• Inpatient Concurrent Review

    Dignity Health (Woodland, CA)
    …Summary:** This position is responsible for monitoring Dignity Health Medical Foundation inpatient admissions and concurrent review for appropriate level ... - Clear and current CA RN license. **Preferred Qualifications:** - Concurrent review prior authorizations for medical determination. - Bachelors degree… more
    Dignity Health (02/06/25)
    - Related Jobs
  • RN - Registered Nurse

    Geisinger (Danville, PA)
    …provided. The core of the program uses highly trained staff members to perform a concurrent inpatient review of the record. This allows the record to ... Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE… more
    Geisinger (12/12/24)
    - Related Jobs
  • Registered Nurse RN - Case…

    Trinity Health (Ann Arbor, MI)
    …weeks from 8 am to 5 pm Monday through Friday. **WHAT YOU WILL DO** + The RN Registered Nurse Case manager is responsible for conducting a focused assessment ... economic/financial and discharge planning needs. + One would also review , on a concurrent basis, the appropriateness,...and clinical risk issues and documentation completeness. + The RN Registered Nurse Case Manager… more
    Trinity Health (01/21/25)
    - Related Jobs
  • Registered Nurse ( RN )…

    Matrix Providers (Aurora, CO)
    Registered Nurse ( RN ) - Utilization Management Location: Aurora, CO, United States Healthcare Provider Type : Nursing START YOUR APPLICATION ... and fair, reliable schedules. Matrix Providers is hiring a Registered Nurse ( RN ) - Utilization...(HCQM) through American Board of Quality Assurance and Utilization Review Physicians (ABQARP) + Certified Informatics Nursing, Ambulatory Care… more
    Matrix Providers (11/26/24)
    - Related Jobs
  • Clinical Documentation Specialist…

    Emory Healthcare/Emory University (Atlanta, GA)
    …and leadership programs + And more **Description** The **Clinical Documentation Specialist ( Registered Nurse / RN )** Unit nursewith experienceresponsible for ... experience to respond to changes in clinical situations. This RN professional can apply the Synergy Model for Care...advocate for them.This individual will: + Provides clinically based concurrent and retrospective review of inpatient more
    Emory Healthcare/Emory University (02/07/25)
    - Related Jobs
  • Registered Nurse ( RN )…

    LifePoint Health (Las Cruces, NM)
    …federal, state or local law. **Job:** **Nursing* **Organization:** **Memorial Medical Center* **Title:** * Registered Nurse ( RN ) - Discharge Planner - Full ... . * Utilization Management performs prospective, admissions, observation and concurrent review according to standard policies and...is desirable. * Current New Mexico licensure as a Registered Nurse . * Certification as CCM or… more
    LifePoint Health (01/22/25)
    - Related Jobs
  • Registered Nurse ( RN )…

    Prime Healthcare (Garden Grove, CA)
    …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum 5… more
    Prime Healthcare (12/20/24)
    - Related Jobs
  • Registered Nurse ( RN )…

    Prime Healthcare (Anaheim, CA)
    …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity ... experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.2. Grandfathered prior to April 1, 2015. Minimum 5… more
    Prime Healthcare (12/11/24)
    - Related Jobs
  • Utilization Management - Registered

    Crouse Hospital (Syracuse, NY)
    …and outreach programs. Crouse's Care Coordination Services team is hiring a Utilization Management Registered Nurse ( RN ) to track and manage data and client ... with occasional weekends (typically requires 6 weekends a year). Utilization Management Registered Nurse ( RN ) Position Responsibilities: + Works… more
    Crouse Hospital (02/07/25)
    - Related Jobs
  • Registered Nurse

    G-TECH Services, Inc. (Detroit, MI)
    …experience in an acute care setting Education/Certifications - Include: * Must be a RN with an unrestricted Registered Nurse license **Category** _Benefits_ ... . Engagement Description - Perform prospective, concurrent and retrospective review of inpatient services to ensure medical necessity, appropriate length of… more
    G-TECH Services, Inc. (01/31/25)
    - Related Jobs