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RN - Nurse Medical Management I or II - Telecommute / Work A...
Anthem, Inc. - 2,231 reviews - Charleston, WV
Nurse Medical Management I. Nurse Medical Management II. Conducts pre-certification, continued stay review, care coordination, or discharge planning for...
Nurse Clinician RN
Express Scripts - 2,256 reviews - Morgantown, WV 26505
Previous clinical criteria review experience preferred. The Nurse Clinician – RN is responsible for reviewing escalated clinical criteria reviews for providers,...
Registered Nurse - ICU - Open Continuous Announcement
Department of Veterans Affairs - Agency Wide - Martinsburg, WV
$55,560 - $105,607 a year
The nurse progressively assumes charge nurse responsibilities as assigned, under the close supervision of the Nurse Manager or designee....

UTILIZATION MANAGEMENT NURSE

Healthsmart Preferred Care - 11 reviews - Charleston, WV
• Assist claims with quality reviews. • Provide pre-procedure, pre-admission, admission, concurrent and retrospective reviews....

UTILIZATION REVIEW RN

CAMC Health System - 14 reviews - Charleston, WV
Efficiently coordinate patient needs to assure high quality patient care, reduce length of stay and resource utilization and ensure reimbursement drawing on a...

Clinical Documentation Specialist/CDI-HIM, full time

Logan Regional Medical Center - 13 reviews - Logan, WV
Prior experience in case management, utilization review, clinical documentation improvement, and/or coding accuracy preferred....

Case Manager-Day Shift-F/T

Bluefield Regional Medical Center - 21 reviews - Bluefield, WV
Case Management / Utilization Review. Must be a registered nurse with 2-4 years of clinical experience. Registered Nurse-One Year experience in Case Management...

Resource Nurse, PRN

Quality Insights - Morgantown, WV 26501
Independently coordinates the field review process through tracking and receipt of samples, scheduling with providers, and timely completion of review...

Nurse Clinician RN

Express Scripts - 2,256 reviews - Morgantown, WV 26505
Previous clinical criteria review experience preferred. The Nurse Clinician – RN is responsible for reviewing escalated clinical criteria reviews for providers,...

CASE MANAGER

Healthsmart Preferred Care - 11 reviews - Charleston, WV
Reviews authorization activity and claim reports recommending placement in case management as indicated by comprehensive assessment....

Regulatory Coordinator

WVU Healthcare - 30 reviews - Morgantown, WV 26506
Review, and staff interviews. Utilization and improvements in quality. Nurse with 5 years’ professional experience in a hospital setting as a. JOB....

RN Manager of Clinical Practice and Quality Assurance

Kindred At Home - 135 reviews - Charleston, WV  +1 location
Current Registered Nurse. RN, Registered Nurse, Nurse, nursing, homecare, home care, home health, home healthcare, OASIS, RN case manager, Medicare, visit nurse...

Manager Nursing

WVU Healthcare - 30 reviews - Morgantown, WV 26505
Nursing research/research utilization,. Clinical practice model (CPM), nurse residency program, nurse extern program,....
Registered Nurse
Genesis Healthcare - 1,844 reviews - Charles Town, WV
Reviews and revises service plan as indicated; Actively participates in Utilization Management or Interdisciplinary Care Management Meeting to facilitate...
Licensed Practical Nurse
Annual review with performance increase. Under the supervision of Registered Nurses, directs and guides patient teaching activities commensurate with education...

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