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May 25 RN Clinical Reimbursement Coord MDS - PPS Experience Full Time Genesis Healthcare/rehab Svcs Boston, MA

Time - Permanent Recruiter : Honohan, Nancy Job Description : Coolidge House a 180 bed ... provided within the Center. Conducts concurrent MDS reviews to assure achievement... more

May 25 Rulemaking Coordinator Energetics Washington, Dc

Job Description & Responsibilities BRIEF DESCRIPTION OF ESSENTIAL FUNCTIONS OF JOB AS ... in both paper and electronic formats; review/edit documents for grammar,... more

May 24 Allscripts EMR Testing Coordinator Contract Job Soliant Health Freeport, NY

experience performing the above mentioned job functions -Extensive testing and/or ... for this EMR Testing Coordinator Contract job, please apply through this posting or... more

May 24 MDS Coordinator RNAC Michaels Wilder Advertising Tell City, IN

to manage the RAI process, including Concurrent Review and Point Right Responsible ... on a monthly basis Weekly communication and review of residents with the Medicare... more

May 23 Concurrent Review Nurse Coventry Healthcare Charleston, WV

Job Title: Concurrent Review CoordPosting Location: WV - CharlestonLocation: WV - ... Number: 172896External Description:Concurrent Review CoordinatorGENERAL... more

May 22 Clinical Reimbursement Coordinator Genesis Rehabilitation Randallstown, MD

provided within the Center. Conducts concurrent MDS reviews to assure achievement of maximum allowable RUG categories. He/she will integrate information from nursing, dietary,... more

May 22 Case Manager/Care Coordinator II-Medicare Special Needs Prog Health Net Woodland Hills, CA

JOB SUMMARY: CASE MANAGER/CARE COORDINATOR II - Medicare Special Needs Program (SNP) - Bil ... Medical Directors. * Performs prospective, concurrent and retrospective reviews and... more

May 22 MDS Coordinator Genesis Rehabilitation St Albans, VT

provided within the Center. Conducts concurrent MDS reviews to assure achievement of maximum allowable RUG categories. He/she will integrate information from nursing, dietary,... more

May 22 RN 1st level Utilization Review CSI Health Tampa, FL

peer review any medical services where review conditions warrant such actions. ... review determinations. Performs admission/concurrent medical record reviews via... more

May 22 LCSW Case Manager/Care Coordinator II-State Health Programs Health Net Woodland Hills, CA

JOB SUMMARY: LCSW CASE MANAGER/CARE COORDINATOR II-Outpatient/Ambulatory - State Health Pr ... Medical Directors. * Performs prospective, concurrent and retrospective reviews and... more

May 22 Clinical Reimbursement Coordinator (CRC) Genesis Rehabilitation Windsor, CT

provided within the Center. Conducts concurrent MDS reviews to assure achievement of maximum allowable RUG categories. He/she will integrate information from nursing, dietary,... more

May 22 Utilization Review AMERIGROUP Atlanta, GA

Manager RN - inpatient concurrent review Job ID: 2012-19097 Positions: 1 ... Director. - Review Plan appeal items for concurrent and retrospective reviews as... more

May 22 RN Clinical Reimbursement Coord MDS - PPS Experience Full Time Genesis Rehabilitation Brookline, MA

provided within the Center. Conducts concurrent MDS reviews to assure achievement ... to Administrator/care team; 1.3 Performs concurrent MDS review to insure appropriate... more

May 22 RN MDS Coordinator Part Time Genesis Rehabilitation Wallingford, CT

provided within the Center. Conducts concurrent MDS reviews to assure achievement of maximum allowable RUG categories. He/she will integrate information from nursing, dietary,... more

May 22 Clinical Reimbursement Coordinator Floater RI and MA License Genesis Rehabilitation Andover, MA

provided within the Center. Conducts concurrent MDS reviews to assure achievement ... to Administrator/care team; 1.3 Performs concurrent MDS review to insure appropriate... more

