RN Medical Peer Review Coordinator | Quality & Compliance
Universal Health Services
Aiken Regional Medical Centers in Aiken, SC, seeks an experienced Medical Peer Review RN to coordinate and direct activities of the medical peer review process. You will work with the Medical Peer Review Committee and Medical Staff Services Director to ensure timely, multidisciplinary, confidential reviews in line with state and regulatory guidelines, and support OPPE/FPPE activities. The ideal candidate has a BSN, 3–5 years in acute care, and an active SC or compact RN license, with a strong #J-18808-Ljbffr Universal Health Services
$81.51k - $108.03k
...8,030 / yr Overview RN - MDS Coordinator Turn Clinical Expertise... ...assessment with quality resident care. As a 7... ...social services, dietary, medical records, residents,... ...outcomes. Maintain compliance with regulatory requirements... ...information. Review resident records, incidents...MedicalTemporary workWork at officeLocal areaShift work- Medical Peer Review RN - Medical Staff Office Aiken Regional Medical Centers, located in Aiken, South... ...acute care facility providing top quality and safe healthcare to the residents... ...position is responsible for the overall coordination, facilitation and direction of...MedicalWork at officeLocal area
- ## RN Coordinator - Binghamton General ED & CPEPApplylocations... ...improvement and quality initiatives, and... ..., and regulatory compliance. Working closely... ...Councils, peer recognition, and initiatives... ...** - We offer medical, dental, and... ...also continuously review compensation to ensure...MedicalHourly paySeasonal workMonday to FridayFlexible hoursShift workAfternoon shift
- ...include access to telehealth, medical specialists, pharmacies, therapy, peer support, medical supplies, homecare... ...This is a full-time, on-site Coordinator role based in Brooklyn, NY. The... ...will monitor service quality and compliance while supporting clients to access...MedicalFull time
- ...efforts on delivering high-quality and affordable... ...entry. Additionally, the Coordinator supports TOC workflows by gathering and reviewing clinical documentation... ...summaries, progress notes, medical orders) and... ...Communication, Quality, & Compliance Interagency Liaison: Serve...MedicalImmediate start
- TITLE: MDS Coordinator (OSHA Classification 1) FLSA: Exempt POSITION... ...REQUIREMENTS - Education / Experience RN licensed in the State of... ...of resident through medical record review, appropriate interviews, and... ...Medicare coverage. Obtains monthly Quality Indicator Reports and...MedicalTemporary workImmediate start
$51.23 - $71.72 per hour
RN TRANSFER CENTER COORDINATOR - Care Integration - Full Time - Days Job Category : RN - Non Bedside Requisition... ...of how to navigate complex medical systems with a focus on patient centered... ...laws.For further information, please review the Know Your Rights notice from the...MedicalHourly payFull timeShift workWeekend work- Healthcare Coordinator, RN The Healthcare Coordinator (RN) partners with the Community... ...oversees care programs, ensures compliance with state regulations, and... ...and eMAR documentation. Monitor medication management and complete regular reviews. Communicate proactively with...MedicalTemporary workLocal areaFlexible hoursNight shift
$80k - $92k
...history, current medications, and allergies Apply... ...& Care Coordination Assign dispositions... ...support reporting, quality review, and utilization analytics Quality, Compliance & Performance Practice within RN scope of practice... ...recording review, peer review, and protocol...MedicalLocal areaRemote workMonday to FridayShift workDay shift$76k - $83k
...have an immediate opening for an Fertility RN Coordinator to join our team at Shady Grove... ...being fully trained and passing a chart review, this position will offer one remote day... ...license Experience working with electronic medical records a must High level of customer service...MedicalFull timePart timeWork at officeImmediate startRemote workMonday to FridayWeekend work1 day per week- MDS Coordinator (Licensed Nurse) Parc Provence |... ...provide the highest quality care, services,... ...ensuring regulatory compliance, and supporting... ...in the electronic medical record system. Ensure... ...and clinical reviews for assigned households... ...license (LPN or RN). High school diploma...MedicalFull timeWeekend work
$36.5k - $54.75k
...patient in all interactions. Coordinates daily activities and... ...functions and procedures of the medical records department.... ...requested for departmental quality assurance and compliance in a timely manner to supervisor... ...other specified reasons. Reviews and analyzes medical...Medical- BAMSI, Inc. in Massachusetts seeks an RN Healthcare Coordinator to lead medical services in day programs, blending... ...with care coordination to ensure quality, compliant, person-centered care. The... ...supervision to LPNs and staff, reviews medical records, liaises with physicians...Medical
$63.1k - $94.65k
...have current compact RN license, or be... ...Information Our Utilization Review team provides... ...party payers Medical Necessity Determination... ...Denial Management Coordinates the P2P process... ...for readmissions Quality/Revenue Integrity... ...collaboratively with peers to achieve...MedicalWork at officeFlexible hoursShift work$2,926 per week
