Current jobs related to Clinical Review Nurse - SAVANNAH - Centene
-
Clinical Utilization Review Specialist
4 days ago
Savannah, Georgia, United States UHS Full timeJob SummaryWe are seeking a highly skilled Clinical Utilization Review Specialist to join our team at UHS. As a key member of our healthcare operations team, you will be responsible for ensuring the efficient and effective delivery of healthcare services.Key ResponsibilitiesUtilization Review: Conduct thorough reviews of patient stays to ensure that services...
-
Clinical Utilization Review Specialist
2 days ago
Savannah, Georgia, United States UHS Full timeJob SummaryCoastal Harbor Health is seeking a Clinical Utilization Review Specialist to coordinate and direct Utilization Review functions, monitoring the utilization and continuum of services to optimize reimbursement.Key ResponsibilitiesPerform the utilization and review process, for continued stay, in an appropriate and timely manner.Maintain appropriate...
-
Utilization Review Coordinator
4 days ago
Savannah, Georgia, United States UHS Full timeJob SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at UHS. As a key member of our healthcare team, you will play a critical role in optimizing reimbursement and ensuring the highest quality of patient care.Key ResponsibilitiesCoordinate and direct Utilization Review functions to monitor the utilization and continuum of...
-
Mobile Clinical Research Nurse
7 days ago
Savannah, Georgia, United States ViTalent, LLC Full timeClinical Research Registered Nurse OpportunityViTalent, LLC is a leading company in clinical research and healthcare professional services, offering exciting opportunities to support ongoing studies. We are currently seeking a per diem Registered Nurse to support a study with a focus on blood draw experience.Key Responsibilities:Collecting vital signs and...
-
Clinical Nurse Specialist
2 weeks ago
Savannah, Georgia, United States Next GenHealth Staffing Full timeAbout Next GenHealth StaffingNext GenHealth Staffing is a premier healthcare organization focused on delivering exceptional medical and surgical services to our patients. Our dedicated team of healthcare experts is passionate about providing individualized and empathetic care to each patient.Position: Clinical Nurse Specialist - Surgical Care UnitKey...
-
Savannah, GA, United States Jackson Nurse Professionals Full timeJackson Nurse Professionals is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in Savannah, Georgia. Specialty: Long Term Acute Care ~ Shift: 12 hours, nights ~ Employment Type: Travel ~ Perks: Day 1 medical and immediate pay options available Day 1 medical and immediate pay options available 12 hour nights - 48 hrs ...
-
Savannah, GA, United States Jackson Nurse Professionals Full timeJackson Nurse Professionals is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in Savannah, Georgia. Specialty: Long Term Acute Care ~ Shift: 12 hours, nights ~ Employment Type: Travel ~ Perks: Day 1 medical and immediate pay options available Day 1 medical and immediate pay options available 12 hour nights - 48 hrs ...
-
Clinical Nurse
7 days ago
Savannah, Georgia, United States Memorial Health University Medical Center Full timeIntroductionAre you seeking a rewarding environment to provide exceptional care to patients? At Memorial Health University Medical Center, we prioritize the support of our colleagues in their roles. Position OverviewAs a Clinical Nurse in the Observation Unit, you will have access to resources that facilitate your professional development throughout your...
-
Clinical Nursing Supervisor
2 weeks ago
Savannah, Georgia, United States Georgia Hospice Care Full timePosition Overview: Join Georgia Hospice Care as a Clinical Nursing Supervisor. In this pivotal role, you will oversee the coordination, management, and execution of both professional and supportive services for our hospice patients, ensuring care is delivered in a safe and efficient manner. The Clinical Nursing Supervisor will lead the care team, providing...
-
Utilization Review Coordinator
4 days ago
Savannah, Georgia, United States UHS Full timeJob SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at UHS. As a key member of our healthcare team, you will play a critical role in optimizing reimbursement and ensuring the highest quality of care for our patients.Key ResponsibilitiesCoordinate and direct Utilization Review functions to monitor the utilization and...
-
Travel Nurse RN
4 weeks ago
Savannah, United States Jackson Nurse Professionals Full timeJackson Nurse Professionals is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in Savannah, Georgia. Job Description & Requirements Specialty: Long Term Acute Care Discipline: RN Start Date: 08/26/2024 Duration: 13 weeks 48 hours per week Shift: 12 hours, days, nights Employment Type: Travel Looking for a great Travel Long Term Acute...
