- Actalent (Kansas City, MO)
- Clinical Review Nurse - Concurrent Review Location: Remote - Candidates can be live anywhere in the US but must be able to work CST hours Schedules ... - 6:30 PM CST Position Overview We are seeking Clinical Review Nurses to join our remote...our remote team. In this role, you will perform concurrent reviews to evaluate medical necessity, determine appropriate levels… more
- Centene Corporation (Jefferson City, MO)
- …administered with quality, cost efficiency, and are within compliance. + Performs a clinical review and assessment of relevant complex post-care services by ... providers, as appropriate, for any discrepancies between prior authorization and concurrent review processes to ensure clinically appropriate determinations +… more
- Centene Corporation (Jefferson City, MO)
- …administered with quality, cost efficiency, and are within compliance. + Performs a clinical review of post-care services by reviewing medical records against ... providers, as appropriate, for any discrepancies between prior authorization and concurrent review processes to ensure clinically appropriate determinations +… more
- SSM Health (MO)
- …Tennessee, Texas, Utah, Virginia, West Virginia, and Wisconsin.** **Job Summary:** Performs concurrent analytical reviews of clinical and coding data to ... **Worker Type:** Regular **Job Highlights:** Must have prior experience as a Clinical Documentation Specialist **Required Qualifications:** + 1 year of experience as… more
- SSM Health (MO)
- …provides feedback to clinical staff regarding these requirements during the concurrent record review process. + Maintains knowledge of mortality models, ... an auditor, and an educator ensuring medical records are complete and clinical documentation comprehensively represents the current health status of network patients… more
- Oracle (Jefferson City, MO)
- …(ECD) alignments, Critical Care workflow implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal ... of analysts providing support for operationally required changes and enhancements to clinical applications, and aa group of analysts leading projects that will… 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