May 22 Medical Review Nurse Coventry Healthcare Fort Lauderdale, FL

Job Title: Medical Review NursePosting Location: FL - Sunrise (Concord)Location: FL - ... concurrent, or retrospective utilization review.Coventry Health Care is an Affirmative... more

May 22 Care Manager II-Concurrent Review-State Health Programs - TE Health Net Fresno, CA

Title: Care Manager II-Concurrent Review-State Health Programs - TELECOMMUTING OPTION! ... JOB SUMMARY: CARE MANAGER II-Concurrent Review/Prior Auth - State Health Programs TELECOMM... more

May 20 Concurrent Review Coordinator Coventry Healthcare Lexington, KY

Job Title: Concurrent Review CoordPosting Location: KY - LexingtonLocation: KY - ... Number: 171597External Description:Concurrent Review CoordinatorGENERAL... more

May 18 Concurrent Review Coord Coventry Healthcare Champaign, IL

Job Title: Concurrent Review CoordPosting Location: IL - ChampaignLocation: IL - ... Number: 172661External Description:Concurrent Review CoordinatorThis position... more

May 15 MDS Coordinator-CRC Genesis Rehabilitation Silver Spring, MD

provided within the Center. Conducts concurrent MDS reviews to assure achievement ... to Administrator/care team; 1.3 Performs concurrent MDS review to insure appropriate... more

May 15 HR/Office Coordinator Columbia, SC

Tracking System (ATS) Preparation of job descriptions with the assistance of the ... databases etc.) Short listing candidates for review by the hiring manager which will... more

May 14 Concurrent Review RN Coventry Healthcare Morrisville, NC

Job Title: Concurrent Review CoordPosting Location: NC - MorrisvilleLocation: NC - ... covered.- Coordinates, directs, and performs concurrent and retrospective reviews;monitors... more

May 11 Care Coordinator - Physical Med. & Rehab. Children's Medical Center Dallas, TX

description is an essential function of the job Qualifications Education Two-year ... required Case Management, Utilization Review, Home Health Care, Discharge Planning,... more

May 11 Case Manager/Concurrent Review RN Community Health Center Network/alameda Health Con San Leandro, CA

* Assist UM Manager in the periodic review and update of UM/Case Management policy and pro ... Medicare, Commercial). * Inpatient concurrent review, especially working with... more

May 10 Concurrent Review Nurse Coventry Health Care of Georgia Morrisville, NC

immediate opening for three (3) Concurrent Review Nurses in our Morrisville, NC office. ... -- Coordinates, directs, and performs concurrent and retrospective reviews;... more

May 09 Care Manager II-Concurrent Review-State Health Programs - TELECOMMUTING OPTION! (Fresno or Rancho Co Health Net Central Valley, CA

JOB SUMMARY: CARE MANAGER II-Concurrent Review/Prior Auth - State Health Programs TELECOMM ... audits, monitor and oversee workflow, review and maintain policies and procedures,... more

May 07 Utilization Review - Rn Dignity Health Sacramento, CA

conducting telephonic inpatient concurrent review Work with healthcare agencies and ... with appropriate documentation. Conducts review for appropriate utilization of... more

May 06 Concurrent Review Coordinator San Antonio, TX

programs. EOE, M/F/V/D CONCURRENT REVIEW COORDINATOR Job Req # 171939 ... careers.cvty.com and refer to the applicable Job Req # above. Click here to see Newspaper... more

May 04 Nurse Reviewer Coventry Healthcare Bristol, VA

Job Title: Concurrent Review CoordPosting Location: VA - BristolLocation: VA - ... covered.- Coordinates, directs, and performs concurrent and retrospective reviews;monitors... more

May 03 Utilization Review Registered Nurse RN Xlhealth Shavano Park, TX

Responsibilities: Preauthorization and concurrent utilization review of requests ... identification, routing and resolution of concurrent review requests. Coordinate with... more

