• Clinical Medical Review Nurse

    CareFirst (Cumberland, MD)
    **Resp & Qualifications** **PURPOSE:** The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider ... appeals that require medical review to determine if the claim...possess excellent verbal and written communication skills. **Licenses/Certifications** : RN - Registered Nurse -… more
    CareFirst (11/15/24)
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  • Nurse Auditor - Medical Bill…

    Rising Medical Solutions (Chicago, IL)
    …by giving clients the information they need to determine case value based on evaluation of medical records and medical billing statements, and will: + Audit ... business was born - and continues to thrive. Rising Medical Solutions is looking for a Nurse ...medical and billing records to determine if services provided are reasonable, appropriate… more
    Rising Medical Solutions (11/13/24)
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  • Medical Staff Peer Review Manager

    St. Luke's Health System (Boise, ID)
    …of the department, including organizing and conducting programs and establishing procedures for medical staff peer review functions across the health system. + ... Liaison and resource for medical staff peer review committees and the...and maintain systems (database management, event reporting tools to record activities of peer review including follow-up… more
    St. Luke's Health System (10/31/24)
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  • Licensed Practical Nurse (LPN)…

    The Arora Group (Bethesda, MD)
    …guidelines. + The Contractor shall frequently collaborate with managers of the UBO, Utilization Review Registered Nurse ( RN ) and pre-certification clerk. ... Licensed Practical Nurse (LPN) - Utilization Review Nurse Currently recruiting a Licensed...be required to stand, bend and reach from open medical record shelving. + Licensure: Current, full,… more
    The Arora Group (11/22/24)
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  • Flight Registered Nurse ( RN

    Vighter Medical Group (Mesa, AZ)
    Flight Registered Nurse ( RN ) - IWA Job Details...to their countries of origin. The RN will review medical records to determine if detainees ... Job Location Mesa, AZ - Mesa, AZ Education Level Registered Nurse ( RN ) Travel Percentage...correctional health environment + Assumes responsibility as the sole medical provider of care for Federal detainees with stable,… more
    Vighter Medical Group (11/07/24)
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  • Utilization Review Specialist

    CaroMont Health (Gastonia, NC)
    …when necessary. Documents initial review , communications, and referrals in permanent medical record . For all observation patients in assigned areas, daily ... for reversal of original determination. May serve on the Medical Record / Utilization Review Committee,...accredited college with a clinical background. BSN required. Current RN license to practice in NC (NC license or… more
    CaroMont Health (10/26/24)
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  • Peer Review RN Coordinator

    UCLA Health (Los Angeles, CA)
    …essential as you manage the end-to-end peer review process-from data analysis and medical record review to facilitating impactful review meetings and ... The Department of Medicine is seeking to hire a dynamic and experienced Peer Review RN Coordinator to drive excellence in quality improvement for our Ambulatory… more
    UCLA Health (11/11/24)
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  • Registered Nurse RN

    HCA Healthcare (Margate, FL)
    …career path, we encourage you to apply for our Registered Nurse RN Medical Telemetry opening. We review all applications. Qualified candidates will ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse RN Medical...and timely documentation of care administration in the patient's medical record . - Administer prescribed medications, monitor… more
    HCA Healthcare (10/18/24)
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  • Registered Nurse ( RN ) Pros…

    Helio Health Inc. (Syracuse, NY)
    …healthcare issues. In order to support our mission, Helio Health is seeking a Registered Nurse ( RN )to work on aFull-Timebasis for ourPersonalized Recovery ... Oriented Services (PROS). The Registered Nurse ( RN ) will provide...for medical services. + Develop, recommend, and review medical policies and procedures for all… more
    Helio Health Inc. (11/20/24)
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  • Certified Registered Nurse

    Fresenius Medical Center (Corpus Christi, TX)
    **POSITION FEATURES:** AZURA **PURPOSE AND SCOPE:** A Certified Registered Nurse Anesthetist (CRNA) in an advanced practice registered nurse (APRN) who ... meetings and other management meetings upon request from the Medical Director. + Review and comply with...by the National Board of Certification and Recertification for Nurse Anesthetists. + Insurable by an appropriate medical more
    Fresenius Medical Center (11/18/24)
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  • Utilization Review Nurse - Full Time

