- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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 (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
- 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
- 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 (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
- 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 (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
- 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
- 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
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