May 02 Concurrent Review RN Job Yoh Richmond, CA

contract opportunity for a Concurrent Review Nurse to join our client in Richmond, ... JobResponsibilities: - Conduct onsite concurrent review of inpatient and SNF... more

Apr 30 HR/Office Coordinator Valerie Columbia, SC

Tracking System (ATS) Preparation of job descriptions with the assistance of the ... databases etc.) Short listing candidates for review by the hiring manager which will... more

Apr 30 Talent Acquisition Coordinator Valerie Columbia, SC

Tracking System (ATS) Preparation of job descriptions with the assistance of the ... databases etc.) Short listing candidates for review by the hiring manager which will... more

Apr 29 Project Coordinator Thomson Reuters Austin, TX

supervisors and direct reports Monitor and review the performance of staff and organize ... 20-25 people Experience managing multiple concurrent data entry related projects Goal... more

Apr 18 Care Coord Premera Blue Cross Mountlake Terrace, WA

necessity review that includes: inpatient review, concurrent review, discharge ... moving about. 1. Conducts medical necessity review that includes: inpatient review,... more

Nov 09 Utilization Review Nurse Trustaff Florida

analysis of risk assessment, historical and concurrent occurrence and claims data and ... systems. - Acts as an active member of peer review committees; analyzes cases and outcome... more

Oct 25 Registered Nurse-Telephonic Care Coordination Nurse Resolutions San Antonio, TX

Job Summary The Manager, Telephonic Care Coordination is responsible for coordinating the ... review, utilization management, manager, concurrent review, managed care, san antonio,... more

Oct 25 RN-Utilization Review Nurse Resolutions New York, NY

DUTIES: Provide precertification, concurrent review and retrospective reviews for ... case manager, case management, utilization review, utilization management, tarrytown,... more

More Job Postings from the Web
May 25 Concurrent Enrollment Coordinator Front Range Community College Fort Collins, CO

Job Start Date: July 9, 2012 Apply Now GENERAL SUMMARY: The Concurrent Enrollment Coordina ... forward for screening. Please review the job duties and minimum requirements... more

May 25 Care Manager II-Concurrent Review - PART-TIME - Telecommuting Option! Health Net of California Sacramento, CA

JOB SUMMARY: CARE MANAGER II-Concurrent Review - PART-TIME - Telecommuting ... audits, monitor and oversee workflow, review and maintain policies and procedures,... more

May 24 Care Manager II-Concurrent Review - PART-TIME - Telecommuting Option! Health Net Rancho Cordova, CA

JOB SUMMARY: CARE MANAGER II-Concurrent Review - PART-TIME - Telecommuting ... California, Inc. - 4001 Schedule -Part-time Job Type -Regular Shift -Day Job Travel -Yes,... more

May 23 Internal Review Coordinator Registered Nurse Arkansas Foundation For Medical Care Arkansas

JOB TITLE: Internal Review Coordinator - Registered Nurse FLSA STATUS: Exempt SCOPE OF ... with government reimbursement policies. Review may be prior authorization, concurrent... more

May 23 LCSW UR Coordinator Xerox Helena, MT

Licensed Certified Social Worker Utilization Review Coordinator This position is ... selected services or procedures, concurrent review, discharge planning and retrospective... more

May 21 Utilization Review Coordinator - Registered Nurse John C. Lincoln Healthcare Network Phoenix, AZ

of care through comprehensive concurrent review for medical necessity of outpatient ... review. ? Initiates the appeal process for concurrent denials. ? Provides Case Manger,... more

May 19 Supervisor of Specialty Case Review CVS Caremark Northbrook, IL

review of submitted cases for prospective review of approval of therapy in accordance ... - Conducts prospective, concurrent, and/or retrospective review of cases using healthplan/... more

May 18 Utilization Review Coordinator St Elias Specialty Hospital Anchorage, AK

and policies governing utilization review. Ability to review and verify ... *Review information in medical record; obtain and review information from patient, physici... more

