CLINICAL REVIEW MANAGEMENT RN

This position is contingent on a contract award.Conducts reviews of clinical interactions and clinical documentation including reviews of case management records and provider treatment records. Collects data following established procedures and analyzes findings for purposes of continuous quality improvement and for internal and external reporting. Interacts...

RN Case Manager/UR ReviewerJOIN OUR TEAM!!! Are you looking to be one of the team? To be part of the family and not just another number? Are you looking for a positive work environment where teamwork and diversity are key? We value your contributions. Every role in our hospital has an impact on each of our patients. We work hard to make sure our employees...

Please Note: This is an onsite position supporting the Emergency Department at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY.GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data and evaluates variances of resource utilization, complications and overall quality of care based on benchmarked criteria or established...

Please Note: This is an onsite position supporting the Emergency Department at Champlain Valley Physicians Hospital (CVPH) in Plattsburgh, NY.GENERAL SUMMARY:The Utilization Review RN monitors, collects and analyzes data and evaluates variances of resource utilization, complications and overall quality of care based on benchmarked criteria or established...

RN Clinical ManagerOverview Full Time Day Shift Are you a highly skilled and compassionate registered nurse (RN) looking for a rewarding career in homecare as a clinical manager? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S. Attractive pay $81,000 to $95,000 annually....

Utilization Review RNOverview Baylor St. Luke's Medical Center is an 881-bed quaternary care academic medical center that is a joint venture between Baylor College of Medicine and CHI St. Luke's Health. Located in the Texas Medical Center, the hospital is the home of the Texas Heart Institute, a cardiovascular research and education institution founded in...

An acute care hospital in Maryland is actively recruiting for an RN Educator Neonatal ICU to join their nursing team. Now is your chance to join a rapidly growing health system that offers hospitals, ambulatory services, rehab centers, outpatient cli RN, ICU, Educator, Clinical Director, Hospital, Healthcare, Staffing, Nurse

RN Clinic ManagerPOSITION SUMMARY: The Registered Nurse (RN) Clinical Manager will help lead the day-to-day clinical activities within a health center to deliver excellent patient care. A member of the center's leadership team, the RN Clinical Manager will directly supervise all non-provider clinical staff that are either licensed or credentialed. This...

UTILIZATION REVIEW NURSE (RN)Randallstown, MDNORTHWEST HOSPITALNW CARE MANAGEMENTFull-time - Day shift - 8:00am-4:30pmRN Other81988Posted:March 21, 2024Apply NowSave JobSavedSummaryPosition Summary:Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination to...

Utilization Review NursePer Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical information including assessments and outcomes for all payers and all levels of care...

Education & Qualifications: Graduate from an accredited school of nursing (RN) required, bachelors preferred. Knowledge and skills necessary to provide care appropriate to the population served in the CM Department. Two (2) or more year’s clinical experience preferred. Acute care or community social agency case management experience preferred. Utilization...

A fantastic opportunity is now available for a Medical Surgical RN with a thriving health network in beautiful New York. If you are an experienced Medical Surgical RN looking to progress in your career then this is the perfect opportunity for you! Qu RN, Surgical, Medical, Nurse Manager, Healthcare, Staffing

Job Description:This position will be remote role for Nurses in MichiganShould have a valid MI RN LicenseShould Have utilization management experience.Should have experience completing post-acute reviews for the inpatient rehab, skilled nursing facility settings previously.The candidate should be well versed in coordination of care activities along with...

We are now hiring a Full-time RN Clinical Manager for our home office in Manchester, TN. 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 communities we serve—it truly is all about...

Utilization Management Clinical Registered Nurse (RN)Job Summary We are searching for a Utilization Management Clinical RN -- someone who works well in a fast-paced setting. In this position, you will provide precertification of inpatient hospitalizations and all outpatient procedures and services requiring authorization. This role performs telephonic...

Clinical Care Manager (RN)La Rabida Children's Hospital Clinical Care Manager (RN) La Rabida Children's Hospital is hiring for a full-time Clinical Care Manager (RN) for the outpatient unit in Chicago, IL. Various shifts are available! At La Rabida Children's Hospital, our mission is simple: we're dedicated to maintaining and improving the quality of life...

RN Clinical SupervisorDo you have a passion for helping medically fragile children grow and flourish to their full potential? Do you enjoy training, mentoring and coaching clinicians and caregivers? Are you looking for your next role and want a career with growth potential, not just a job? If you said yes to these questions, we are growing and we need...

Make a Difference on Your Own Schedule and Terms!Hiring Case Managers in Washington   Come join our growing team! A few of our perks:Create your own schedule!$42/hr. (including 100% of Hourly Wage Paid for All Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...

Make a Difference on Your Own Schedule and Terms!Hiring Case Managers in Ohio   Come join our growing team! A few of our perks:Create your own schedule!$38/hr. (including 100% of Hourly Wage Paid for All Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...

Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar proudly serves all persons without...