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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..
... 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..
... greater awareness in the local medical community of the importance of ... barrier resolution.Participates in meetings to review the RCC program within the ... within the practice and to..
... 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..
About UsnAt Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most ..
Description The Nurse Auditor 2 will work on ... clinical lab audit concepts. The Nurse Auditor 2 will perform clinical ... and validation processes to ensure medical record documentation and..
... supervisor. Required Qualifications Licensed Registered Nurse (RN) in the state of ... the state of NJ with no disciplinary action 1 year of ... of Acute or Home Care..
... What’s yours? The Dialysis Registered Nurse provides specialized nursing care in ... Participates in patient care conferences, medical rounds and chart reviews as ... members as directed by the..
... & Responsibilities: Teach foundational and/or medical-surgical Nursing courses. Teach lecture, laboratory, ... supervise, and evaluate student clinical experience in assigned health care facilities; ... within college and department guidelines...
... is responsible for the retroactive medical necessity review of medical services provided. The position is ... cycle and exists to overturn medical necessity clinical denials through the ... appeal..
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..
... and provide oversight for durable medical equipment related to the prevention ... automated incident/prevalence reporting available - no additional paperwork! Obtain immediate skin/wound ... RN license (MPT/DPT with leadership..
... Description The MinuteClinic Clinical Research Nurse Practitioner (NP) delivers patient care ... identify Adverse Events - Provide medical management of adverse events as ... as required to ensure adequate..
... 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..
Description The Care Manager, Telephonic Nurse 2, in a telephonic environment, ... members. The Care Manager, Telephonic Nurse 2 work assignments are varied ... right questions and interpret complex medical..
Description The Care Manager, Telephonic Nurse Assistant 2 receives inbound calls ... The NAL Care Manager, Telephonic Nurse Assistant 2 is knowledgeable about ... and work independently. Responsibilities The Nurse..
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..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills ... coordination, documentation and communication of medical services and/or benefit administration determinations ... Medicaid Plan. The Utilization Management Nurse 2..
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..
... goals and change liveswith Fresenius Medical Care North America.Here, we make ... Fresenius Team?Passion. Dedication. Knowledge. Motivation. Experience. These are the impressive qualities ... When you join the Fresenius..
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..
... channel) to providing support. Reviews medical records or claims to identify ... Qualifications An active unrestricted Registered Nurse (RN) license in the state ... Florida. 3 years of clinical..
