- 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 ... within forty-eight (48) hours of having performed the first concurrent review of notified admission cases.4. On...* Bachelor's Degree in Science of Nursing. * Current RN permanent license in Puerto Rico and Collegiate. *… more
- Centene Corporation (Reno, NV)
- …needed to discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member ... with experience (2) with an active compact LPN or RN licensure and willingness to obtain other licensure as...determinations or provide recommendations based on requested services and concurrent review findings + Assists with providing… more
- HCA Healthcare (Richmond, VA)
- …**Are you passionate about delivering patient-centered care?** Submit your application for Case Manager Registered Nurse RN position and spend more time at ... function in this role is to Performs admission and concurrent review for all payers and maintains...career! We are interviewing candidates for our Case Manager Registered Nurse RN opening. **Apply… more
- Trinity Health (Howell, 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 (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
- LifePoint Health (Las Cruces, NM)
- …federal, state or local law./ **Job:** **Nursing* **Organization:** **Memorial Medical Center* **Title:** * Registered Nurse ( RN ) Case Manager - UM - PRN ... . * Utilization Management performs prospective, admissions, observation and concurrent review according to standard policies and...is desirable. * Current New Mexico licensure as a Registered Nurse . * Certification as CCM or… more
- LifePoint Health (Henderson, NC)
- …state, or local law. **Job:** **Case Management/Social Services* **Organization:** ** **Title:** * Registered Nurse ( RN ) Case Manager Full Time* **Location:** ... awards programs . And much more *Position Summary* The RN Case Manager is responsible for the coordination of...implements interventions for patients at risk for readmissions. Manages concurrent denials and works with physicians to overturn for… 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 ... program uses highly trained staff members to perform a concurrent inpatient review of the record. This...Holidays: None On-Call: None Education and Experience: 3 years RN work experience is required; BSN is strongly preferred… more
- Geisinger (Bloomsburg, PA)
- …and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE & ... reporting potential risk and quality management issues identified from medical record review to appropriate departments through defined processes, and enters data as… more
- University of Virginia (Charlottesville, VA)
- …2 years acute care hospital experience. Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia required. PREFERRED QUALIFICATIONS: ... to promote and adhere to regulatory compliance. The UM RN conducts initial concurrent and retrospective medical...in determining what cases to refer for second level review to external physician consultants and internal UVA UR… more
- 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 ... reporting potential risk and quality management issues identified from medical record review to appropriate departments through defined processes, and enters data as… more
- Prime Healthcare (Lynwood, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/184015/ registered - nurse %2c- rn ... and to perform a holistic and comprehensive admission and concurrent review of the medical record for...an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April… more
- Prime Healthcare (Victorville, CA)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April...Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.3. Five years acute care nursing… more
- Ascension Health (Tulsa, OK)
- …codes for all clients. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Oklahoma Board of Nursing obtained ... continuing education initiatives. + Develop systems and processes for prospective, concurrent and retrospective utilization review for all self-funded and… more
- AdventHealth (Hendersonville, NC)
- …succeed:** + Graduate of an accredited school of nursing + Current state licensure as a Registered Nurse + Five years of experience in one or a combination of ... value you'll bring to the team:** . Initiate and maintain ongoing utilization review based upon knowledge of Integral screening criteria for all payers. Refer… more
- 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...improperly rejected may request the Employment Services Division to review its decision to reject the application. If the… more
- Sacramento County (Sacramento, CA)
- Supervising Registered Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448883) Apply Supervising Registered Nurse ... at 5:00 pm on: 6/3/24, 8/5/24, 10/7/24, 12/2/24 Supervising Registered Nurse - Detention/Correctional Facility is the...Document Required with Application: All applicants MUST record their RN license type, number, and expiration date in the… more
- Montana State University-Northern (Havre, MT)
- Clinical Resource Registered Nurse (CRRN) part-time Below you will find the details for the position including any supplementary documentation and questions you ... should review before applying for the opening. To apply for...Details Position Information NBAPOSN Title Working Title Clinical Resource Registered Nurse (CRRN) part-time Brief Position Overview… more
- Northwell Health (Bay Shore, NY)
- …and assesses of patients admitted to the Hospital. Job Responsibility + * Performs concurrent review on all patients and share all problematic cases with the ... or related field, preferred. + Current license to practice as a Registered Professional Nurse in New York State. + Minimum of two (2) years medical/surgical… more
- G-TECH Services, Inc. (Detroit, MI)
- …experience in an acute care setting Education/Certifications - Include: * Must be a RN with an unrestricted Registered Nurse license **Category** _Benefits_ ... . Engagement Description - Perform prospective, concurrent and retrospective review of inpatient...insurance plan experience or managed care environment highly preferred. Registered Nurse with current unrestricted Michigan … more
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