5 registered nurse baylor rn jobs found in Winston-Salem, NC

Job Description Description Areas of focus include Surgery, Women's, Children's, Medicine, Oncology, Cardiac, and Psychiatry Services at UNCMC. Provides cross coverage to UNC Hillsborough Hospital, Chatham, Youth Behavioral Health at Butner. The team: Completes clinical reviews for all areas: Inpatient, Observation, Extended Recovery Ensures compliance in accordance to government's federal rules and regulations related to patient care and reimbursement Interacts with the Interdisciplinary Team for patient care progression Protects hospital revenue by working with payors for insurance authorizations, denials, and appeals Delivers mandated federal notices to patients/ patient representatives related to their payer source 40 hrs/week with flexible schedule options available Primarily on-site with option to work remotely twice monthly Holiday rotation No Nights No on-call Become part of an...

UOVUNIUSR0082235EXTERNALENUS Under general direction: The Utilization Management RN serves as a leader resource in the Utilization Management process. They collaborate with physicians and other members of the healthcare team to promote and adhere to regulatory compliance. The UM RN conducts initial concurrent and retrospective medical necessity reviews. All Utilization Management activities are performed in accordance with the mission vision and values of UVA Medical Center. Analyze and evaluate complex medical documentation: Demonstrates competence in interpretation of clinical data, and the application of UM tools. Collaborates with physicians and care team: Attending, resident, mid level practitioners. Utilizes judgement and critical thinking in determining what cases to refer for second level review to external physician consultants and internal UVA UR MD’s. Provides complete accurate and timely clinical data to Insurance companies. Utilizes judgement and...

BSMBSZUSR259614EXTERNALENUS With a legacy that spans over 150 years, Bon Secours is a network that is dedicated to providing excellent care through exceptional people. At every level, everyone on our teams have embraced the call to provide compassionate care. Here, you can work with others who share common values, and use your skills to help extend care to all of our communities. Registered Nurse (RN) - Southside Regional Medical Center - Part - time   Job Summary:   The RN Care Manager is responsible for providing coordination of care for patients to support safe, seamless, timely transitions across the continuum. This role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services required to meet an individual’s health and health related needs, including social- determinants that affect ones’ overall wellbeing....

BSMBSZUSR263296EXTERNALENUS Job Summary:   The RN Care Manager is responsible for providing coordination of care for patients to support safe, seamless, timely transitions across the continuum. This role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative methods), assesses, plans, implements and evaluates the options and services required to meet an individual’s health and health related needs, including social- determinants that affect ones’ overall wellbeing. The RN Care Manager is responsible for screening, identification, and assessment of individuals in need of active Case Management services and promotes the right resources, at the right time and at the right place.       Essential Functions:    Identifies and prioritizes patients in need of care management services, using a holistic approach inclusive of biopsychosocial, functional, cultural, spiritual, and...

BSMBSZUSR269330EXTERNALENUS Bon Secours     About Us   As a faith-based and patient-focused organization, Bon Secours exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Bon Secours seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive.     Memorial Regional Medical Center is offering a $10,000 Sign on Bonus for this Case Manager role if eligible.   The RN Care Manager is responsible for providing coordination of care for patients to support safe, seamless, timely transitions across the continuum. This role utilizes a collaborative process, the RN Care Manager identifies (using quantitative and qualitative...