for utilization review activities including admission reviews, admission denials, continued stay reviews, continued stay denials... as a leader of positive change. The Care Management, Care Coordinator, Utilization Management is a member of the healthcare team...
, Utilization Review and Discharge Planning Program at Westchester Medical Center. Depending upon assignment, incumbents may..., one of which must have been in the area of utilization review, quality assurance, risk management or discharge planning....
Job Description: Description Insurance Specialist Mount Sinai West Utilization Mgmt FT Days EOW To maintain front... of appeals process to assist Appeals Nurse and Enter Denial information in Allscripts Meets time frame for reviews / appeals...
and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity...-graduation of an accredited school of nursing and a current state Registered Nurse license Grandfathered prior to April 1, 2015...
preferred. Knowledge of utilization management processes preferred. License/Certification: LPN - Licensed Practical Nurse... applicable criteria, and analyzing the basis for the appeal Ensures timely review, processing, and response to appeal...
of medical terminology and experience in the analysis and processing of Medicare claims, utilization review/ quality assurance...Overview: Medicare Medical Review RN (Medical Reviewer III) - REMOTE The Medicare Medical Review RN (Medical...
Job Description: Overview The Clinical Review Nurse works in collaboration with physicians and VBC teams to promote... quality outcomes for Medicare patients with complex medical needs. The Clinical Review Nurse is responsible for reviewing...
with telehealth services to provide remote patient consultations when necessary. Understanding of utilization review processes... Care Nurse Practitioner *** This is a part time position *** Hours: 20 to 25 per week Pay: $65 per hour Area...
remote patient consultations when necessary. Understanding of utilization review processes and discharge planning for post...Lead Wound Care Nurse Practitioner Pay: $150,000 annually plus benefits. There is a bonus plan with this position...
and transition to ER The RN Clinical Nurse – Emergency Department is a proactive member of an interdisciplinary team of licensed... patient care. They practice in a clinical environment that is administered by Nurse Managers and other leaders...
Nurse (RN) - Level I & II, as defined within the job description. The incumbent must demonstrate the knowledge and skills... where services will be provided, as a registered professional nurse OR Current multi-state licensure through the enhanced Nurse...
remote patient consultations when necessary. Understanding of utilization review processes and discharge planning for post... Nurse Practitioner This is a part time position. Hours: 20 to 25 per week Pay: $65 per hour Area to be served: Tampa...
Career Areas Growth and Expansion Registered Nurse-Cardiac Stress Lab Full-Time Days Location Sandwich, Illinois... Business Unit Valley West Hospital Job REQID 188502 Job Function Clinical Nurse Shift Day Job (1st) Type of Employment Full...
remote patient consultations when necessary. Understanding of utilization review processes and discharge planning for post... Nurse Practitioner This is a part time position. Hours: 20 to 25 per week Pay: $65 per hour Area to be served: Tampa...
referral forms; also transmitting information to insurance companies for pre-admission screening or utilization review... review by the physician and tracking test results. Also informing patient of their test results and recommendations...
States of America) Registered Nurse Infusion Clinician Shift: FT Day **Sign on Bonus Eligible... methods (interdisciplinary rounds, case review, etc); completion of timely documentation and promotion of a respectful...
, Emergency Department, Urgent Care) 1+ years of experience in Utilization Review utilizing InterQual 1+ years of experience... that is seriously shaping the way health care services are delivered. As an Inpatient Care Management Nurse, you will be responsible...
is required. Licensure/Certification Maintains current Registered Nurse license in the State of Florida. Must have current BLS/Healthcare... Provider certification. National specialty certification in Nursing Professional Development, Certified Nurse Educator or area...
utilizes internal and external resources and referrals i.e., Utilization Review, Peer Review, Field Claims Specialists...Description If you're a registered nurse looking for a new opportunity to work in a fast-paced, professional...
(United States of America) Wellstar Cobb Hospital has an opportunity for a Registered Nurse (RN) - Mother Baby Unit... This position is Full-Time/ Night (7 pm - 7 am) Job Summary: The RN Clinical Nurse is a proactive member of an interdisciplinary...