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Concurrent Review Coord jobs

Viewing 1 - 10 of 8,646 jobs

  • Utilization Management Coordinator, Registered Nurse II (SNA) - Case Mgmt - 8hr Per Diem / Relief Day Variable (13006703)

    Sonoma County Entities - Santa Rosa, CA

    satisfaction, utilization, cost, pre-admission, admission, concurrent, discharge, and retrospective reviews to ensure medical necessity, assertive application of utilization management strategies to avoid potential denials, and to ensure...

    11 days ago from Sonoma County Entities

  • Clinical Resource Coordinator - Clinical Resource Management

    MedStar Washington Hospital Center - Washington, DC

    quality health care through concurrent medical record review of selected patient populations, collaboration with physician and ancillary staff to make appropriate referrals, use of clinical outcome data, and ongoing interaction with...

    1 day ago from MedStar Washington Hospital Center

  • Clinical Care Reviewer UM, RN

    AmeriHealth - Philadelphia, PA

    by specific UM role (Prior Authorization, Concurrent Review) Submits appropriate documentation/clinical information ... ER, ICU) Experience with Utilization Review and/or Prior Authorization Familiar with Interqual Criterion Knowledge of MS...

    30+ days ago from AmeriHealth

  • RN - Clinical Coordinator, Emergency Room, Full Time

    HCA Healthcare - Margate, FL

    care is not adversely affected. * Conducts concurrent audits of patient care records to determine documentation ... assists with education as needed. * Completes concurrent chart reviews to ensure compliance with Core Measures, Risk...

    14 hours ago from HCA Healthcare

  • Coordination of Care Service Director [SSF / Redwood City](272361)

    Kaiser Permanente - South San Francisco, CA

    readiness. • Maintains oversight of the concurrent and retrospective inpatient reviews and appeal process. • Collaborates w/ other Service Directors in identifying and implementing innovative models and best practices. • Develops services...

    13 days ago from Kaiser Permanente

  • Medical Review RN - Per-Diem

    Dignity Health - Sacramento, CA

    for primary review. Incorporates into the utilization review process the ability to access and interpret clinical ... including physician orders and documents admission, concurrent, discharge reviews and retrospective reviews as...

    6 days ago from Dignity Health

  • Utilization Review Nurse RN

    Novant Health - Charlotte, NC

    Review RN serves as a leader resource in the utilization review process. They collaborate with physicians and other ... Utilization Review RN coordinates and conducts initial, concurrent, and retrospective medical necessity reviews. All...

    21 days ago from Novant Health

  • Registered Nurse - Utilization Review

    Maxim Facility Nursing - Santa Cruz, CA

    medical necessity review of prior authorization and/or concurrent review and/or retro review of authorization ... Concurrent review may be conducted on-site at contracted acute care hospitals or telephonically with out of area/non-con...

    16 days ago from Maxim Facility Nursing

  • Clinical Care Coord-Unit

    Sisters of Providence - Springfield, MA

    level of the continuum. Provides clinically based concurrent review of inpatient medical records to assess and ... Alerts physician advisors of cases requiring immediate review and / or discussion...

    9 days ago from Sisters of Providence

  • Registered Nurse UM Coordinators (Office Based)

    Judge Group - Maumee, OH

    ambulatory services, and performeffective preadmission, concurrent and post-discharge medical management forhospital ... QUALIFICATIONS: Current Ohio and Michigan nursinglicense Minimum 2-3 years recent clinicalor utilization review/medical...

    21 hours ago from ZipRecruiter

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