and Certifications Required: 1. NJ State Professional Registered Nurse License. 2. Advance Practice Nurse License. 3. AHA Basic Health...Overview: The Surgical Nurse Practitioner or Physician Assistant at Hackensack UMC performs the role utilizing the...
, Knowledge, Skills and Abilities Preferred: Licenses and Certifications Required: 1. NJ State Professional Registered Nurse...Overview: The Cardiology Nurse Practitioner performs the role utilizing the patient-centered coordinated care model...
supervision of a licensed registered nurse, and all calls requiring clinical assessment are forwarded to the RN for review..., requesting for call back with clinical or transferring the call to a first level reviewer. Send faxes to hospitals with request...
? MES is looking for a self-driven, high-performing Registered Nurse (RN) to join our dynamic team as a Clinical Quality Assurance Coordinator... on the case report. Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer...
supervision of a licensed registered nurse, and all calls requiring clinical assessment are forwarded to the RN for review..., requesting for call back with clinical or transferring the call to a first level reviewer. Send faxes to hospitals with request...
Registered Nurse (RN), Ohio and/or Multi State Compact License (Required Upon Hire) or Registered Health Information... to identify patterns/trends of denials by payer, provider/service, diagnosis, DRG, CDI reviewer, Coder and best practice...
Assistant - Inpatient Nursing Educator and Nurse Manager whose RN’s are involved in the care of bariatric patients...Job Description: Summary: The Metabolic and Bariatric Surgery (MBS) Coordinator is a licensed and/or registered...
? MES is looking for a self-driven, high-performing Registered Nurse (RN) to join our dynamic team as a Clinical Quality Assurance Coordinator.... Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists...
in utilization review or case management is a plus. Education/Licensure: Licensed Vocational Nurse (LVN) or Registered Nurse (RN... (Must reside in California) Job Summary: A Managed Care Organization (MCO) is seeking an experienced Nurse (LVN or RN) licensed...
? MES is looking for a self-driven, high-performing Registered Nurse (RN) to join our dynamic team as a Clinical Quality Assurance Coordinator.... Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists...
of company resources. Participate in various educational and or training activities as required. Registered Nurse (RN...) Independent Medical Exam(s) (IME) RN Coordinator RN Case Manager Legal Assistant Paralegal Clinical Reviewer...
in utilization review or case management is a plus. Education/Licensure: Licensed Vocational Nurse (LVN) or Registered Nurse (RN... (Must reside in California) Job Summary: A Managed Care Organization (MCO) is seeking an experienced Nurse (LVN or RN) licensed...
at least 10 years of prior relevant experience including 4 years of management experience Clinical Registered Nurse (RN... to the Director, Clinical Quality - Quality Management & Assurance. In this role, you will be overseeing a team of Registered...
in social work; mental health counseling; related health and human services field; or equivalent OR a registered nurse (RN). 5... and other management staff to ensure clinical integrity is maintained in the clinical eligibility and nurse reviewer processes...
State license as a Registered Nurse (RN) Four years of professional experience in RN patient care and case management... in supervision Previous experience as utilization reviewer/care coordinator with knowledge of third-party reimbursement requirements...
active professional licensure/independently licensed required: LPC, LMSW, LCSW, LISW, LCMHC or RN (Registered Nurse graduate... more about us at . Job Summary Under the direction of the Supervisor, the Behavioral Health UM Reviewer is responsible for completing medical...