of Case Management/Utilization Review, the UR/Case Manager supports members by coordinating services, tracking care progress... health services Collaborate with licensed professionals to determine medical necessity and benefit coverage Coordinate...
as defined by review methodologies specific to the type of review. This involves completing medical records review, accurately... & RESPONSIBILITIES: The Clinical Auditor will review medical records to determine accuracy of billing through verification of coding...
and/or other documentation to determine correct DRG/coding that is clinically supported as defined by review methodologies specific to the... contract for which review services are being provided. This involves completing medical records review, accurately documenting...
criteria to determine the medical necessity of an inpatient status. The RN Review Analyst will perform admission approvals...Our Client, a Health Insurance company, is looking for a Registered Nurse-Review Analys for their Detroit, MI location...
and contributing to accreditation survey process. JOB REQUIREMENTS: Registered Nurse (RN) with unrestricted license in state.... Learn more about our benefit offerings by visiting . The compensation offered will vary depending on your job-related...
Position Details Pediatric Clinical Supervisor (RN) Full Time with Benefits Pediatric Extended Care Center (PECC) Work... with staff assignments to our classrooms, followed by quality assurance nursing documentation review. From there, you will spend...
eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification... state where responsibilities will be assigned: Registered Nurse (RN), Nurse Practitioner (NP) or Physician Assistant (PA...
eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification... state where responsibilities will be assigned: Registered Nurse (RN), Nurse Practitioner (NP) or Physician Assistant (PA...
eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification... state where responsibilities will be assigned: Registered Nurse (RN), Nurse Practitioner (NP) or Physician Assistant (PA...
RN Unit Manager - Excellent, low cost Benefits - $12k Sign On BONUS! We are in search of a qualified RN Unit Manager... by supervising and directing activities of subordinate nurses engaged in quality assurance, infection control, and utilization review...
RN Unit Manager - Excellent, low cost Benefits - $12k Sign On BONUS! We are in search of a qualified RN Unit Manager... by supervising and directing activities of subordinate nurses engaged in quality assurance, infection control, and utilization review...
the development of RN relationships within the community; specifically those relationships associated with the health... school of nursing. (Preferred) Minimum Work Experience 1 year RN experience (Required) Required Skills/Knowledge The...
is knowledgeable of the National Safety Patient Goals and adhere to expectations, policies and procedures. Completes review of issues...
, review patient history, and provide patient care and support including supplies needed, medicine administration, patient...
with the supervising RN on a weekly (or more frequent basis) to benchmark toward the established outcome goals. Review the... of nursing practice standards in collaboration with RN case managers/supervisors and teaches and educates patients...
eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification... state where responsibilities will be assigned: Registered Nurse (RN), Nurse Practitioner (NP) or Physician Assistant (PA...
work is on skilled application of appropriate professional techniques, constant review of anesthetized patients' condition... competencies, as indicated in the unit competency check-list. Credentials Valid Florida licensed RN/CRNA or eligibility...
of donor adverse events, review of laboratory test results, and donor notification of unsuitable test results. The Medical... will be assigned: Registered Nurse (RN), Nurse Practitioner (NP) or Physician Assistant (PA) Current Cardiopulmonary Resuscitation...
and document care and treatment as indicated. 5. Review and transcribe physician orders according to policy and ensure orders... from an accredited school of nursing and licensed as a Registered Nurse - RN by the State of Alabama. One (1) year experience...
that all information I submit in my employment application is true to the best of my knowledge. Job Description Join Our Team as an RN.... You will determine donor eligibility to donate plasma, manage donor adverse events, review laboratory test results, and notify donors...