a mechanism for the review of quality of care issues arising during concurrent review, identifies area of potential medical... Nursing licensure as a professional registered nurse. Minimum of three years of full time wage earning experience...
and professional staff to obtain appropriate clinical documentation for review and optimal patient placement. Maintains contact... Review experience Credentials: Essential: Basic Life Support Registered Nurse Visit us online at www.BrowardHealth...
to functions related to medical necessity determinations, concurrent and other clinical and medical management programs... Utilization Management staff. Oversee staff performance with regard to medical necessity determinations, concurrent review...
. Position Summary: The Utilization Review (UR) LVN uses clinical judgement in providing utilization management (UM )services... facility review or in concurrent review. Responsibilities may include: - Manages assigned queues on a daily basis working...
: The Utilization Review (UR) LVN uses clinical judgement in providing utilization management (UM )services. The focus... patient. This position may be assigned cases in pre-authorization areas, in skilled nursing facility review or in concurrent...
JOB DESCRIPTION SUMMARY Reports to the Nurse Supervisor and assists in the process of health management and utilization review (UR). The... AND RESPONSIBILITIES Administrative Support Review all utilization requests and forward, research, and analyze to determine if clinical...
: Registered Nurse - NJ Knowledge and Skills: Three years of clinical nursing or two years quality management, utilization review... stay). Refers cases as appropriate, to the UR physician advisor for review and determination. Gathers clinical information...
of Christian Health. Competencies: Directs and coordinates the activities of the UR Nurse and UR Coordinator. Directs clinical... Review Manager RN to join our Utilization Review team. The Utilization Review Manager RN oversees and directs all operations...
and admission status Enter clinical review information into system for transmission to insurance companies for authorization...Responsible for utilization review work for emergency admissions and continued stay reviews. Responsibilities...
relief. Shift Times: 5 day, 8 hour shifts POSITION SUMMARY The Utilization Review (UR) nurse performs medical necessity... to insurance reimbursement in appropriate reviews. The UR Nurse utilizes advanced clinical skills to facilitate the provision...
of professional leadership experience (i.e., charge nurse, team leader, preceptor, committee chair, etc.) Five (5) years clinical...SUMMARY: We are currently seeking a Utilization Review Manager to join our Transitional Care Team. This is a full...
perspective on workplace flexibility. Position Purpose: Performs a clinical review and assesses care related to mental health...You could be the one who changes everything for our 28 million members as a clinical professional on our Medical...
for concurrent denials, including nurse or provider peer to peer. Performs patient care, where competent and assists in coordination... clinical and financial outcomes. Job Duties and Responsibilities Continually assesses the appropriateness and timeliness...
REQUIRED: Registered Nurse required. Minimum 3-5 years of clinical experience required. Bachelor of Science Nursing required OR four (4... of hospital resources and the quality of patient care rendered. Combines clinical, business, regulatory knowledge, and skill...
Department: 10169 Advocate South Suburban Hospital - Clinical Documentation Improvement Status: Full time Benefits... coverage as needed. Pay Range $37.50 - $56.25 This role will facilitate the modifications of clinical documentation through...
This role will facilitate the modifications of clinical documentation through extensive initial and concurrent... interaction with physicians and other members of the healthcare team, to support appropriate documentation of the clinical...
DRG/CDI Nurse (Clinical Documentation Improvement) 📍 Location: Fully Remote | 🕒 Full-Time | 🏥 Healthcare... About the Role We’re seeking a highly skilled DRG/CDI Nurse to join our team and play a critical role in improving clinical...
with the Director of Clinical Operations. Actively participates in concurrent and retrospective case review to assure... a Clinical Quality Coordinator, Licensed Practical Nurse (LPN) to join the Internal Medicine department. The Clinical Quality...
Clinical Research Nurse to join our exceptional team as a full-time Vitalief employee. In this role, you will support a leading... of multiple concurrent clinical research studies, including NIH-sponsored, industry-sponsored, and investigator-initiated trials...
Overview Customer Value Partners is seeking a Registered Nurse Clinical Documentation Integrity Specialist to serve... code sets Conduct concurrent or retrospective reviews of health records to clarify clinical questions and identify...