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Concurrent Review Nurse jobs

Viewing 1 - 10 of 30 jobs

  • RN, Clinical Charge Auditor

    Smith Arnold - Bronx, NY

    auditing experience preferred Proficient in payment review systems, hospital information systems, clinical record ... process improvement initiatives Performs concurrent review of hospital bills to document unbilled,...

    7 days ago from Smith Arnold

  • RN Appeals Specialist

    Smith Arnold - Bronx, NY

    RN with current New York state licensure, BSN Strong clinical backgrond with 3-5 years acute care nursing experience 2 years acute care case management experience including Appeals and Denials Must have PRI certification and PRI # Click...

    30+ days ago from Smith Arnold

  • RN, Case Manager

    Smith Arnold - Bronx, NY

    Current license to practice as a Registered Professional Nurse in New York State PRI certification and PRI Assessor # a ... Completion of PRIs and facilitation of discharge planning by interfacing with IDT members Conduct concurrent/retrospecti...

    30+ days ago from Smith Arnold

  • Mid-level/Allied Healthcare Jobs

    Acuity Search Solutions - Atlanta, GA

    Northside campuses, including the personnel responsible for concurrent review of patient medical records. Ten years experience in Quality Improvement, Healthcare Revenue Cycle or other related area. Three years experience in a...

    5 days ago from ACHCR

  • Medical Director - Unicare/Medicaid - WV - 82492SY

    Anthem - Charleston, WV

    to nurses and clinical leaders in pre-authorization, concurrent and retrospective review decisions, case management ... programs, HEDIS reporting, credentialing, peer to peer review, appeals review, denials, etc. 9. Participates in the...

    30+ days ago from Anthem, Inc

  • Population Health Director

    BlueCross BlueShield of South Carolina - Columbia, SC

    equivalent military experience in grade E4 or above (may be concurrent). Preferred: Direct experience in population ... or active compact multistate RN license as defined by the Nurse Licensure Compact (NLC) or if masters degree in Public...

    1 day ago from StartWire

  • Dir, Field Health Services

    Sterling Life Insurance Company - Des Moines, IA

    Health Services team comprised of prior authorization, concurrent review, utilization management and case ... review and interpret treatment plans Ability to create, review and interpret treatment plans Demonstrated negotiation...

    2 hours ago from Sterling Life Insurance Company

  • Director - Healthcare Coding

    Atlanta, GA

    Responsible for ICD—9/10 record review as well as auditing, ICD-9 and ICD-10 ... Registered Nurse (RN) CDI Certifications (CCDS and/or CDIP) strongly preferred. Certified Coding Specialist (CCS) - AHIMA RHIA/RHIT preferred for Coding...

    14 days ago from IvyExec

  • Field Health Services - Director

    WellCare - Brentwood, TN

    Health Services team comprised of prior authorization, concurrent review, utilization management and case ... review and interpret treatment plans Ability to create, review and interpret treatment plans Demonstrated...

    30+ days ago from WellCare

  • New Product Development - Program Manager

    Kohler Co - Kohler, WI

    Managers) for approval of plans, status updates, and Design Review readiness. Occasional contact with business leaders ... AND EXPERIENCE REQUIREMENTS 7-10 years of experience in concurrent product development. 5-7 years of increasing...

    30+ days ago from Kohler Co.