- 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)
- …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
- 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
- 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)
- …**Are you passionate about delivering patient-centered care?** Submit your application for Case Manager Registered Nurse RN position and spend more time at ... function in this role is to Performs admission and concurrent review for all payers and maintains...career! We are interviewing candidates for our Case Manager Registered Nurse RN opening. **Apply… more
- Trinity Health (Howell, 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
- 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
- Medical Mutual of Ohio (OH)
- …Medicare Supplement, and individual plans. Under limited supervision, the Medicare Nurse Reviewer applies medical necessity guidelines in making authorization ... mind to more than 1.2 million members through our high- quality health, life, disability, dental, vision and indemnity plans....Board. Bachelor's degree preferred. + 3 years as a Registered Nurse with a combination of clinical… more
- LifePoint Health (Henderson, NC)
- …state, or local law. **Job:** **Case Management/Social Services* **Organization:** ** **Title:** * Registered Nurse ( RN ) Case Manager Full Time* **Location:** ... awards programs . And much more *Position Summary* The RN Case Manager is responsible for the coordination of...skills. Requires a working knowledge of community resources and Utilization/ Quality Review standards and activities conducted by… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …What You Bring : + Behavioral Health professional with an active Massachusetts license: Registered Nurse , LICSW, LMHC + 3-5 years of clinical experience in ... true colors to blue. The Role The Clinical Utilization Reviewer is responsible for facilitating care for members who...Your Day to Day : + Conduct pre-certification and concurrent and retrospective clinical review of in-state… more
- Geisinger (Bloomsburg, PA)
- …and License(s) Basic Life Support Certification - Default Issuing Body; 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
- 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
- Magellan Health Services (Honolulu, HI)
- …- Licensed Professional Counselor - Care Mgmt, LSW - Licensed Social Worker - Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - Care ... with mental health and substance abuse issues, and participates in special quality improvement projects. + Monitors inpatient and/or outpatient level of care… more
- Prime Healthcare (Lynwood, CA)
- …and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/184015/ registered - nurse %2c- rn ... and to perform a holistic and comprehensive admission and concurrent review of the medical record for...an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April… 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
- Northwell Health (Bay Shore, NY)
- …and assesses of patients admitted to the Hospital. Job Responsibility + * Performs concurrent review on all patients and share all problematic cases with the ... a liaison with patients insurance carrier (case manager, utilization reviewer ) to coordinate post hospital services and referrals. +...field, preferred. + Current license to practice as a Registered Professional Nurse in New York State.… 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 ... at 5:00 pm on: 6/3/24, 8/5/24, 10/7/24, 12/2/24 Supervising Registered Nurse - Detention/Correctional Facility is the...Document Required with Application: All applicants MUST record their RN license type, number, and expiration date in the… more