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Concurrent Review Nurse jobs

Viewing 1 - 10 of 688 jobs

  • Registered Nurse Case Mgr (01356-5064)

    HCA Healthcare - Miami, FL

    Registered Nurse Case Manager Full-time Days Kendall Regional Medical Center is a 412-bed, full-service hospital ... Plan using ISD criteria, and performs concurrent stay reviews at least every 72 hours for medical necessity...

    2 days ago from HCA Healthcare

  • REGISTERED NURSE CASE MANAGER - Part Time Varied with Night and weekends(posted 8/4/14

    Tenet Healthcare - Fountain Valley, CA

    will perform continued stay IQ and document in eCARE a concurrent review every 3 days or sooner if change in LOC ... Completes activities related to Observation, one day stays, concurrent and retroactive TAR documentation. * Returns all...

    17 days ago from Tenet Healthcare

  • NURSE CLINICIAN II - ADULT DAY HOSPITAL (66807)

    Advocate Health Care Network - Park Ridge, IL

    Completes pre-certification and concurrent reviews in accordance to manage care company criteria/Baldrige/DNV/Medicare/M ... patient case load of 5 patients with the Psychiatric Nurse Therapist involving developing and implementing a...

    30+ days ago from Advocate Health Care

  • CLINICAL DOCUMENTATION SPECIALIST (RN or RHIT/RHIA)

    Macneal Hospital - Berwyn, IL

    and completeness of clinical documentation. Performs concurrent record reviews on all selected admissions and ... and evaluates the effectiveness of concurrent chart review and query outcomes at designated intervals.

    30+ days ago from MacNeal Hospital

  • Behavioral Health Care Manager - Utilization Review

    Healthfirst - New York City, NY

    and reduce costs. Plans and manages discharge planning, concurrent planning and clinical reviews, pre-certification ... as Word and Outlook). Responsibilities: Performs initial, concurrent, and discharge reviews for members being treated...

    5 days ago from nurse.com

  • Social Worker or RN Telephonic Utilization Manager

    UnitedHealth Group - Columbus, OH

    you will be responsible for prior authorization, concurrent review (telephonic inpatient care management) and discharge ... Milliman, Interqual etc.) * Prior Utilization Review experience * Experience in discharge planning and/or chart review *...

    9 days ago from UnitedHealth Group

  • Utilizat Review LPN

    Novant Health - Charlotte, NC

    hospitalized patients. Coordinates and conducts initial, concurrent, and retrospective medical record reviews. Makes ... LPN must have two years UM experience. * Licensure/Certification/Registration: Registered or licensed practical nurse cu...

    30+ days ago from Novant Health

  • Case Manager RN [Chronic Kidney Disease (CKD)](277409)

    Kaiser Permanente - Vacaville, CA

    and procedures. • Coordinates, directs, and performs concurrent and retrospective reviews, and monitors level and ... Additional Requirements: • Knowledge of Nurse Practice Act, The Joint Commission and other federal/state/local regulatio...

    10 days ago from Kaiser Permanente

  • RN- Registered Nurse- Utilization Review-Utilization Management-Managed Care

    Albuquerque, NM

    Performs on-site and/or telephonic review of acute and subacute services.2 ... with the Medical Director. 11. Review Plan appeal items for concurrent and retrospective reviews as required and...

    30+ days ago from CareerBuilder

  • RN- Registered Nurse- Utilization Review-Utilization Management-Managed Care-CONTRACT/TEMP

    Albuquerque, NM

    Performs on-site and/or telephonic review of acute and subacute services.2 ... with the Medical Director. 11. Review Plan appeal items for concurrent and retrospective reviews as required and...

    30+ days ago from CareerBuilder

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