May 17 Concurrent Review Coord, RN Job Coventry Health Care Kansas

Job Title: Concurrent Review Coord Posting Location: KS - Wichita (8535 E 21st N) ... Number: 172775 External Description: Concurrent Review Coordinator,l RN GENERAL... more

May 16 Utilization Manager RN - inpatient concurrent review Job AMERIGROUP Atlanta, GA

Manager RN - inpatient concurrent review Job ID: 2012-19097 # Positions: 1 Location: ... Director. - Review Plan appeal items for concurrent and retrospective reviews as... more

May 16 Utilization Manager RN - inpatient concurrent review AMERIGROUP Atlanta, GA

* Performs on-site and/or telephonic review of acute and subacute services ... Director. * Review Plan appeal items for concurrent and retrospective reviews as... more

May 15 RN : Utilization Review/ Case Managment/ Concurrent Review Healthcare Support Staffing Tampa, FL

peer review any medical services where review conditions warrant such actions. ... review determinations. Performs admission/concurrent medical record reviews via... more

May 10 12-1024: Sr. Review Coordinator West Des Moines, IA

concurrent or retrospective utilization review/medical management for all services ... Coordinates and participates in peer-to-peer review as warranted. With prior management... more

May 10 Care Manager II-Concurrent Review-State Health Programs - TELECOMMUTING OPTION! (Fresno or Rancho Cordova Health Net of California Fresno, CA

    JOB SUMMARY :  CARE MANAGER II-Concurrent Review/Prior Auth - State Health Programs TELECOMMUTING OPTION!</EM>   The Care Manager II is... more

May 09 12-1024: Sr. Review Coordinator Ifmc West Des Moines, IA

concurrent or retrospective utilization review/medical management for all services ... Coordinates and participates in peer-to-peer review as warranted. With prior management... more

May 08 Concurrent Review RN Healthcare Support Staffing Metairie, LA

We are seeking a Concurrent Review RN to work in office for an expanding Managed Care ... Director. Review Plan appeal items for concurrent and retrospective reviews as... more

May 03 Care Manager II-Concurrent Review-State Health Programs - TELECOMMUTING OPTION! (Fresno or Health Net Rancho Cordova, CA

Job -Health Services/ Clinical Primary Location -California-Fresno Other Locations -Califo ... California, Inc. - 4001 Schedule -Full-time Job Type -Regular Shift -Day Job Travel -Yes,... more

May 03 Utilization Review Coordinator Universal Health Services Nashville, TN

would include: * Conducts prior, concurrent, retro, and extended stay reviews. ... terminated; works well in prioritizing review processes within a managed care... more

Apr 29 COMPLEX CASE MANAGER / CONCURRENT REVIEW COORDINATOR Coventry Healthcare Scottsdale, AZ

BENEFITS FROM DAY 1! COMPLEX CASE MANAGER Job Req # 169956 Individual responsible for ... date of hire. CONCURRENT REVIEW COORDINATOR Job Req # 171859 Performs telephonic... more

Apr 26 RN / LVN Inpatient Concurrent Review Case Manager Job Yoh Santa Ana, CA

Nurse or Licensed Vocational Nurse Concurrent Review Case Manager to join our ... Job Responsibilities: - Conducts telephonic concurrent review for all assigned facilities... more

Apr 26 Concurrent Review Coordinator Job Coventry Health Care San Antonio, TX

Job Title: Concurrent Review Coord Posting Location: TX - San Antonio Location: TX - San ... a talented and diverse team. Concurrent Review Coordinator GENERAL SUMMARY Reviews... more

Apr 21 UTILIZATION REVIEW COORDINATOR Universal Health Services Lawrenceville, GA

Utilization Review Coordinator to review patient records as per contract ... sources as needed to coordinate precertification and concurrent review... more

