review. Keeps abreast of current clinical research findings and integrates into education programs. Evaluates the impact... Assistants (NCCPA) -Or RN and Acute Care Nurse Practitioner License in Louisiana Basic Life Support (BLS) from the American...
Nurse Navigator is also responsible for concurrent and retrospective review of stroke patient records, to abstract data... acute care community hospital located in the Palisades neighborhood of Washington, DC. The Stroke Nurse Navigator...
in. Required Qualifications: Current unrestricted Registered Nurse (RN) license in the applicable state of employment 6+ years of experience.... With opportunities for physicians, clinical staff and non-patient-facing roles, you can make a difference with us as you discover the...
applicable Minimum Requirements Registered Nurse (RN) Utilization Management: Degree/Education: Bachelors degree in nursing... is looking for a qualified Registered Nurse - Utilization Management City: Aurora State: CO Start Date 2025-03-01 End Date: 2027-11-30...
applicable Minimum Requirements Registered Nurse (RN) Utilization Management: Degree/Education: Bachelorâs degree... is looking for a qualified Registered Nurse - Utilization Management City: Aurora State: CO Start Date 2025-03-01 End Date: 2027-11-30...
Nurse Clinic Manager Location: Hialeah As Mount Sinai grows, so does our legacy in high-quality health care... an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers...
and retrospective review) to best meet the member’s specific healthcare needs and to promote quality and cost-effective outcomes..., auditing or retrospective review experience Equivalent combination of education and experience Must have licensure...
(RN) who will be responsible for performing clinical reviews to determine if the medical record documentation supports the... review contract Assists management with training new Nurse Reviewers to include daily monitoring, mentoring, feedback...
with concurrent reviews, retrospective reviews including UM Workqueue, chart review, denials management, utilization monitoring... Services and Utilization Management Physician Advisors that review and determines the appropriateness of hospital admissions...
(RN) who will be responsible for performing clinical reviews to determine if the medical record documentation supports the... review contract Assists management with training new Nurse Reviewers to include daily monitoring, mentoring, feedback...
. Function/Duties of Position: The Nurse Manager (NM) is a Registered Nurse (RN) who is responsible for upholding excellence... into the unit’s operations. This includes managing programs for appropriate admissions, concurrent and retrospective review...
. Function/Duties of Position: The Nurse Manager (NM) is a Registered Nurse (RN) who is responsible for upholding excellence... into the unit’s operations. This includes managing programs for appropriate admissions, concurrent and retrospective review...
. Function/Duties of Position The Nurse Manager (NM) is a Registered Nurse (RN) who is responsible for upholding excellence... into the unit’s operations. This includes managing programs for appropriate admissions, concurrent and retrospective review...
Overview: Now hiring a Utilization Management Nurse Specialist Performs clinical review to ensure that services... retrospective medical claims audits including, but not limited to, pre-existing condition determinations, review of coding and DRGs...
Overview Now hiring a Utilization Management Nurse Specialist Performs clinical review to ensure that services... retrospective medical claims audits including, but not limited to, pre-existing condition determinations, review of coding and DRGs...
services. Responsibilities: Conducts retrospective claims review, either in the aggregate or on an individual basis. Provides...Overview: The incumbent utilizes clinical judgement in providing utilization management services. The focus...
Quality Improvement Coordinator is responsible for coordinating the review of concurrent clinical documentation and monitors.... The RN Quality Improvement Coordinator will also analyze the clinical record to identify areas of improvement...
Job Category: Nursing - Registered Nurse Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health.... Minimum Job Qualifications Licensure or other certifications: Current RN licensure in the State of Georgia. National certification...
years of clinical experience and/or utilization review experience. Current active, valid and unrestricted RN license... policies and clinical guidelines within scope of licensure. These reviews may require in-depth review; however, any deviation...
directors or delegated clinical staff. Conducts and may approve pre-certification, concurrent, retrospective, out of network...: Requires a minimum of 6 years of clinical experience and/or utilization review experience. Current active, valid...