- Merck & Co. (Reno, NV)
- …drug distribution (Oncology group purchasing organizations, wholesalers, and specialty pharmacies). Review and evaluate patterns for products purchased and prescribed ... the in-scope customer team: Customer Team Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more.… more
- Evolent (Carson City, NV)
- …scheduled. + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks… more
- Fresenius Medical Center (Reno, NV)
- …require approval from Clinical Services and Education Note: If a student nurse has completed an approved PCT certification program, please refer to PCT Student ... for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies, procedures, and training...policies and procedures. Based on the length of the clinical placement, the student nurses may perform all or… more
- Gentiva (Carson City, NV)
- …(LCD) criteria per hospice policy and regulatory requirements. + Communicate clinical findings, review treatment plans, lab results, diagnostics, and ... Partnerships. Transform Hospice Care.** We are seeking a dedicated Hospice Nurse Practitioner to perform Face-to-Face (F2F) encounters essential for hospice… more
- Dialysis Clinic, Inc. (Carson City, NV)
- …experience; experience preferred **Benefits:** + Paid training with preceptor + Charge nurse continuing education classes + Comprehensive medical , dental and ... and document orders + Participate in patient care conferences, medical rounds and chart review ; document progress...as directed and supervised by the education coordinator, the clinical supervisor and/or the nurse manager +… more
- Nevada County (Truckee, CA)
- …Public Health Nurse I? In order to accurately respond, please review the Public Health Nurse I job description located at: ... Public Health Nurse II - UP TO $4,000 NEW HIRE... to be an integral part of our Truckee Clinical Services Team. Duties will include: + Screening adolescent… more
- CVS Health (Carson City, NV)
- …benefit overall claim management. + Using a holistic approach, consults with clinical colleagues, supervisors, Medical Directors and/or other programs to ... in the US with virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993,… more
- Datavant (Carson City, NV)
- …years of CDI experience + 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS or ... realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role… more
- Fujifilm (Carson City, NV)
- **Position Overview** The Clinical Consultant, MI - I shall be responsible for providing clinical consulting for the project, report configuration (CV), workflow ... go-live support to Synapse PACS/MI projects. In addition, provide clinical support for sales and company team members with...HCUS team to gain customer acceptance of the FUJIFILM Medical Systems solution. + Participates in teaching and training… more
- Cardinal Health (Carson City, NV)
- …to ensure a positive and satisfactory experience for all customers. The Supervisor, Clinical Operations monitors nurse to patient contact quality and provides ... manufacturers to rethink the reach and impact of their products. The Supervisor, Clinical Operations provides management and clinical oversight to a team of… more
- Oracle (Carson City, NV)
- …+ Excellent communication, stakeholder engagement, and leadership skills. **Preferred Qualifications:** + Clinical experience as a nurse or physician with a deep ... **Job Description** The Clinical Note AI Agent Product Management Leader will...Gather and analyze information to define product specifications and review design specifications. Envision and communicate product strategy and… more
- Highmark Health (Carson City, NV)
- …over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of the assigned member panel and ... utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent conducts… more
- Molina Healthcare (Reno, NV)
- JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members...requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent… more
- Molina Healthcare (Reno, NV)
- Nevada residents preferred.** JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying ... that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes… more
- CenterWell (Carson City, NV)
- …will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review ... Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience,...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- County of El Dorado (Placerville, CA)
- …closely related field; AND Two (2) years of experience working as a Registered Nurse , Emergency Medical Technician, or Paramedic in an emergency services / 9-1-1 ... part-time work, how much experience do you have working as a Registered Nurse , Emergency Medical Technician, or Paramedic in an emergency services/9-1-1 setting?… more
- Molina Healthcare (Reno, NV)
- … medical officer. * Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the denial ... practice patterns and recommends corrective actions as needed. * Fosters clinical practice guideline implementation and evidence-based medical practices. *… more
- Veterans Affairs, Veterans Health Administration (Reno, NV)
- …must be at a level comparable to MSA experience [or equivalent administrative clinical support role in a non-VA medical inpatient or outpatient setting] ... range of medical clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social… more
- County of El Dorado (Placerville, CA)
- …a Licensed Clinical Social Worker, Marriage and Family Therapist, Registered Nurse , Licensed Clinical Psychologist, or Psychiatrist in the State of ... Marriage and Family Therapist, Licensed Professional Clinical Counselor, Licensed Clinical Psychologist, Psychiatrist or Registered Nurse in the State of… more
- Veterans Affairs, Veterans Health Administration (Reno, NV)
- … Service, incumbent will serve as the first line supervisor for a portion of clinical Medical Service employees which includes but is not limited to: medical ... compassionate, high-quality healthcare to all patients, functioning as a member of the Medical Service team providing clinical care to the patients at VASNHCS.… more
