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Description The Utilization Management Nurse utilizes clinical nursing skills to ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... administration determinations. The Utilization Management Nurse 2..
... 21000GL9Available Openings 2Position Specific Information No experience necessary! We offer paid training. 1225 ... and change lives with Fresenius Medical Care North America. Here, we ... Team? Passion. Dedication...
... AND SCOPE: The registered professional nurse (CAP RN 1) position is ... of hire. Performs ongoing, systematic review and analysis of dialysis data ... and documents in the patient..
... staff training and assistance as necessary Participates in Performance Improvement program ... certification required Recent and current experience at MCDH preferred Minimum two ... preferred Minimum two years RN..
Job Information Humana Appeals Nurse 2 - TRICARE in Indianapolis ... Indianapolis Indiana Description The Appeals Nurse 2 resolves clinical complaints and ... complaints and appeals. The Appeals Nurse 2..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... administration determinations. The Utilization Management Nurse 2..
... a Fortune Top 50 Company.nNurse Medical Management I/Utilization ReviewnLocation: W@H; GA ... effective care through assessing the medical necessity of inpatient admissions, outpatient ... setting by utilizing the applicable..
... The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and ... coordination, documentation, and communication of medical services. Enjoy the flexibility of ... three (3) years of clinical..
... psychiatric nursing care to patientsnEnsure medical Orders are followed, initiate and ... prior to any patient contactnnPreferred Experience:nPrevious experience in a psychiatric health care ... health care facility, with..
Description The Nurse Auditor 2 performs clinical audit/validation ... audit/validation processes to ensure that medical record documentation and diagnosis coding ... support optimal reimbursement. Responsibilities The Nurse Auditor 2 validates..
... The Supervisor, Pre-Authorization Nursing: Completes medical necessity and level of care ... refers to internal stakeholders for review depending on case findings. Educates ... Educates providers on utilization and..
... licenseA clinical background as a nurse is required. We prefer experience in a critical care, ED, ... angioplasties, thrombectomires, etc.We work only day-shift.No Call. No evening shift. No night..
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for ... without direction. Responsibilities Senior Pre-Authorization Nurse: Serves as a team lead ... outcomes, and process efficiencies. Completes medical necessity..
... facility staff. Maintains integrity of medical records and other FMS administrative ... of each patient, including hospitalizations, no- shows, catheter use, and any ... implementation of FMS staffing, and..
... for academic advising alerts; provide necessary interventions to include communication with ... 2 years directly related work experience and Holds certification or licensure ... Tech Long Term Care Specialist..
... 7pm-7:30am, and 7a-7:30p. The Registered Nurse is a registered professional nurse who delivers, coordinates, and evaluates ... demonstrate the knowledge and skills necessary to provide care, based on .....
... empowered to apply their military experience and unique perspective to their ... patients as well as any necessary diagnostic and therapeutic interventions. Assure ... enhance operationalefficiency. Complete all appropriate..
... empowered to apply their military experience and unique perspective to their ... the supervision of a Registered Nurse (RN). Responsibilities: Perform basic monitoring ... clinical guidelines. Document data for..
Description The Utilization Management Nurse 1 utilizes clinical nursing skills ... coordination, documentation and communication of medical services and/or benefit administration determinations. ... administration determinations. The Utilization Management Nurse 1..
... nursing care to patient and review medical records Prepare clinical appeals (when ... clinical appeals (when appropriate) on medical necessity, level of care, length ... years of recent Utilization..
