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Essential Education: Graduation from an accredited school of nursing and current licensure as Registered Nurse (RN). Interprets and applies coverage and payment policies, standards of care, and/or utilization review criteria, as applicable to specific position.
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Knowledge of nursing techniques and procedures, health care laws and regulations, medical diagnoses and procedures, accepted medical treatment patterns, community health and nursing care principles, practices, and procedures, program regulations and procedures, and utilization review and control measures.
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Clinical duties will include measuring and recording vital signs, collecting demographics or medical information including review of medication list, preparing patients for examination, cleaning rooms and equipment and stocking supplies.
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Bishop Rehabilitation & Nursing Center is Under New Management and looking for a Registered Nurse (RN) Unit Manager to work in our facility in Syracuse, NY. Monitor overall care & review individual Resident cases.
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Hartford HealthCare at Home is looking for a Quality Safety Clinician to manage the review of clinical documentation and assists in the training of clinical staff to ensure accurate reimbursement, regulatory compliance and the delivery of outcome-based, cost effective care.
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Review Resident records & quality of care. Unit Manager experience. Address questions or complaints brought forward by Residents or their families. Mentor less experienced nurses, offering clinical & career advice.
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Review nurse shift reports for adherence to policy and for opportunities for performance improvement. Minimum of two (2) years nursing experience including one (1) year in home care or closely related field.
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Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Glendale, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel We’re seeking talented healthcare professionals whose adventure game is as strong as their clinical game.
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The Supervisor will ensure all activities maximize safety, efficiency and accuracy while also exceeding nursing, physician and patient expectations for pharmacy services. The Pharmacy Supervisor is responsible for supervising the activity of pharmacists and pharmacy technicians, managing the workload and staffing pertaining to pharmacy production, distribution, maintenance of adequate medications and supplies, prescription order review and verification, and counseling of patients by continuous assessment and reallocation of resources.
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Ongoing and consistent collaboration with the interdisciplinary team including physicians, utilization review and nursing staff members. Demonstrates the ability to work with the utilization review department.
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Effective December 1, 2019: Job offers are contingent upon successful completion of a post-offer assessment, including a urine drug screen, immunization review, proof of required vaccinations, and background check.
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Gifted Healthcare is an award-winning travel nursing agency that offers nursing contracts at premier healthcare facilities across the United States. Oncology RNs review health history and keep track of laboratory, pathology and imaging studies.
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A nonexempt position responsible for the nursing care under the supervision of physicians, Clinical direction, oversight and competency review is provided by medical providers and. Graduate of an accredited school of practical nursing.
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St. Lukes Hospital is the only hospital in Cedar Rapids designated as a Top 50 Heart Hospital six times, has been named a top 50 Hospital in the Nation by Healthgrades, named one of the nations 100 Top Hospitals by IBM Watson Health eight times and also has been honored six times as Beckers Hospital Review 100 Great Hospitals in America.
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Continuous Quality Improvement - Participate in quality assurance, utilization review, and performance improvement programs. Collaboration - Act as a team member with the medical staff, nursing, and other ancillary support services.
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