Apr 19 Inpatient Review Nurse - Concurrent Review Healthspring Philadelphia, PA

Performs review activities as outlined following rules established by the peer review ... and InterQual Criteria for utilization review. Preferred Requirements: ?Managed care... more

Apr 19 Senior Construction Document Review Coordinator Gilbane Building Company Phoenix, AZ

RESPONSIBILITIES:a The Senior Document Review Coordinator will:a Perform ... Generate lists of coordination review comments. Prepare reports and... more

Apr 18 Sr Utilization Mgmt Nurse- Concurrent Review-Work from home, located UnitedHealth Group Tucson, AZ

management, utilization review, or concurrent review (on-site or telephonic ... years healthcare experience with concurrent review experience. * Must have ability to... more

Apr 12 Quality Coordinator/Core Measure Concurrent Review Community Health Systems Texas

Title: Quality Coordinator/Core Measure Concurrent Review Location: TX-Jourdanton (San Antonio region) The Quality Coordinator/CM Concurrent Reviewer is responsible for reviewing... more

Apr 10 CONCURRENT REVIEW RN COORDINATORS Judge Group Georgia

Job ID: 353737 Job Title: CONCURRENT REVIEW RN COORDINATORS Job Type: Contract to Perm ... covered. Coordinates, directs, and performs concurrent and retrospective reviews;... more

Apr 10 Mgr Concurrent Review SFL Blue Cross and Blue Shield of Florida Miami, FL

managing the day-to-day operations of the Concurrent Review department's teams of ... clinical and managed care experience, concurrent reviewer/discharge planner or case... more

Mar 29 Concurrent Review Coord Job Coventry Health Care Jefferson City, MO

Job Title: Concurrent Review Coord Posting Location: MO - Jefferson City Location: MO - ... Number: 170615 External Description: Concurrent Review Coordinator GENERAL SUMMARY... more

Mar 26 CONCURRENT REVIEW SUPERVISOR Mjhs Brooklyn, NY

Ensures all employees are oriented to their department/agency and job and provided with ap ... Tuition reimbursement 403(b) retirement plan Job Requirements Bachelors Degree in Nursing. more

Mar 19 Utilization Review Coordinator - Registered Nurse John C. Lincoln Hospitals Phoenix, AZ

of care through comprehensive concurrent review for medical necessity of outpatient ... and review. Initiates the appeal process for concurrent denials. Provides Case Manger,... more

Mar 09 Quality Coordinator/Core Measure Concurrent Review South Texas Regional Medical Center Jourdanton, TX

TheQuality Coordinator/CM Concurrent Revieweris responsible for reviewing clinical data elements from patient records as required by JACHO, QIO's and other state or federal... more

Feb 29 Clinical Nurse Review Coordinator Adventist Health Hanford, CA

This position provides systematic clinical review and data abstraction of the patients medical record for purposes of peer review, clinical audits, public reporting, validation... more

Feb 24 CONCURRENT REVIEW SUPERVISOR Metropolitan Jewish Health System Brooklyn, NY

Ensures all employees are oriented to their department/agency and job and provided with appropriate training, development and continuing education. Correctly interprets and... more

Dec 22 Concurrent Review Nurse RN SFL-1188 BlueCross BlueShield of Fl West Palm Beach, FL

Job Title: Concurrent Review Nurse RN SFL-1188 Primary Location: West Palm Beach Other ... level of care - Participate in weekly case review - Plan, implement, coordinate and... more

Oct 13 Concurrent Review Nurse RN-1015 BlueCross BlueShield of Fl Miami, FL

level of care - Participate in weekly case review - Plan, implement, coordinate and ... home health care, rehab, utilization review, discharge planning or case management... more

Jun 17 Quality Review Coordinator II (RN), Per Diem Days Western Medical Center Santa Ana Santa Ana, CA

Concurrent/Retrospective chart review for analysis of care, compiling statistics, coordinating peer review process for multiple departments, good written/oral communication... more

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