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Keywords: Clinical Review Nurse - Concurrent Review, Location: USA

Page: 20

RN Case Manager - Southwest Medical Center

. Coordinates services between hospital departments to facilitate timely patient discharge. Conducts concurrent review of patient... in utilization review process by contacting patients' insurance companies to provide clinical information to authorize patient...

Company: Integris Health
Location: Oklahoma City, OK
Posted Date: 17 Sep 2025

CDI Specialist

Job Description: DEPARTMENT: 17117 - Clinical Documentation Integrity LOCATION: 350 7th Street North, Naples, FL... in national clinical trials; and partner with other health market leaders, like Hospital for Special Surgery, Encompass...

Location: Naples, FL
Posted Date: 17 Sep 2025

Supervisor, Utilization Management

perspective on workplace flexibility. Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective... Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management...

Company: Centene
Location: USA
Posted Date: 17 Sep 2025
Salary: $73800 - 132700 per year

Care Coordinator Onsite - Hybrid RN/PT/OT/ST - Lowell and Wilmington, MA

informed decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical Review... Review target outcomes, and discharge plans with providers and families Complete all SNF concurrent reviews, updating...

Company: CPS Solutions
Location: Lowell, MA
Posted Date: 14 Sep 2025
Salary: $34.23 - 61.15 per hour

Care Coordinator Onsite - Hybrid RN/PT/OT/ST - Lowell and Wilmington, MA

informed decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical Review... Review target outcomes, and discharge plans with providers and families Complete all SNF concurrent reviews, updating...

Company: CPS Solutions
Location: Lowell, MA
Posted Date: 14 Sep 2025
Salary: $34.23 - 61.15 per hour

Care Coordinator Onsite - Hybrid RN/PT/OT/ST - Burlington NC / Mebane, NC

informed decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical Review... Review target outcomes, and discharge plans with providers and families Complete all SNF concurrent reviews, updating...

Company: CPS Solutions
Location: Burlington, NC
Posted Date: 14 Sep 2025
Salary: $34.23 - 61.15 per hour

Care Coordinator Onsite - Hybrid RN/PT/OT/ST - Burlington NC / Mebane, NC

informed decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical Review... Review target outcomes, and discharge plans with providers and families Complete all SNF concurrent reviews, updating...

Company: CPS Solutions
Location: Burlington, NC
Posted Date: 14 Sep 2025
Salary: $34.23 - 61.15 per hour

Care Coordinator Onsite- Hybrid /PT/OT/ST - Goldsboro, NC / Mount Olive, NC

informed decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical Review... Review target outcomes, and discharge plans with providers and families Complete all SNF concurrent reviews, updating...

Company: CPS Solutions
Location: Goldsboro, NC
Posted Date: 14 Sep 2025
Salary: $34.23 - 61.15 per hour

Medical Director, Utilization Management - FEP

utilization management position that has core responsibilities in the areas of inpatient concurrent review, pre and post service... utilization review, and collaboration with RN Case and disease managers. This director position will report to the Sr. Medical...

Posted Date: 14 Sep 2025

Care Coordinator Onsite- Hybrid /PT/OT/ST - Goldsboro, NC / Mount Olive, NC

informed decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical Review... Review target outcomes, and discharge plans with providers and families Complete all SNF concurrent reviews, updating...

Company: CPS Solutions
Location: Goldsboro, NC
Posted Date: 13 Sep 2025
Salary: $34.23 - 61.15 per hour

Senior Case Manager- Full Time, Inpatient

facility CMs. Assists with concurrent and retrospective utilization review activities including denials and appeals. Works... with physicians to conduct peer review with payer medical director when indicated. Ensures clinical updates are provided...

Company: LifePoint Health
Location: Tampa, FL
Posted Date: 13 Sep 2025

Supervisor of Case Management (RN)

Overview: To provide daily oversight, leadership, support, training and direction of both clinical and non-clinical... and clinical resource to colleagues, staff, members and others.  Assists department leadership in identifying, monitoring...

Posted Date: 13 Sep 2025
Salary: $136296.78 - 177185.81 per year

Case Manager RN

underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care... Support and coaching of clinical documentation efforts Coordinating communication with physicians Must be able...

Location: Cooperstown, NY
Posted Date: 12 Sep 2025
Salary: $95058.82 per year

Care Coordinator Onsite (Hybrid RN/PT/OT/ST)

: Active, unrestricted registered clinical license required in state of hire - Registered Nurse, Physical Therapist... and facilitate informed decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical...

Company: CPS Solutions
Location: Stockton, CA
Posted Date: 12 Sep 2025
Salary: $34.23 - 61.15 per hour

RN Care Manager, Medicare

related to requests for services which includes a clinical record review and interviews with members, clinical staff, medical... services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...

Location: New York City, NY
Posted Date: 12 Sep 2025
Salary: $85000 per year

(RN) Denials/Appeals Management Specialist

by concurrent and retrospective denial of payments for services provided. Collaborates with physicians, Utilization Review RN.... Serves as a resource to all staff in areas of utilization review/management. Utilizes and analyzes current medical/clinical...

Company: MedStar Health
Location: Columbia, MD
Posted Date: 12 Sep 2025
Salary: $87318 - 157289 per year

RN- Stroke Program Coordinator Full time

. Concurrent chart review I. Participation in the inpatient rounds for stroke J. Responds to code strokes when...: A. Stroke policy and procedure development and review B. Responsible for compliance with all Federal and State regulatory...

Location: Madison, WI
Posted Date: 11 Sep 2025

Care Coordinator Onsite (Hybrid RN/PT/OT/ST)

: Active, unrestricted registered clinical license required in state of hire - Registered Nurse, Physical Therapist... and facilitate informed decisions. By serving as the link between patients and the appropriate health care personnel, the Clinical...

Company: CPS Solutions
Location: Stockton, CA
Posted Date: 11 Sep 2025
Salary: $34.23 - 61.15 per hour

Medical Management Clinician

. Requires a minimum of 4 years of clinical experience and/or utilization review experience. Current active, valid..., consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under relevant...

Company: Elevance Health
Location: Seven Hills, OH
Posted Date: 11 Sep 2025

Dean - RN License Required

. Meet monthly with Clinical Partner. Serve as primary HR contact for concurrent student/employee issues. Ensure timely... follow clinical policies and document student outcomes on time. Review learning materials & contribute updates at curriculum...

Company: Unitek Learning
Location: Fresno, CA
Posted Date: 10 Sep 2025
Salary: $130000 - 150000 per year