- Equitable (Charlotte, NC)
- Clinical Review Nurse , Disability Claims ( 25000067 ) **Primary Location** : UNITED STATES-NC-Charlotte **Other Locations** : UNITED STATES-Remote, UNITED ... join an organization that will help unlock your potential? Equitable is seeking a Clinical Review Nurse to join our Group Disability Claims team. The … more
- Hackensack Meridian Health (Iselin, NJ)
- Clinical Review NurseJFK Merdian Home Care...issues to the Director of the certified operation, Hospice Clinical Director, and the Nurse Manager for ... appropriate documentation for coding, OASIS and Hospice, and other clinical assessment tools as needed. + Review ...Nurse License. + Certificate for OASIS Specialist - Clinical within 6 months of entering position or Certified… more
- Actalent (Salt Lake City, UT)
- …and collaboration with key facility personnel within the healthcare setting. + Use clinical expertise to review clinical information and clinical ... Job Title: PAC NurseJob Description The PAC Nurse is a telephonic position responsible for recommending...status to ensure optimal outcomes. + Act as a clinical resource for unlicensed Post-Acute Care Coordinators, providing … more
- Actalent (Idaho Falls, ID)
- …using approved medical care guidelines and collaboration with key facility personnel. + Use clinical expertise to review clinical information and criteria to ... a Team of Remote PAC Nurses!Job Description The PAC Nurse is a telephonic position responsible for recommending discharge...monitoring length of stay status. + Act as a clinical resource for unlicensed Post-Acute Care Coordinators, providing … more
- Centene Corporation (Austin, TX)
- …+ For Health Net of California: RN license required **Preferred Experience:** . Clinical Registered Nurse with experience in Acute Care - Trauma, Critical ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Centene Corporation (Getzville, NY)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... perspective on workplace flexibility. **Must have a New York State clinical license** **Position Purpose:** Analyzes all prior authorization requests to determine… more
- Centene Corporation (Phoenix, AZ)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in… more
- Munson Healthcare (Traverse City, MI)
- …using very specific timelines, assessments and evaluations. Tasks and processes of a clinical research nurse : + Review /screen new and established patients ... areas including neurology, cardiology, cardiothoracic surgery among others. A clinical nurse provides patient care. A research... trials + Approach providers about the studies for review + Facilitate the informed consent process and ensure… more
- R1 RCM (Detroit, MI)
- …AI, intelligent automation, and workflow orchestration. As our ** Clinical Coding Appeals Nurse ** , you will help review and interpret medical records to ... production-drive position. **Here's what you will experience working as a Clinical Coding Appeals Nurse :** + Review and interpret medical records to appeal… more
- UCLA Health (Los Angeles, CA)
- Description The Quality Management Clinical Nurse Specialist is responsible for conducting comprehensive facility site reviews (FSRs) to ensure compliance with ... healthcare standards and regulations. This role involves evaluation clinical practices, identifying areas for improvement, and implementing quality improvement… more