    Dayton Children's Hospital (Dayton, OH)
    …of the Manager of Utilization Management, the Utilization Review RN conducts medical record review for medical necessity and level of care ... Epic Systems (preferred) Education Requirements: Bachelors: Nursing (Required) Certification/License Requirements: [Lic] RN : Registered Nurse ( RN ) - Ohio… more
    Dayton Children's Hospital (11/19/24)
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  • RN Registered Nurse

    HCA Healthcare (St. Petersburg, FL)
    …you to apply for our RN Registered Nurse Medical Surgical Telemetry opening. We review all applications. Qualified candidates will be contacted ... and Qualifications** We are seeking a Registered Nurse to join our "3-North" Cardiac Medical ...medications and treatment instructions + You will maintain and review patients' records including posting tests and… more
    HCA Healthcare (09/13/24)
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  • Registered Nurse RN

    HCA Healthcare (Blacksburg, VA)
    …you to apply for our Registered Nurse RN Medical Surgical Unit opening. We promptly review all applications. Highly qualified candidates will ... work environment where diversity and inclusion thrive? Submit your application for our Registered Nurse opening with LewisGale Hospital Montgomery today and find… more
    HCA Healthcare (11/09/24)
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  • RN Registered Nurse - Med…

    Henry Ford Health System (Grand Blanc, MI)
    …treatments, medications, and tests ordered are expeditiously carried out and documented. + Review patient medical record /reports and confers with physician ... + Orientation Self-Evaluation: (C) Competent (NT) Needs Training or Review . + Standards of Performance: + Seven Domains of...must possess current Michigan licensure to practice as a registered nurse ( RN ). + Essential… more
    Henry Ford Health System (10/03/24)
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  • RN - Registered Nurse - Case…

    Geisinger (Bloomsburg, PA)
    …predetermined criteria, reporting potential risk and quality management issues identified from medical record review to appropriate departments through ... and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE &… more
    Geisinger (11/17/24)
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  • RN - Care Manager Registered

    Geisinger (Scranton, PA)
    …predetermined criteria, reporting potential risk and quality management issues identified from medical record review to appropriate departments through ... Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE… more
    Geisinger (11/09/24)
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  • Registered Nurse RN

    HCA Healthcare (Richmond, VA)
    …encourage you to apply for our Registered Nurse RN Medical Surgical and Trauma opening. We review all applications. Qualified candidates will be ... **Introduction** Do you have the career opportunities as a Registered Nurse RN Medical...the facility. + During every shift you will monitor, record and communicate patient conditions utilizing our computerized documentation… more
    HCA Healthcare (10/06/24)
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  • Registered Nurse RN

    HCA Healthcare (Salem, VA)
    …you to apply for our Registered Nurse RN Medical Surgical Pulmonary opening. We promptly review all applications. Highly qualified candidates will ... and timely documentation of care administration in the patient's medical record . - Administer prescribed medications, monitor...medical terminology. **What qualifications you will need:** + Registered Nurse + Basic Cardiac Life Support,… more
    HCA Healthcare (10/30/24)
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  • RN Registered Nurse

    Henry Ford Health System (Grand Blanc, MI)
    …treatments, medications, and tests ordered are expeditiously carried out and documented. + Review patient medical record /reports and confers with physician ... am and every other weekend 48-60 hrs per pay Registered Nurse - Orthopedics & Neurology -...+ Orientation Self-Evaluation: (C) Competent (NT) Needs Training or Review . - Standards of Performance: - Seven Domains of… more
    Henry Ford Health System (11/05/24)
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  • Registered Nurse Medical

    HCA Healthcare (San Antonio, TX)
    …next step in your career path, we encourage you to apply for our Registered Nurse Medical Surgical Tele RN opening. We review all applications. ... have the career opportunities as a Med Surg Telemetry Registered Nurse you want in your current...and timely documentation of care administration in the patient's medical record . - Administer prescribed medications, monitor… more
    HCA Healthcare (09/05/24)
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