-
Travel Nurse RN
4 weeks ago
Savannah, United States Jackson Nurse Professionals Full timeJackson Nurse Professionals is seeking a travel nurse RN Psychiatric for a travel nursing job in Savannah, Georgia. Job Description & Requirements Specialty: Psychiatric Discipline: RN Start Date: 09/04/2024 Duration: 7 weeks 36 hours per week Shift: 12 hours, days, nights Employment Type: Travel Perks: Option for Same Day pay, Referral and Loyalty bonuses,...
-
Clinical Robotics Nurse Coordinator
2 weeks ago
Savannah, Georgia, United States St. Joseph'sCandler Full timePosition OverviewThe Clinical Coordinator for Robotic Surgery Services plays a pivotal role in overseeing the management and operational aspects of surgical robotic systems. This position requires effective coordination of the robotic surgery schedule in collaboration with Operating Room (OR) Navigators, ensuring seamless throughput and completion of both...
-
Clinical Nurse Coordinator Pediatric ED
3 months ago
Savannah, United States Memorial Health University Medical Center Full timeDescription IntroductionAre you looking for a place to deliver excellent care patients deserve? At Memorial Health University Medical Center we support our colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator Pediatric ED and access programs to assist with every stage of your career.BenefitsMemorial Health University Medical...
-
Clinical Nurse Coordinator Pediatric ED
2 months ago
Savannah, United States Memorial Health University Medical Center Full timeDescription IntroductionAre you looking for a place to deliver excellent care patients deserve? At Memorial Health University Medical Center we support our colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator Pediatric ED and access programs to assist with every stage of your career.BenefitsMemorial Health University Medical...
-
Clinical Nurse Coordinator Pediatric ED
3 months ago
Savannah, United States Memorial Health University Medical Center Full timeDescription IntroductionAre you looking for a place to deliver excellent care patients deserve? At Memorial Health University Medical Center we support our colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator Pediatric ED and access programs to assist with every stage of your career.BenefitsMemorial Health University Medical...
-
Bariatric Clinical Nurse Coordinator RN
2 weeks ago
Savannah, United States Memorial Health University Medical Center Full timeDescription IntroductionLast year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Bariatric Clinical Nurse Coordinator RN with Memorial Health University Medical Center you can be a part of an organization that is devoted to giving back!BenefitsMemorial Health University Medical Center, offers a total...
-
Clinical Research Nurse
2 weeks ago
Savannah, Georgia, United States Memorial Health University Medical Center Full timePosition OverviewThe Clinical Research Nurse role at Memorial Health University Medical Center presents a robust benefits package and emphasizes the organization's dedication to community service.This position entails supporting the assessment and analysis of research protocols, facilitating educational initiatives, and striving to improve patient care and...
-
Clinical Research Nurse
2 weeks ago
Savannah, Georgia, United States Memorial Health University Medical Center Full timePosition Overview The Clinical Research Nurse role at Memorial Health University Medical Center is a vital part of our mission to enhance community health through innovative research initiatives. This position entails supporting the assessment and implementation of research protocols, facilitating educational programs, and striving to improve patient...
-
Clinical Nurse Coordinator Progressive Care Unit
2 months ago
Savannah, United States Memorial Health University Medical Center Full timeDescription IntroductionAre you looking for a place to deliver excellent care patients deserve? At Memorial Health University Medical Center we support our colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator Progressive Care Unit and access programs to assist with every stage of your career.BenefitsMemorial Health University...
Clinical Review Nurse
2 months ago
You could be 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, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
- Performs concurrent reviews of member for appropriate care and setting to determine overall health and appropriate level of care
- Reviews quality and continuity of care by reviewing acuity level, resource consumption, length of stay, and discharge planning of member
- Works with Medical Affairs and/or Medical Directors as needed to discuss member care being delivered
- Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and guidelines
- Works with healthcare providers to approve medical determinations or provide recommendations based on requested services and concurrent review findings
- Assists with providing education to providers on utilization processes to ensure high quality appropriate care to members
- Provides feedback to leadership on opportunities to improve appropriate level of care and medically necessity based on clinical policies and guidelines
- Reviews member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities
- Collaborates with care management on referral of members as appropriate
- Performs other duties as assigned
- Complies with all policies and standards
Clinical knowledge and ability to determine overall health of member including treatment needs and appropriate level of care preferred.
Knowledge of Medicare and Medicaid regulations preferred.
Knowledge of utilization management processes preferred.
License/Certification:
- LPN - Licensed Practical Nurse - State Licensure required
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
