- Centene Corporation (Indianapolis, IN)
- …needed to discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member ... more
- Actalent (San Antonio, TX)
- Job Title: Review Nurse Job Description The Review Nurse will be responsible for reviewing approximately 20 cases a day to assess medical necessity for ... more
- Actalent (Tampa, FL)
- …Facility, Long-Term Acute Care Hospital, Skilled Nursing Facility). + 3 years of concurrent review experience and/or discharge planning. + 2 years of utilization ... more
- Banner Health (AZ)
- …We are proud to offer our team members many career and lifestyle choices including remote & hybrid work options. Apply today. Banner Plans & Networks (BPN) is a ... more
- Geisinger (Danville, PA)
- …provided. The core of the program uses highly trained staff members to perform a concurrent inpatient review of the record. This allows the record to be coded ... more
- GE Vernova (Wilmington, NC)
- …oversight of suppliers thru procurement and construction to develop, perform, and review unit, module, system, and integration test plans, procedures, and reports ... more
- GE Vernova (Wilmington, NC)
- …regulatory certification or licensing document preparation, + Perform technical oversight, review , and verification of deliverables from suppliers to ensure their ... more
- AdventHealth (Altamonte Springs, FL)
- …we are even better. **Shift** : Full-time; Monday-Friday **Job Location** : Remote **The role you will contribute:** Under general supervision of the Director ... more
- Magellan Health Services (San Diego, CA)
- …person-centered care plan, member education and care management. Conducts initial and concurrent review for prior authorization of higher levels of care ... more
- VNS Health (Manhattan, NY)
- …general supervision. Compensation Range:$85,000.00 - $106,300.00 Annual * Conducts comprehensive review of all components related to requests for services which ... more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- * Remote in Hampton Roads* Summary The Utilization Review Nurse combines clinical expertise with knowledge of medical appropriateness criteria, and applies ... more
- Centene Corporation (Madison, WI)
- …medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine ... more
- SSM Health (MO)
- **It's more than a career, it's a calling** MO- REMOTE **Worker Type:** Regular **Job Highlights:** Must have prior and direct Clinical Documentation experience ... more
- SSM Health (MO)
- …and provides feedback to clinical staff regarding these requirements during the concurrent record review process. + Maintains knowledge of mortality models, ... more
- Centene Corporation (Olympia, WA)
- …to reside in MST or PST time zones.** **Position Purpose:** Manages Prior Authorization, Concurrent Review , and/or Retrospective Review Clinical Review ... more
- University of Michigan (Ann Arbor, MI)
- …regarding budget variances to Associate Chief Nursing Officer or MDS Senior Nurse Director. + Collaborate and coordinate with other disciplines to plan, evaluate, ... more
- AdventHealth (Orlando, FL)
- …together we are even better. **Schedule:** Monday to Friday, 40 hrs - Fully Remote - Flexible hours may be between 6a-630pm **Shift:** Full Time Days Salary Exempt ... more
- University of Washington (Seattle, WA)
- …ROM. **DEPARTMENT DESCRIPTION** The Clinical Documentation Integrity Program (CDIP) performs concurrent review of inpatient medical records to ensure provider ... more
- Texas Health Resources (Arlington, TX)
- …and all identified potentially compensable events (consumers and product). Concurrent review of medical records against pre-established criteria/quality ... more
- GE Vernova (Schenectady, NY)
- …development of GE product/service offerings and support New Product/Technology Introductions concurrent with GE business needs. + Support domestic and global ... more