- Stanford Health Care (Palo Alto, CA)
- …risk stratification of at-risk patient populations, acute and skilled nursing facility concurrent review and complex and episodic case management, including the ... member homes, provider offices or facility settings. S/he will conduct concurrent review and issue appropriate member/provider correspondence. **Locations**… more
- Ventura County (Ventura, CA)
- …patient-centered care. Under general direction, the Senior Medical Management Nurse is responsible for performing utilization review , case management, and ... Senior Medical Management Nurse - VCHCP...are not limited to the following: + Performs utilization review with pre-certification, concurrent , retrospective, out of… 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 ... 40 hours weekly; Dayshift; Monday through Friday. Candidates must hold a Registered Nurse license in Pennsylvania or a Multistate License. A minimum of 3 years… more
- Sacramento County (Sacramento, CA)
- …Employment Qualifications Minimum Qualifications Either: One year of experience as a Senior Public Health Nurse in Sacramento County service. Or: Two ... improperly rejected may request the Employment Services Division to review its decision to reject the application. If the...+ I have one year of experience as a Senior Public Health Nurse in Sacramento County… more
- UHS (Johnson City, NY)
- Position OverviewThe Trauma Resource Nurse (TRN) has responsibility for concurrent trauma performance improvement and patient safety activities for the Trauma ... by working closely with the TPM and Trauma Registrars to assure accurate, concurrent clinical data abstraction and entry into the trauma registry. The TRN maintains… more
- Geisinger (Danville, PA)
- …PI Program and Trauma Registry. + Maintains trauma roster and updates on concurrent basis. + Summarizes concurrent daily chart rounding information into monthly ... quality improvement report and forwards initial review to leadership for secondary review and...of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE &… more
- Geisinger (Scranton, PA)
- …As one of the Top 8 Most Innovative Healthcare Systems in Becker's Hospital Review , we're working to create a national model for improving health. Today, we're ... universal life and pet and legal insurance Position Details The Registered Nurse Care Manager works with physician and multidisciplinary team members to develop… more
- Blue KC (Workman, MN)
- …authorization letters, and follows in FACETS UM system in accord with UM concurrent review guidelines. Consults with Medical Director on cases outside medical ... of pre-transplant, transplant, and post-transplant claims. Sets up transplant pre-pay review for each individual claim. Reviews transplant billing packets and… 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 ... DRG assignment, risk of mortality, severity of illness; and initiate documentation of the review . + Pursues a subsequent review of records every 3 days to… more
- Sacramento County (Sacramento, CA)
- Senior Mental Health Worker-Licensed Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/1036656) Apply Senior Mental Health Worker-Licensed ... plans with little direct supervision; provide direction to and review the work of assigned staff. + Establish and...the State of California to practice as a Registered Nurse , Vocational Nurse or Psychiatric Technician AND… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Senior Clinical Risk Manager serves as a resource to staff to enhance patient safety, promote patient safety, quality of care, and minimize ... loss to protect the assets of the facility. The Senior Risk Manager supports the Risk Management staff on...supports the Risk Management staff on how best to review risk management data, conduct Root Cause Analysis, and… more
- Kaleida Health (Buffalo, NY)
- …team, Nursing, Patient Management, Quality Department and ancillary staff to perform concurrent analytical review of clinical documentation and coding data. ... ** Senior Clinical Doc Specialist** **Location:** Larkin Bldg @...of the health care team. Also responsible for audit review to identify potential documentation deficiencies in specific records… more
- Vanderbilt University Medical Center (Nashville, TN)
- …procedures independently. Documents the patient's clinical status and care provided. Performs concurrent review of patient records for documentation to support ... of emphasizing negative elements. **Position Qualifications:** **Responsibilities:** **Certifications:** LIC-Registered Nurse - Licensure-Others **Work Experience:** Relevant Work Experience **Experience… more
- Oracle (Harrisburg, PA)
- …(ECD) alignments, Critical Care workflow implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal ... and patient care improvements. Manage the nursing needs for multiple concurrent optimization projects, from requirements analysis and solution design to testing,… more
- BayCare Health System (Tampa, FL)
- …other related parties to ensure appropriate level of care through comprehensive concurrent review for medical necessity of outpatient observation and inpatient ... of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior /RN responsibilities include:** + Functions as the… more
- Sacramento County (Sacramento, CA)
- …clinic. OR: Two years of experience in the class of Mental Health Counselor, Psychiatric Nurse , Senior Mental Health Counselor, Senior Psychiatric Nurse , ... Licensed Clinical Social Worker, Marriage and Family Therapist, or Registered Nurse . AND Either: Two years of experience coordinating and/or supervising mental… more
- Sharp HealthCare (Chula Vista, CA)
- …coding. Works closely with Case Management to redesign the process for concurrent review and authorization documentation. Consider technology alternatives and ... contract language that protect the hospital from concurrent review denials. + Collaborates with interdisciplinary teams including but not limited to Physicians, … more
- HCA Healthcare (Kansas City, MO)
- …database to ensure adequate documentation as required by regulatory agencies. + Complete concurrent review of cases to identify quality, timelines and systems of ... location._** It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential...and Patient Safety (PIPS) Program. The PI Coordinator will review the continuum of care to determine compliance with… more
- Dignity Health (Sacramento, CA)
- …role also serves as a resource to employees, management, nursing directors, senior management, councils, physicians and teams on quality management activities and ... experience, efficiency, FMEAS, root cause analyses and medical staff improvement (eg case review for peer review , OPPE, FPPE). + Participates in an integral… more
- Baylor Scott & White Health (Dallas, TX)
- …executives and key stake holders. **Essential Functions of the Role** + Performs concurrent and retrospective medical record review to investigate quality and/or ... tasks to meet desired deadlines. + Licensed clinician such as nurse , physical therapist, occupational therapist, dietitian, respiratory therapist, etc. preferred.… more
