- 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
- Cognizant (Little Rock, AR)
- …necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with Medicare, Medicaid, and ... as well as timely filing deadlines and processes. . Review clinical denials including but not limited...thinking skills to interpret guidelines of internal policies for clinical determination. . Medical Necessity Reviews can… 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 (Little Rock, AR)
- …determined by VHA Education Loan Repayment Services program office after review of EDRP application. Former EDRP participants ineligible to apply. Responsibilities ... Arkansas Veterans Healthcare System (CAVHS) Primary Care Advanced Practice Registered Nurse {APRN) is responsible for promoting quality nursing care for Veterans… more
- CVS Health (Little Rock, AR)
- …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
- 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
- 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
- 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 The Medical Support Assistant (Advanced)'s work impacts the administrative...develops ways to resolve problems with the administrative and clinical staff on access, customer service, patient flow, revenue.… 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)
- …Care Plans Coordinates and arranges for health care service delivery under the direction of nurse or medical director in the most appropriate setting at the most ... Care Management Associate you will be supporting comprehensive coordination of medical services including Care Team intake, screening and supporting the… more