RN QUALITY REVIEWER

Job Description Registered Nurses are encouraged to consider an exciting career opportunity with Liberty Healthcare Corporation. Due to anticipated organizational growth, Liberty Healthcare seeks qualified candidates for a potential new Quality Reviewer position. This is a key role with a statewide program which will help a significant number of children,...

PositionQuality Review Nurse, RNDescriptionReporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is responsible for:- Receive and research all PQI and QR cases as assigned, provide a summary and recommendations to the Medical Director of case assignments.- Effectuate all action items as determined by the Medical...

OverviewDialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states the care of the patient is our reason for existence, and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated,...

SummaryWe are hiring Home Care RNs in Nashville. We have PRN, part-time and full-time opportunities with weekly pay and a loyalty bonus.At Suncrest Companion Services, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the...

The Utilization Review RN is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review.This position functions as a part of a multidisciplinary team, including physicians, social workers, discharge planning assistants and payers. The Utilization Review RN performs reviews of current inpatient services,...

Job DescriptionRegistered Nurses are encouraged to consider an exciting career opportunity with Liberty Healthcare Corporation.Due to anticipated organizational growth, Liberty Healthcare seeks qualified candidates for a potential new Nurse Assessment Lead position.This is a key role with a statewide program which will help a significant number of children,...

Job Description This is a temporary role through PRO Unlimited with one of the world's leading health insurance companies. Quality Review & Audit Senior Representative Chart Administration & Interoperability Job Summary: The Quality Review & Audit Senior Representative supports Cigna's Individual and Family Plans (IFP) Risk Adjustment Chart Administration...

RNs to work in Medical Oncology Unit Evening/Night shift. 7:00 pm - 7:30 am. No call. Will float to SOU and PCU after orientation. Must have Chemo certificate and current WA license.COVID-19 Vaccine medical and religious exemptions will be reviewed on an individual basis. With an approved accommodation travelers will be required to follow the current CH...

Description$15,000 Commitment Incentive BonusFull Time - Night ShiftAscension Saint Thomas Rehabilitation Hospital is a 40-bed inpatient rehabilitation hospital operated jointly between Ascension Saint Thomas and Lifepoint Health. A career here is more than a job. It is an opportunity to be a vital member of an interdisciplinary team caring for people in...

$15,000 Commitment Incentive BonusFull Time - Night ShiftAscension Saint Thomas Rehabilitation Hospital is a 40-bed inpatient rehabilitation hospital operated jointly between Ascension Saint Thomas and Lifepoint Health. A career here is more than a job. It is an opportunity to be a vital member of an interdisciplinary team caring for people in Nashville,...

Quality Improvement Coordinator (RN) - NHC HomeCare LawrenceburgThe Quality Improvement RN reviews OASIS and Plans of Care to assures accurate assessments, effective plans of care and positive patient outcomes in the home setting.Qualifications:Registered Nurse licensed in a provider state.Position Highlights:Is responsible for accurate reliable complete...

Welcome to RNstaff, where compassion connects careers. We're not just a recruiting company; we're people who care about people. Join us in shaping the future of healthcare together. Category: RN International/Permanent Department: Cath Lab Shift: Full time Days; 7am -7pm JOB SUMMARY Performs and documents ongoing assessments including...

OverviewUtilization Review RN is responsible for the review of medical records for appropriate admission status and continued hospitalization. Works in collaboration with the attending physician, consultants, second level physician reviewer and the Care Coordination staff utilizing evidence-based guidelines and critical thinking. Collaborates with the...

**Overview**Utilization Review RN is responsible for the review of medical records for appropriate admission status and continued hospitalization. Works in collaboration with the attending physician, consultants, second level physician reviewer and the Care Coordination staff utilizing evidence-based guidelines and critical thinking. Collaborates with the...

HC&N Healthcare Solutions - MDS Nurse (RN)We are seeking qualified candidates who have experience as an RN and are committed to help our patients and facilities receive the support they need. Responsible for completion of the Resident Assessment Instrument in accordance with federal and state regulations and company policy and procedures. Acts as in-house...

The Compliance Specialist ensures staff compliance with Utilization Management regulations, including NCQA, CMS, and state requirements. Responsibilities include monitoring medical reviews, overseeing Inter. Qual application, and coordinating busines RN, Healthcare, Compliance Specialist, Staffing

Tennessee Oncology, one of the nation's largest, community-based cancer care specialists, is home to one of the leading clinical trial networks in the country. Established 1976 in Nashville, Tennessee Oncology's mission remains unchanged: To provide access to high-quality cancer care and the expertise of clinical research for all patients, at convenient...

Welcome to RNstaff, where compassion connects careers. We're not just a recruiting company; we're people who care about people. Join us in shaping the future of healthcare together. Category: RN International/Permanent Department: Cath Lab Shift: Full time Days; 7am -7pm\ Position Notes: Candidates will be working in a brand new facility with low...

GetMed Staffing is searching for a strong Utilization Review RN to assist our traveler-friendly client. A minimum of 1-2 years of experience is required. Traveling with GetMed Staffing offers the unique opportunity to gain diverse experiences, both personally and professionally. Gain experience that matters.

Title: RN Utilization Review II Description: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This RN is responsible for performing a variety of pre-admission, concurrent, and retrospective UM related...