States of America) Overview The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed... Practice Model and evidence-based practice and research. RN competencies are derived from these models and supported by the...
at . Position Summary: The RN Care Manager II is responsible for integrating evidenced based clinical practice into the patient... care team. The RN Care Manager II is responsible for promoting patient care coordination and quality through the...
. For more information, please visit us at: The Utilization Review Coordinator: The Utilization Review Coordinator (UR) is responsible...) years experience in utilization review with customer contact preferred. Additional Requirements: Working knowledge of the...
for both utilization review and discharge planning. The Care Manager collaborates with physicians, nurses, social workers.... Experience in discharge planning and utilization review Unless certification, licensure or registration...
Nurse (RN) - Level I, as defined within the job description. The incumbent must demonstrate the knowledge and skills... critical review and/or evaluation of policies, procedures, and guidelines to improve quality of healthcare. 13. Demonstrates...
of eligibility (CTM, ACM, CCM or AHA) Two years of recent experience in utilization review, quality or care management Knowledge... team, and The Power of Every One. Job Title RN Case Manager Location Cleveland Facility Lutheran Hospital...
Job Description: Overview RN Case Manager - Care Ally - Nephrology - Hybrid Opportunity Full-Time, 40 hours... requirements are met. Responsibilities The Nephrology RN Care Manager is a critical member of our integrated specialty care...
and/or Medicare criteria 1+ years of Utilization Management, pre-authorization, concurrent review or appeals experience Appeals.... Growing together. The Clinical Appeals RN is responsible for providing expertise in clinical appeals and grievances...
; (Required) 1 - 2 years Case management or utilization review experience in a hospital or related setting & nbsp; (Preferred... and accreditation requirements applicable to utilization review and discharge planning; demonstrates skill in the application...
, please visit the main job search page and use keywords RN New Grad to search for openings. Located on an 80-acre campus in Mesa... Surgical System. Becker’s Hospital Review named Banner Desert Medical Center as one of the top 50 busiest Emergency departments...
Nurse (RN) - Level I, as defined within the job description. The incumbent must demonstrate the knowledge and skills... critical review and/or evaluation of policies, procedures, and guidelines to improve quality of healthcare. 13. Demonstrates...
. For more information, please visit us at: The Utilization Review Coordinator: The Utilization Review Coordinator (UR) is responsible...) years experience in utilization review with customer contact preferred. Additional Requirements: Working knowledge of the...
Nurse (RN) - Level I, as defined within the job description. The incumbent must demonstrate the knowledge and skills... critical review and/or evaluation of policies, procedures, and guidelines to improve quality of healthcare. 13. Demonstrates...
and CMS Conditions of Participation for Utilization Review Knowledge of current third-party regulations, Medicare, Medicaid... of an accredited school of nursing; BSN preferred Licensure/Certification Current, active Texas RN licensure required. Case...
(RN) and/or Nurse Supervisor (RN), the RN may provide direct patient care, patient triage (in-person and telephonic... specialty, under the direction and supervision of a Physician or APP and documents results in EHR Performs review and triage...
coordination services to include assessing patients’ risk factors and the need for care coordination, clinical utilization... screening and submission for Physician Advisor review o Care coordination that includes admitting diagnosis/ medical history...
(United States of America) Job Summary: The RN Clinical Nurse Critical Care is a proactive member of an interdisciplinary... Professional Practice Model and evidence-based practice and research. RN competencies are derived from these models and supported...
PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the... Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from RN CAP...
. Collaborates with the multidisciplinary team, payors, and community resources; leads discharge planning and utilization review... Nurse (RN), Case Manager Job Type: Full Time | Days Rotate Weekends $10k Sign On Bonus Who We Are: People...
. Growing together The Global insurance Clinical Care Manager - Bilingual Japanese RN will perform prospective, concurrent... and any associated case review and documentation. You'll enjoy the flexibility to work remotely * from anywhere within the...