan Health Services (Boise, ID)
- …supervision. Project management skills and demonstrated experience. General Job Information Title Quality Clinical Reviewer ( Remote - Must live in Idaho) ... clinical experience along with an Associates degree and RN licensure in place of the Bachelors degree and...- Care Mgmt, PSY - Psychologist - Care Mgmt, RN - Registered Nurse , State… more
- UTMB Health (Galveston, TX)
- …(CCS) certification, and a minimum of 3 years of medical coding experience. **Or** . Registered nurse (or medical school graduate) with a minimum of 3 years ... Clinical Documentation Specialist ( Remote -Texas Resident)...UTMB Health Requisition # 2406038 **Minimum Qualifications:** . Certified Registered Health Information Administrator (RHIA), Technician (RHIT), or an… more
- CVS Health (Frankfort, KY)
- …care more personal, convenient and affordable. **Position Summary** This is a fully remote Utilization Review Clinical Consultant. **MUST RESIDE IN ... knowledgeable in clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions...state licensure (LCSW, LPCC, LMFT, LPAT, LP) or a Registered Nurse ( RN ) with active… more
- Rush University Medical Center (Chicago, IL)
- …may vary depending on the circumstances of each case. **Summary:** The Organ Placement Clinical Coordinator is a registered nurse trained in the evaluation ... veteran status, and other legally protected characteristics. **Position** Organ Placement Clinical Coordinator RN - Transplant ( Remote !) **Location**… more
- PeaceHealth (Bellingham, WA)
- **Description** **PeaceHealth is seeking a full time RN Clinical Document Integrity Specialist. This remote role requires the incumbent to reside in OR, WA, ... A and how it impacts DRG assignment to the review of clinical documentation. + Performs other...the clinical documentation integrity program preferred. + Registered Nurse In state of practice or… more
- Community Health Systems (Franklin, TN)
- …+ Demonstrated proficiency in computer and web-based applications. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... both for admission to the hospital as well as continued stay. The Utilization Review Clinical Specialist supports and coordinates the various aspects of the… more
- HCA Healthcare (Corpus Christi, TX)
- …career path, we encourage you to apply for our Registered Nurse Clinical Reviewer PRN opening. We review all applications. Qualified candidates will ... **Introduction** **Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer...REMOTE position.** **What qualifications you will need:** + ** Registered Nurse , one year of experience required**… more
- Trinity Health (Livonia, MI)
- …**Shift:** **Description:** Trinity Health at Home is seeking an experienced RN remote Clinical Quality Review Specialist with ICD10 HCS-D certification ... an experienced RN Clinical Quality Review Specialist for a remote position** **ICD10...and top clinical outcomes. **Minimum Qualifications** + ** Registered Nurse with current license from the… more
- CareFirst (Baltimore, MD)
- …previous case management, discharge planning or utilization review experience. **Licenses/Certifications** RN - Registered Nurse - State Licensure And/or ... **Resp & Qualifications** **PURPOSE:** The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider… more
- University of Miami (Hialeah, FL)
- …or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The ... based on clinical data to facilitate appropriate DRG assignment. Records review findings and other data elements accurately into CDI Software and other data… more
- HCA Healthcare (Corpus Christi, TX)
- …career path, we encourage you to apply for our Registered Nurse Clinical Reviewer opening. We review all applications. Qualified candidates will be ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer...REMOTE position.** **What qualifications you will need:** + ** Registered Nurse , prefer at least one year… 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
- SSM Health (MO)
- …Division of Professional Registration + Or + Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by Compact State + Or + Registered ... **It's more than a career, it's a calling** MO- REMOTE **Worker Type:** Regular **Job Highlights:** Prior experience...+ Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by… more
- Virtua Health (Marlton, NJ)
- …defined living space through the use of leveraged technology and remote clinical care coordination. The Hospital at Home RN provides quality care to ... Job Information: Please note that this is NOT a remote position. Virtua has introduced a new and exciting...the program. Job Summary: The Hospital at Home focused Registered Nurse will bring the essential elements… more
- SSM Health (MO)
- …Division of Professional Registration + Or + Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by Compact State + Or + Registered ... **It's more than a career, it's a calling** MO- REMOTE **Worker Type:** Regular **Job Highlights:** Preferred Qualifications:...+ Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …required by their supervisor, subject to reasonable accommodation. Licensing/Certification Active Registered Nurse ( RN ) - Required Active multistate/compact ... + Participates in process improvement, professional development and peer review + Maintains active RN licensure within... registered nurse ( RN ) licensure - Required ( _if applicable based on… more
- University of Virginia (Charlottesville, VA)
- …the hiring manager or recruiter for more details. This position is for a Full-Time Ambulatory Registered Nurse ( RN ) Clinical Educator and Float Pool ... nurse for the Clinical Practice Group. This role is 5 days/week and...is required (Culpeper, Charlottesville, Louisa, Harrisonburg and Augusta). The RN is responsible for providing clinical support… more
- Geisinger (Danville, PA)
- …Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... Job Summary The Clinical Documentation Improvement Program (CDI) is designed to...highly trained staff members to perform a concurrent inpatient review of the record. This allows the record to… more
- Medical Mutual of Ohio (OH)
- …a drug-free workplace and perform pre-employment substance abuse and nicotine testing._ \#LI- REMOTE **Title:** _Registered Nurse Clinical Appeal & Claim_ ... community, explaining processes for accessing health plan to perform clinical review , identifying appropriate community resources, or...Bachelor's degree preferred + 3 years' experience as a Registered Nurse in acute care, critical care,… more
- Banner Health (Gilbert, AZ)
- …through the completion of a Bachelor's Degree in Nursing. Requires a current Registered Nurse ( RN ) license. Experience typically gained through two ... abilities - apply today. **Banner MD Anderson Cancer Center Clinical Trials** Office is the oncology service line for...on site to support our patient facing requirements, however remote and schedule flexibility options are also offered following… more
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