- Trinity Health (Fresno, CA)
- …Nursing, Health Science, or related field is preferred. 2. Current licensure as a Registered Nurse in the State of California is required. 3. Thorough knowledge ... maintaining current knowledge of clinical indicators and compliance requirements, conducting concurrent medical record review to ensure documentation compliance… more
- 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 ... confers daily regarding patient and physician related issues.8. Performs concurrent quality review and reports...* Bachelor's Degree in Science of Nursing. * Current RN permanent license in Puerto Rico and Collegiate. *… more
- HCA Healthcare (Corpus Christi, TX)
- …in your career path, we encourage you to apply for our Registered Nurse Clinical Reviewer opening. We review all applications. Qualified candidates will ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer you...including Core Measure chart abstraction, Stroke & STEMI chart review and coordination; performs concurrent chart reviews… more
- HCA Healthcare (Corpus Christi, TX)
- …we encourage you to apply for our Registered Nurse Clinical Reviewer PRN opening. We review all applications. Qualified candidates will be contacted by ... **Introduction** **Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer PRN...Medical Center Bay Area!** **Job Summary and Qualifications** **The Quality Review Nurse position encompasses… more
- SSM Health (MO)
- …Division of Professional Registration + Or + Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by Compact State + Or + Registered ... is responsible for facilitating the improvement in the overall quality and completeness of provider-based clinical documentation in the...+ Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by… more
- Ellis Medicine (Schenectady, NY)
- …practice as a RN in New York State. Experience: Previous Utilization Review , Quality Assessment, Discharge Planning or Home Care experience is highly ... post admission with communication to insurance as needed. Does concurrent review on criteria and nursing judgment....continuum to plan best management plan. * Ensures effective concurrent Quality Assurance. Works closely with chiefs/QA… more
- HCA Healthcare (Richmond, VA)
- …your career path, we encourage you to apply for our Case Manager Registered Nurse RN opening. We review all applications. Qualified candidates will be ... you have the career opportunities as a(an) Case Manager Registered Nurse RN you want...function in this role is to Performs admission and concurrent review for all payers and maintains… 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
- CDS Life Transitions (Webster, NY)
- …regulations Education and Experience: + Bachelor's degree in Nursing + State licensure as a Registered Nurse ( RN ) + Minimum 2 years of prior experience in ... and appropriateness of those services, with the purpose of controlling costs and monitoring quality of care. The Utilization Management Reviewer will play a key… more
- Apex Health Solutions (Houston, TX)
- …as well as carrying out day today pre-authorization functions. The Utilization Review Nurse will also be responsible for issuing pre-authorization ... of Nursing) Licenses/Certifications: Current, unrestricted Texas licensure to practice as a Registered Nurse or Licensed Vocational Nurse required and… 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 ... quality of care using predetermined criteria, reporting potential risk and quality management issues identified from medical record review to appropriate… more
- Medical Mutual of Ohio (OH)
- …program approved by the Ohio State Nursing Board. . 3 years as a Registered Nurse with a combination of clinical and utilization/case management experience in ... or psychiatric, preferably in the health insurance industry. **Professional Certification** . Registered Nurse with current State of Ohio unrestricted license.… more
- Prime Healthcare (Garden Grove, CA)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license + Grandfathered prior to April 1, 2015. Minimum 5… 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 ... experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum 5… more
- HCA Healthcare (Mcallen, TX)
- …efficiently. Are you passionate about delivering patient-centered care? Submit your application for Registered Nurse Quality position and spend more time at ... may vary by location._ **Job Summary and Qualifications** The Review Nurse Clinical Reviewer position...year of experience + At least one year of RN experience + Executes quality projects and… more
- Banner Health (AZ)
- …well as executive sponsors. 2. Actively identifies patient safety opportunities through concurrent event triage and review . Coordinates with leaders to ... Name:** Patient Safety-Corp **Work Shift:** Day **Job Category:** Risk, Quality and Safety You have a place in the...In this role you will have a responsibility to review event reports submitted, and complete chart reviews to… 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...examination will evaluate the relevance, level, recency, progression and quality of candidate's education, training and experience. The candidate's… more
- Sacramento County (Sacramento, CA)
- Supervising Registered Nurse D/CF Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/448883) Apply Supervising Registered Nurse ... are at 5:00 pm on: 2/5/24, 4/2/24, 6/3/24, 8/5/24, 10/7/24, 12/2/24 Supervising Registered Nurse - Detention/Correctional Facility is the first level supervisory… more
- Sacramento County (Sacramento, CA)
- …understood the above special requirements. 04 Select the one box that best describes your Registered Nurse ( RN ) license issued by the State of California. + ... Registered Nurse Level I/II Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/2579173) Apply Registered Nurse Level I/II Salary… more
- Henry Ford Health System (Wyandotte, MI)
- …join our Henry Ford Health Team. What will you do? Concurrent review of medical records against pre-established criteria/ quality initiatives. Safety event ... of care delivery. Supports the hospital's medical staff peer review function and quality improvement in compliance...with the Medical Staff Leadership Team, the Clinical Peer Review Coordinator is a Registered Nurse… more