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...
. Strong critical thinking skills & the ability to perform clinical chart review abstract information efficiently. Strong analytical... Acute/Critical Care Nursing (Adult, Pediatric & Neonatal). Registered Nurse. ABMCM Certified Managed Care Nurse. AAMCN...
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...
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...
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...
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...
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...
, and further expand the comprehensive care model at UChicago Medicine. Job Summary The Clinical Research Nurse... to review complex clinical research protocols and identify regulatory, ethical or feasibility issues. Ability to provide...
Entity: Aultman Hospital Position Summary: The Clinical Research Coordinator assumes a central, key role... analysis and knowledge of assigned study protocols. Department Summary: The Clinical Research Department supports a variety...
role youll contribute: The Clinical Nurse Education Facilitator (CNEF) is an expert clinician, highly skilled in nursing...' of groundbreaking, research-driven clinical solutions that integrate mind, body and spirit in the defeat of illness and disease The...
Clinical DRG Auditor Registered Nurse- Remote Hours: Mon - Fri 8:00a.m. - 5:00p.m. cst Pay Rate: B... judgement and analytical skills to appropriately review documentation submitted for claim audits. Utilize clinical judgement...
who take care of our customers’ success as if it is their own. Responsibilities Act as the Registered Nurse Advisor... for the facility's CDI program, focusing on both inpatient and outpatient services Review health records concurrently...
who take care of our customers’ success as if it is their own. Responsibilities Act as the Registered Nurse Advisor... for the facility's CDI program, focusing on both inpatient and outpatient services Review health records concurrently...