...Registered Nurse (RN) | Utilization Review Location: East Elmhurst, NY Agency: Prime Staffing... ...of insurance guidelines, medical necessity criteria (e.g., InterQual or... ...companies, and case managers to ensure compliance with coverage guidelines and supports...MedicalFull timeContract workShift work$28.94 - $51.83 per hour
...a culture guided by inclusion, talented peers, comprehensive benefits and career development... ...of businesses. As a SSBV Clinical Claims Review RN, you can put your skills and talents to... ...first pay period plus 8 Paid Holidays Medical Plan options along with participation in...MedicalHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaRemote workHome office$95.06k
...enjoy the best quality of life possible... ...Case Manager RN supports the physician... ...integrates and coordinates utilization... ...with medical staff, nursing... ...issues to Case Review, Utilization Committee... ...of Quality in compliance with department... ...meetings of regional peer organizations...MedicalWork at office$59.67 - $64.22 per hour
...Rn Care Coordinator It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed... ...the continuity of patient care across the Amboy Medical Practice and supports the clinical and quality performance goals of the practice. The RN Care...MedicalShift workDay shift- ...Rehabilitation & NCC is seeking an experienced RN MDS Coordinator to join our team! **Excellent Pay &... ..., dieticians, rehab specialists & medical staff). MDS coordinators implement and... ...care plans to ensure effectiveness & compliance. Requirements: Current license as a...MedicalWeekly pay
$2,778 per month
...Nursing Profession RN Specialty Utilization Review Job ID 38167588 Job... ...understanding of insurance guidelines, medical necessity criteria (e.g.,... ...companies, and case managers to ensure compliance with coverage guidelines and supports...MedicalWeekly payShift work$55 - $65 per hour
...Registered Nurse With Utilization Review Experience A healthcare... ...requires an active New York State RN license. The ideal candidate... ...healthcare services for medical necessity, appropriateness, and... ...review activities. Support compliance with organizational, regulatory...MedicalHourly payContract work- ...RN - Utilization ReviewAbout the PositionSpecialty: RN – Utilization... ...of experience in utilization review, case management, or acute... ...understanding of insurance guidelines, medical necessity criteria (e.g.,... ..., and case managers to ensure compliance with coverage guidelines and...Medical
- ...About Us One Medical is a primary care solution... ...quo by making quality care more affordable... ...for a Practice Coordinator to join us on our... ...motivating a team or peers, especially through... ...team check ins, review of staffing, monitoring... ..., regulatory compliance, and implement improvement...MedicalFull timeTemporary workWork at officeMonday to FridayShift work
- ...Department Overview: The Department of Medical Education oversees all educational... ...Director in maintaining educational quality and ensuring compliance with ACGME accreditation standards... ...support including office coordination, word processing, and file maintenance...MedicalTraineeshipInternshipWork at office
- ...CVS Health Corporation is seeking an RN Concurrent Review Nurse to work remotely from home in Louisiana with standard weekday hours. You will review clinical data to determine medical necessity, coordinate with providers, and support discharge planning and care management...MedicalRemote workWork from homeWeekday work
- ...HealthCare is seeking a registered nurse to join a remote Utilization Review team. The role supports multiple hospital units with no patient... ...include applying Interqual criteria, reviewing admissions for medical necessity, and educating providers on resource use. Two to five...MedicalLocal areaRemote workWeekend work
- MUSC Community Physicians (MCP) is part of the Medical University of South Carolina. The OPAT RN coordinates outpatient antimicrobial therapy for patients discharged... ...and timely adjustments to therapy while upholding quality outcomes and #J-18808-Ljbffr Medical University...Medical
- Hospice Savannah is seeking an RN Intake Coordinator to schedule intake visits, coordinate home and center visits, and document medical and social information throughout enrollment. The role may include guiding tours of the PACE Center for participants and caregivers during...Medical
- ...Jewish Hospital in conjunction with Washington University Medical Center seeks a Transplant Coordinator to manage pre- and post-transplant care and coordinate... .... Onsite work is required with a nursing orientation; RN licensure is required and transplant experience is a...Medical
- ...Registered Nurse (RN) The Registered Nurse (RN) is responsible for assessing, planning... .... On-Call requirement, as needed. The coordinator can pick up shifts if all attempts to... ...unless you request and receive an approved medical exemption. We are an Equal Opportunity...MedicalFull timeShift workDay shift
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