with all data collections and auditing activities. Accountable for completion of the Annual Standing Order Review and Internal... Classification of Disease (ICD) coding. Manages clinic financials including efficient utilization of supplies or equipment...
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...
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...
States of America) Job Summary: The RN Clinical Nurse is a proactive member of an interdisciplinary team of licensed... Practice Model, 5-Star Nursing and evidence based practice and research. RN competencies are derived from these models...
, 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...
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...
. 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...
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...
. 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...
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...
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...
JOB SUMMARY The Community RN Care Manager manages high-risk members with chronic illness to promote effective... Community RN Care Manager will formulate and implement a care management plan that addresses the member's identified needs...
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...
(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...
Thank you for your interest in Madison County. Description Work Unit Overview: A Registered Nurse (RN) or Licensed... rights and assists the person to maintain independence and controls to the greatest extent possible. Job Summary: RN or LPN...
SRMC Has an Exciting Opportunity for Qualified Candidates! Position: Full Time RN Case Manager Department: Case... Management Shift: 8:00 am – 4:30 pm, 8 hour shift PURPOSE To conduct medical certification review for medical necessity...
coordination, discharge planning, and utilization review. Excellent communication and negotiation skills. Ability to work...Registered Nurse (RN) – Case Manager - Travel Position (with $7,500 Completion Bonus) Location: Los Angeles...
successful candidate supervises the utilization management in accordance with the Hospital Utilization Review (UR) Plan, in addition... to join our team as a Supervisor-Care Management *BSN & RN Required; 3 years of relevant experience required*. In this role, the...
and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation... Surgical or Inpatient setting IRR or annual competency testing in Utilization Review Preferred Qualifications: Bachelor...