- Evolent (Little Rock, AR)
- …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
- Centene Corporation (Little Rock, AR)
- …be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... Friday, 8am - 5pm with a couple holidays per year. Previous concurrent review experience using InterQual is preferred. The position requires a Kansas nursing license… more
- Humana (Little Rock, AR)
- …Manager, Fraud and Waste Investigator: Nurse Audit/ Review performs clinical audit/validation processes to ensure that medical record documentation and ... approach, resources, schedules and goals. The Manager, Fraud and Waste Investigator: Nurse Audit/ Review validates and interprets medical documentation to… more
- Fresenius Medical Center (Little Rock, AR)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine...activities. + Enters all treatment data into the designated clinical application in an accurate and timely manner. +… more
- Veterans Affairs, Veterans Health Administration (North Little Rock, AR)
- …of more complex practices or procedures may be subject to closer higher-level review . GS-6, Licensed Practical Nurse Experience: Completion of at least one ... and record relevant] patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness… more
- Humana (Little Rock, AR)
- …needs and by providing guidance along the healthcare continuum. You will perform clinical case review on members during an inpatient hospital admission. You ... us put health first** The NICU Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates...+ Bilingual is a plus - preferably Spanish + Clinical claim review experience **Additional Information** +… more
- CVS Health (Little Rock, AR)
- …criteria to evaluate outpatient and inpatient services requiring precertification and concurrent review . + Conduct clinical reviews via phone and electronic ... Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care… more
- State of Arkansas (Perryville, AR)
- REGISTERED NURSE Date: Oct 30, 2025 Req ID: 53257 Location: Perryville, AR, US, 72126 Category: AR DEPARTMENT OF HEALTH Anticipated Starting Salary: 75,245.04 ... and Clinic Coordinator. One (1) year of Public Health clinical experience preferred. Administrative experience and supervisory experience preferred. Excellent… more
- Insight Global (Little Rock, AR)
- Job Description The Independently licensed Nurse Practitioner will work collaboratively with our chiropractors and medical staff to deliver high-quality patient ... plans, injury recovery, and wellness strategies. * Ensure compliance with all clinical , legal, and regulatory standards. Davis Series X-rays We are a company… more
- Highmark Health (Little Rock, AR)
- …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
- Gentiva (Little Rock, AR)
- …quality improvement activities + Collaborate with Area and Regional leadership, Clinical Managers, Executive Directors, Administrators, and Medical Directors + ... workplace Related Job Titles Hospice Executive, Home Health Executive, VP of Clinical Operations, Registered Nurse Leadership, Home Health RN, Hospice RN,… more
- Cardinal Health (Little Rock, AR)
- …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
- Fujifilm (Little Rock, AR)
- **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
- CVS Health (Little Rock, AR)
- …team (department Associate Managers, Manager, and other key stakeholders such as Medical Directors, account teams/ clinical liaisons, etc.) to ensure consistency ... (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible,...in non-compact states as needed. + 3+ years inpatient clinical experience as a Registered Nurse . +… more
- Intermountain Health (Little Rock, AR)
- …or registrations: Registered Medical Assistant (RMA) of AMT, National Certified Medical Assistant (NCMA), Certified Clinical Medical Assistant (CCMA) or ... that invests in your growth** -with many career paths to explore, like Medical Assistant Senior, Registered Nurse , Practice Manager, and more! + **Intermountain… more
- Veterans Affairs, Veterans Health Administration (Little Rock, AR)
- …range of medical clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social ... Summary This Medical Support Assistant (Advanced) position serves the Diagnostic...be scheduled within mandated clinic timeframes. c) Conducts daily review of active/pending/hold status of orders. Independently manages position… more
- Humana (Little Rock, AR)
- …our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... documentation and communication of medical services and/or benefit administration...of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills,… more
- CVS Health (Little Rock, AR)
- …and is knowledgeable in clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions ... it all with heart, each and every day. **Position Summary** Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit… more
- CVS Health (Little Rock, AR)
- …assessing the member's health status and care coordination needs, inpatient review , and discharge planning, developing, and implementing the case management plan, ... monitoring, and evaluating the plan and involving the Medical Director as indicated and closing the case as...discharge criteria. The Case Manager RN role requires a nurse that can exercise independent and sound judgment and… more