- Kaiser Permanente (Atlanta, GA)
- Kaiser Permanente is seeking a Registered Nurse ( RN ) Case Management for a nursing job in Atlanta, Georgia.Job Description & RequirementsSpecialty: Case ... of care for hospitalized members by carrying out daily utilization and quality review , monitoring for inefficiencies and opportunities to improve care,… more
- Christus Health (Santa Fe, NM)
- …administrative time. RequirementsMINIMUM QUALIFICATIONS: Graduate from a Registered Nurse program; current New Mexico RN license requiredEDUCATION: graduate ... from a registered nurse program; BSN preferredCERTIFICATION/LICENSES: Current New Mexico RN licenseSKILLS: Basic computer skills in word processing and… more
- Maria Parham Health (Henderson, NC)
- …excellent interpersonal skillsRequires a working knowledge of community resources and Utilization/ Quality Review standards and activities conducted by third ... Maria Parham Health RN -Case ManagerJob Summary The RN Case...Manager is responsible for the coordination of clinical care, quality , and financial outcomes of a designated population of… more
- Other Executive (Highland Park, TX)
- …or Certified Public Accountant (CPA) preferred, Six Sigma Green Belt preferred. Valid Registered Nurse ( RN ) preferred Compensation Pay: $168,480 - $269,152 ... of Case Management & Continuing Care, the Sr. Director of Utilization Review (UR) is responsible for overseeing the development, implementation, and performance… more
- 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 (Houston, TX)
- …a work environment where diversity and inclusion thrive? Submit your application for our Registered Nurse Clinical Reviewer opening with The Woman's Hospital ... benefits may vary by location._ We are seeking a(an) Registered Nurse Clinical Reviewer for...including Core Measure chart abstraction, Stroke & STEMI chart review and coordination; performs concurrent chart reviews… 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
- HCA Healthcare (Mcallen, TX)
- …Are you passionate about delivering patient-centered care? Submit your application for Registered Nurse Clinical Reviewer position and spend more ... may vary by location._ **Job Summary and Qualifications** The Review Nurse Clinical Reviewer position...A REMOTE position. What qualifications you will need: + Registered Nurse , prefer at least one year… 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
- 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
- Texas Health Resources (Fort Worth, TX)
- …improvement Preferred. . 1 - 3 Years of ICU experience Preferred. **Licenses and Certifications** . RN - Registered Nurse Upon Hire Req And . CPHQ - ... ** RN - Medical Staff Peer Review **...analysis. What you will do . Concurrent review of medical records against pre-established criteria/ quality … more
- Trinity Health (Ann Arbor, MI)
- …individuals from a variety of backgrounds because diversity makes us stronger. The RN Registered Nurse Case Manager assumes overall accountability for ... a case manager. **ESSENTIAL FUNCTIONS AND RESPONSIBILITIES** + The RN Registered Nurse Case manager...economic/financial and discharge planning needs. + One would also review , on a concurrent basis, the appropriateness,… more
- Ascension Health (Pensacola, FL)
- …rules and regulations. **Requirements** Licensure / Certification / Registration: + Licensed Registered Nurse credentialed from the Florida Board of Nursing ... obtained prior to hire dateor job transfer date required. Licensed as a Registered Nurse in Florida required. Credentialed from State Board ofNursing or current… 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
- HCA Healthcare (Nashville, TN)
- …miles of an HCA facility Introduction Do you have the career opportunities as a CDI Concurrent Review Lead WFH you want with your current employer? We have an ... colleagues. Do you want to work as a CDI Concurrent Review Lead WFH where your passion...+ 1+ year of experience in inpatient CDI + Registered Nurse - Currently licensed as a… 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
