management, discharge planning or utilization review experience. Licenses/Certifications: RN - Registered Nurse - State.... We are in search of a highly motivated candidate to join our talented Team. Job Title: Clinical Medical Review Nurse. Location...
plan clinical operations (for example utilization review, quality improvement, clinical claims review). Experience...JOB SUMMARY: The Medical Review Examiner Nurse is responsible for auditing provider and facility claims. Identifying...
. Settings include inpatient, outpatient, in-state, out-of state and out-of country. Document clinical case summary and review... outcome of each review appropriately to meet regulatory and program requirements. Review various types of services, including...
including utilization review and case management functions. Ensure compliance of MPN with our business partner, design, develop... of the position will be to differentiate the PRIME program in the marketplace; manage bill review and the nurse case managers...
managers including utilization review and case management functions. Ensure compliance of MPN with our business partner, design... functions of the position will be to differentiate the PRIME program in the marketplace; manage bill review and the nurse case...
's in a job related field. Required Experience: 5 years healthcare program management, utilization/case management, or medical review... to make business decision. Knowledge/understanding of utilization review guidelines, managed care delivery systems...
and Medicaid regulations preferred. Knowledge of utilization management processes preferred. License/Certification: LPN... - Licensed Practical Nurse - State Licensure required RN license required Responsibilities Performs concurrent reviews...
Job Description: This position will be remote role for Nurses in Michigan Should have a valid MI RN License... Should Have utilization management experience. Should have experience completing post-acute reviews for the inpatient rehab, skilled nursing...
Job Title: RN - Graduate Registered Nurse (Geisinger Wyoming Valley, Wilkes-Barre) Location: Wilkes-Barre..., Pennsylvania Job Category: Inpatient RN - Registered Nurse, Nursing and Nursing Support Schedule: Rotation Work Type: Full time...
Job Title: RN - Graduate Registered Nurse (Geisinger South Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania... Job Category: Inpatient RN - Registered Nurse, Nursing and Nursing Support Schedule: Rotation Work Type: Full time Department...
Job Title: RN - Graduate Registered Nurse (Geisinger Community Medical Center, Scranton) Location: Scranton..., Pennsylvania Job Category: Inpatient RN - Registered Nurse, Nursing and Nursing Support Schedule: Rotation Work Type: Full time...
on a specific aspect of Care Management like discharge planning, utilization review, and/or providing psychosocial support. May... Certification in Utilization Review, Care Management, or Clinical Nursing preferred. Additional requirements for specific...
to apply: Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and mid shift Job types... position: Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly encouraged...
as needed. Actively participates in utilization review meetings and quality improvement projects / meetings. Evaluates the competence... SUMMARY: The RN Care Manager is responsible for assessing the care needs of participants, provides nursing and healthcare...
to apply: Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and mid shift Job types... following position: Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly encouraged...
including but not limited to: appropriateness of care, documentation requirements, utilization review principles and criteria... utilization. Serves as key team members in the management of readmissions, length of stay, ED utilization, and patient/family...
on between case managers, home health nurses, utilization review, etc. To coordinate patient services and care. To perform job duties.... Please review the following instructions prior to submitting your job application: Provide all of your employment history...
States of America) Job Summary: The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed... Professional Practice Model, 5-Star Nursing and evidence based practice and research. RN competencies are derived from these models...
team, and The Power of Every One. Job Title ASC RN Specialty Location Coral Springs Facility Coral Springs FHC... guidelines and hospital policies and procedures. As an ASC RN supporting Endoscopy and PACU, you will use your strong assessment...
States of America) Job Summary: Periop RN - Outpatient Surgery Center Circulating RN - Main OR Core Responsibilities..., but is not limited to diverse and inclusive interdisciplinary communication methods (interdisciplinary rounds, case review...