- University of Washington (Seattle, WA)
- …mitigation, and prevention of clinical denials. This staff member uses their clinical expertise while reviewing initial clinical denials to determine ... and communicated payer decisions in a timely manner + Review clinical denials and initiate appeals process...cycle **REQUIREMENTS** + Active licensure to practice as a Registered Nurse in Washington State + Bachelor's… more
- AmeriHealth Caritas (New Castle, DE)
- …Level of Care Redeterminations for home and community based members annually. This requires clinical review when evaluating the need for a member to remain in ... Provide education and routine follow-up with member. + Perform initial clinical assessment of new members, develop...more frequently as needed in accordance with requirements. + Review and acting upon worklists in Jiva, including monitoring… more
- Elevance Health (Mendota Heights, MN)
- ** Nurse Reviewer I** **Location:** This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum ... Monday - Friday (9:30 AM -6:00 PM Centeral) The ** Nurse Reviewer I** is responsible for conducting...medical necessity clinical screening and determines if initial clinical information presented meets medical necessity… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …& entry, clinical intake screening assessment, and effectively communicating with Nurse Case Managers. The Clinical Coordinator reports to the Manager, Case ... medical status, diagnoses, and future care needs. + Conduct initial intake clinical assessment to determine what...to determine what acuity/outreach is needed and reassign to RN , if needed, per process. + Adhere to established… more
- PruittHealth (Albany, GA)
- ** REGISTERED NURSE - CLINICAL COMPETENCY COORDINATOR** **Join the PruittHealth family, where the health and safety of our workforce is our top priority!** ... care or LTC experience. **MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:** Current and unrestricted Registered Nurse ( RN ) licensure in state of practice.… more
- State of Colorado (Grand Junction, CO)
- Registered Nurse I, RN I - Grand Mesa Youth Services Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5177091) Apply ... Registered Nurse I, RN I...including physical, psychiatric and dental maintenance. Specific Job Duties: Clinical Duties: Initial nursing assessments and triage… more
- SSM Health (IL)
- …Division of Professional Registration + Or + Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by Compact State + Or + Registered ... by law. **Job Summary:** Performs concurrent analytical reviews of clinical and coding data to improving physician documentation for...+ Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by… more
- Hartford HealthCare (Hartford, CT)
- …Glastonbury, Enfield, Farmington, West Hartford and Avon offices. Bachelor's Degree required . CT- Registered Nurse ( RN ) license- preferred * Minimum of 2 ... different specialties. The primary responsibility of the Metabolic and Bariatric Surgical/Medical Clinical Reviewer (MBSCR) is to ensure the accurate and timely… more
- Erie 2-Chautauqua-Cattaraugus BOCES (Williamsville, NY)
- School Registered Nurse ( RN ) The...full Job Description listed below Job Description Job Title: Registered Nurse Department: Clinical Services ... Date Open Date 09/05/2025 Closing Date Are you a Registered Nurse ( RN ) looking for...the Associate Director of Nursing and/or the Director of Clinical Services. Job Duties and Responsibilities: + Complies with… more
- HCA Healthcare (San Antonio, TX)
- …career path, we encourage you to apply for our Registered Nurse RN Neonatal ICU NICU opening. We review all applications. Qualified candidates will be ... **Introduction** Do you have the career opportunities as a Registered Nurse RN Neonatal ICU...of the MHS Nursing Clinical Excellence Program RN level IV. 3. Employee completes initial … more
- HCA Healthcare (Manchester, NH)
- …and personal growth, we encourage you to apply for our PRN PACU Registered Nurse RN opening. We review all applications. Qualified candidates will be ... have the PRN career opportunities as a(an) PRN PACU Registered Nurse RN you want...physical and psychosocial status based on interview, examination and review of clinical data. Assesses potential for… more
- Fresenius Medical Center (Louisville, KY)
- …or federal surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
- St. Luke's University Health Network (Bethlehem, PA)
- …of a patient's ability to pay for health care. The Admission's Clinical Reviewer is responsible for the comprehensive medical review and screening of all ... Minimum 1 year experience with admissions for a post-acute rehabilitation setting preferred. Clinical experience as a nurse or therapist in an inpatient setting… more
- Banner Health (Mesa, AZ)
- …include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. Banner Registry and Travel physician practice ... Phoenix's Best Hospitals. As a **Cardiovascular Intensive Care Unit RN ,** you will have the opportunity to care for...require a minimum of one year experience as a Registered Nurse in a physician practice or… more
- Fresenius Medical Center (High Point, NC)
- …AND SCOPE:** Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis ... related issues to Team Leader or physician. + Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and...for other staff members. + Routinely meets with the Clinical Manager to discuss personnel and patient care status,… more
- Banner Health (Tucson, AZ)
- …empowering work environments, and resources that promote a healthy work-life balance. As the Registered Nurse RN Case Manager Care Coordination, you will ... **Department Name:** Case Mgmt-Hosp **Work Shift:** Day **Job Category:** Clinical Care The future is full of possibilities. At...degree in case management or health care. Requires current Registered Nurse ( RN ) license in… more
- Fresenius Medical Center (Bellmore, NY)
- Recent dialysis RN experienced required **PURPOSE AND SCOPE:** The professional registered nurse Outpatient RN CAP 2 may be an entry level designation ... from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. + Performs ongoing, systematic collection and analysis of patient data… more
- Fresenius Medical Center (Roxbury, MA)
- …**PURPOSE AND SCOPE:** Functions as part of the hemodialysis health care team as a Registered Nurse Applicant under the direction or supervision of a Staff ... by Newsweek + Major holidays off! + **No prior RN dialysis experience required; 12 weeks of paid &...Registered Nurse to ensure provision of quality… more
- Fresenius Medical Center (Madison, WI)
- …Case Manager for patients with various shifts and work hours **PURPOSE AND SCOPE:** The registered professional nurse (CAP RN 1) position is an entry level ... designation into the Clinical Advancement Program for Registered Nurses. The CAP RN 1 is...years. + Minimum of 9 months experience as a Registered Nurse (preferred). + Chronic Home dialysis… more
- Access Dubuque (Dubuque, IA)
- RN - Pediatrics Registered Nurse ...or demonstrate patient care tasks which may expose the clinical nurse to infectious or communicable disease, or ... Gold. It recently celebrated 100 years of American Heart Association membership. ** RN ** **Pediatrics** **Status: .9/FT (36 hours a week)** **Shift: Nights** **Hours:… more