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

Page: 22

LVN Case Manager - PRN - Varies - Res Mgmt

EDUCATION/ QUALIFICATIONS: · Graduate from an accredited school of Vocational nursing required · Licensed Vocational Nurse... will be required of all certified individuals. JOB KNOWLEDGE/EXPERIENCE: · Three years hospital nursing clinical experience preferred · Case...

Company: DHR Health
Location: Edinburg, TX
Posted Date: 05 Sep 2025

Care Coordinator, Utilization Management

and continued hospital stay applying appropriate clinical criteria. Performs admission review within 24 hours or the first business... and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable...

Posted Date: 05 Sep 2025
Salary: $90750.4 per year

Care Coordinator, Utilization Management

and continued hospital stay applying appropriate clinical criteria. Performs admission review within 24 hours or the first business... and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable...

Posted Date: 05 Sep 2025
Salary: $90750.4 per year

RN inpatient Case Manager - Summit

UM activities as required based on local structure to include providing clinical updates to payers and/or external review... and transitions. Documents discharge planning interventions and utilization review activity per department and medical center...

Location: Oconomowoc, WI
Posted Date: 04 Sep 2025

Quality Assurance RN

Nursing. Upon hire: Oregon Registered Nurse License 5 years Clinical experience. 5 years Hospital experience... concurrent and retrospective support managing initiatives to comply and in accordance with Center for Medicare and Medicaid...

Posted Date: 02 Sep 2025

Care Coordinator Onsite Dover, DE (Hybrid RN/PT/OT/ST)

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: Dover, DE
Posted Date: 31 Aug 2025
Salary: $34.23 - 61.15 per hour

Care Coordinator Onsite Dover, DE (Hybrid RN/PT/OT/ST)

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: Dover, DE
Posted Date: 31 Aug 2025
Salary: $34.23 - 61.15 per hour

Care Coordinator Onsite - Hybrid RN, PT, OT, ST - Jefferson City, TN

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

Company: CPS Solutions
Location: Morristown, TN
Posted Date: 31 Aug 2025
Salary: $30 - 40 per hour

Care Coordinator Onsite - Hybrid RN, PT, OT, ST - Jefferson City, TN

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

Company: CPS Solutions
Location: Morristown, TN
Posted Date: 31 Aug 2025
Salary: $30 - 40 per hour

Care Coordinator, Utilization Management

and continued hospital stay applying appropriate clinical criteria. Performs admission review within 24 hours or the first business... and is responsible for coordinating, communicating, and facilitating the clinical progression of the patient's treatment. Accountable...

Posted Date: 30 Aug 2025
Salary: $90750.4 per year

RN Case Manager - Days

. Conducts concurrent review of patient records on admission to the hospital and as determined by the patient's clinical... 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: 30 Aug 2025

Case Manager

Position Purpose A clinical position that works within a collaborative process to assess, plan, implement, coordinate... appropriate utilization of care and services, and cost effective outcomes. The Case Manager is responsible for the review of the...

Company: Renown Health
Location: Reno, NV
Posted Date: 30 Aug 2025

Specialty Pharmacy Case Manager II

, behavioral health, disease management, complex case management, and/or concurrent (Utilization Review) review. Education...Sentara is hiring a Specialty Pharmacy Nurse Case Manager at Norfolk General Hospital Location: Norfolk, VA Status...

Company: Sentara Health
Location: Norfolk, VA
Posted Date: 29 Aug 2025
Salary: $66830.4 - 111384 per year

CDI Educator

clinically-based concurrent and retrospective review of medical records documentation in support of accurate MS-DRG and APR-DRG... and monitor Clinical Documentation Improvement (CDI) education programs for CDI Specialists, coding specialists, clinical nursing...

Posted Date: 29 Aug 2025

RN/Case Manager-MSH-Case Management-FT-Days

. Provides the clinical information requested by the managed care companies as part of the concurrent review in a timely fashion... to discuss plan of care and coordination of services based on clinical needs and available resources. 3. Utilization Review...

Posted Date: 29 Aug 2025
Salary: $63.28 per hour

Care Coordinator, Onsite, San Francisco, CA (Hybrid /RN/PT/OT/ST)

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

Company: CPS Solutions
Location: San Francisco, CA
Posted Date: 29 Aug 2025
Salary: $34.23 - 61.15 per hour

Care Coordinator, Onsite, San Francisco, CA (Hybrid /RN/PT/OT/ST)

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

Company: CPS Solutions
Location: San Francisco, CA
Posted Date: 29 Aug 2025
Salary: $34.23 - 61.15 per hour

DRG/CVA Validation Auditor RN

code assignments Perform clinical coding review to ensure accuracy of medical coding and utilizes clinical expertise... citations and demonstrate working knowledge of clinical criteria documentation requirements used to successfully substantiate...

Company: CPS Solutions
Location: Plymouth, MN
Posted Date: 29 Aug 2025
Salary: $34.23 - 61.15 per hour

DRG/CVA Validation Auditor RN

code assignments Perform clinical coding review to ensure accuracy of medical coding and utilizes clinical expertise... citations and demonstrate working knowledge of clinical criteria documentation requirements used to successfully substantiate...

Company: CPS Solutions
Location: Plymouth, MN
Posted Date: 28 Aug 2025
Salary: $34.23 - 61.15 per hour

Advanced Practice Provider (APN or PA), Plastic Surgery

Department BSD SUR - Plastics and Reconstructive Surgery: Clinical About the Department At UChicago Medicine, faculty... team, using advanced clinical skills and knowledge to provide assessment, evaluation, testing, treatment, therapies...

Location: Chicago, IL
Posted Date: 28 Aug 2025
Salary: $110000 - 155000 per year