Nurse (RN), Clinical Case Manager PRN/Days Schedule: Monday-Friday 7:30a-4:00p/8:00a-4:30p Your experience matters... & Documentation • Performs admission and concurrent medical record reviews. • Documents utilization review per departmental guidelines...
and concurrent reviews as assigned. Performs inpatient reviews in accordance with payer requirements utilizing clinical criteria sets... as a registered nurse. Experience/Skills: Required: 1. Three (3) years clinical experience in discharge planning or case...
effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the... seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost...
Job Description Use established medical policy and guidelines to perform prospective, concurrent, and retrospective... medical necessity review of post-acute care services to ensure medical necessity for appropriate setting, appropriate length...
effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the... seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost...
effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the... seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost...
effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the... seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost...
of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review..., EXPERIENCE, TRAINING 1. A current California State Registered Nurse (RN) license is required. 2. Five years acute care...
clinical and financial criteria. 2. Performs admission and concurrent reviews as assigned. Performs inpatient reviews... of screening tools, direct patient and family communication, medical record review, and discussions with other care givers...
Job Summary: Job Title: Registered Nurse Clinical Documentation Integrity (CDI) Specialist Location: Lt. Col. Luke...: The Registered Nurse CDI Specialist will serve as the Clinical Documentation Integrity Registered Nurse Advisor (CDI RNA...
clinical information for concurrent reviews. As part of the UMRN program, conduct ongoing availability, monitoring... identified as having the need for inpatient/outpatient precertification. ESSENTIAL DUTIES & RESPONSIBILITIES Review...
effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the... seamless delivery of care. The methodology is designed to facilitate and insure the achievement of quality, clinical and cost...
determination decisions within defined protocols based on review of the service requests, clinical and non-clinical data, Member... procedures to members, providers and facilities. Essential Functions: Performs clinical review of inpatient or outpatient...
per evidenced based criteria, appropriateness of service and level of care, either through Telephonic review, clinical documentation... or retrospective review process include referring cases that require clinical consultation with the medical director in a timely manner...
The University of Iowa Healthcare Downtown Campus, is looking for a Nurse Clinician to functions as a clinical nurse... expert and clinical coordinator acting as nurse liaison to physicians, patients and administration. The role will partner...
case for Secondary Physician review per Tenet policy. Ensures timely communication of clinical data to payers to support... activities: a) accurate medical necessity screening and submission for Physician Advisor review, b) care coordination, c...
Position Overview The Trauma Resource Nurse (TRN) has responsibility for concurrent trauma performance improvement... accurate, concurrent clinical data abstraction and entry into the trauma registry. The TRN maintains clinical credentials...
Position Overview The Trauma Resource Nurse (TRN) has responsibility for concurrent trauma performance improvement... accurate, concurrent clinical data abstraction and entry into the trauma registry. The TRN maintains clinical credentials...
Job Category: Nursing Job Description: Inova Alexandria Hospital is looking for a dedicated Registered Nurse Case... Balance: offering paid time off, paid parental leave, and flexible work schedules Registered Nurse (RN) Case Manager...
Job Category: Support/Clinical Degree Level: Associate's Degree/College Diploma (±13 years...'s responsibilities include the following activities: a) accurate medical necessity screening and submission for Physician Advisor review...