• St. Luke's University Health Network (Allentown, PA)
    …patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all ... audit/appeal activity documents including Excel spreadsheets, EPIC Payor Audit Management tool, Word Documents, Outlook email/calendar, and other workflow… more
    Upward (07/13/25)
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  • Baptist Health (Alabaster, AL)
    …effective use of hospital resources. Assists with planning an individual comprehensive case management plan addressing patient/family needs and transition to the ... to develop and implement strategies for process improvements related to case management activities. Maintains positive relationships with peers, collaborative… more
    Upward (07/23/25)
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  • Baltimore County, MD (Towson, MD)
    …emergency care to patients. Provides and assists in the provision of patient case management and monitoring. Assess and monitors patients' physical and mental ... Substance Abuse Experience working with homeless/shelter residents Mental Health HIV Case Management Chronic Diseases Behavioral Health Communicable Disease… more
    Upward (07/03/25)
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  • Roper St Francis Healthcare (Summerville, SC)
    …(KPIs) and other outcome metrics relevant to unit/patient population. Assists Clinical Specialist with updating unit visual management boards each shift. ... Minimum Qualifications: Education: Graduate of an accredited school or college of nursing. BSN required for Primary Charge Nurse I. Experience: At least 2 years'… more
    Upward (07/28/25)
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  • Sarasota Memorial Health Care System (Sarasota, FL)
    …Nurse, Lead Pediatric Nurse, Pediatric Hospitalist, Pediatric Intervention RN and Child Life Specialist on our unit, we also have a Pediatric Clinical Pharmacist and ... Case Manager that work solely within our Women and...are not limited to: Infectious Diseases Wound Care Medical Management Pleasantly Confused Patients Pre/ Post Surgical or Procedural… more
    Upward (07/18/25)
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  • Associated Urological Specialist (Chicago Ridge, IL)
    …Research Coordinator, RN's are primarily responsible for study coordination and data management , with a central focus on managing subject recruitment and enrollment, ... consistency of study implementation, data management and integrity, and compliance with regulatory requirements and reporting. Requirements ESSENTIAL JOB… more
    Upward (07/02/25)
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  • Roper St Francis Healthcare (Charleston, SC)
    …(KPIs) and other outcome metrics relevant to unit/patient population. Assists Clinical Specialist with updating unit visual management boards each shift. ... Minimum Qualifications: Education: Graduate of an accredited school or college of nursing. BSN required for Primary Charge Nurse I. Experience: At least 2 years… more
    Upward (07/05/25)
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  • Case Mgmt Specialist

    Parkview Health (Fort Wayne, IN)
    …Licensure/Certification: Valid Indiana Registered Nurse license required. Certification in Case Management highly desirable. Experience: Required at least ... 2 years of experience in acute care setting. Preferred experience in Case Management activities. Preferred experience or knowledge of InterQual criteria. Other… more
    Parkview Health (06/20/25)
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  • Case Mgmt /UR Specialist -PBH

    Parkview Health (Fort Wayne, IN)
    …3 months of employment. Experience Two years of psychiatric nursing. Case management , quality assurance experience preferred. Other Qualifications Application ... group. Participates in quality improvement and evaluation processes related to the management of care. Provides mentoring with staff in understanding and working in… more
    Parkview Health (06/20/25)
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  • Registered Nurse-Nurse Training Specialist

    Veterans Affairs, Veterans Health Administration (Louisville, KY)
    …Kentucky is currently recruiting for a Registered Nurse-Nurse Training Specialist Louisville, Kentucky 603. Responsibilities The Registered Nurse (RN) Training ... Specialist executes position responsibilities that demonstrate leadership, experience, and...responsibilities that demonstrate leadership, experience, and creative approaches to management of complex patient care. The Nurse Ill registered… more
    Veterans Affairs, Veterans Health Administration (07/22/25)
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  • Registered Nurse - Education Specialist

    Veterans Affairs, Veterans Health Administration (Ann Arbor, MI)
    …training and development with associated application processes and control point management . The RN Education Specialist demonstrates strong interpersonal and ... Full-Time Registered Nurse - Nurse Educator Responsibilities The RN Education Specialist is accountable for directing, coordinating and participating in the delivery… more
    Veterans Affairs, Veterans Health Administration (07/22/25)
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  • System Utilization Management SUM…

    Alameda Health System (Oakland, CA)
    …in nursing Required Experience: Minimum three (3) years of experience in Utilization Management or Case Management AND proficiency in applying InterQual ... System Utilization Management SUM Specialist + Oakland, CA...conferences, local training, Compass Modules). **MINIMUM QUALIFICATIONS:** Required Education: BSN from an accredited school of nursing Preferred Education:… more
    Alameda Health System (07/19/25)
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  • Patient Safety Specialist (Per Diem)

    Billings Clinic (Billings, MT)
    …(https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Patient Safety Specialist (Per Diem) PATIENT SAFETY (Billings ... 0.01 = per diem (as needed) (Non-Exempt) Starting Wage DOE Patient Safety Specialist is a position within the Patient Safety Department and Transformation Division… more
    Billings Clinic (07/15/25)
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  • Clinical Document Specialist III

    AdventHealth (Orlando, FL)
    …each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth Orlando **Schedule:** Full-time **Shift:** ... medical/surgical, Intensive Care, post-acute care unit, or Emergency Department experience. + BSN and three years of Clinical Documentation Specialist experience… more
    AdventHealth (07/28/25)
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  • Clinical Documentation Specialist II

    AdventHealth (Apopka, FL)
    …for each position may vary based on geographical location. **Category:** Case Management **Organization:** AdventHealth Apopka **Schedule:** Full-time **Shift:** ... of BSN and 3 years of experience + CDS (Certified Clinical Documentation Specialist ) certification, in lieu of BSN and 3 years of experience This facility… more
    AdventHealth (07/26/25)
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  • Clinical Research Monitoring and Auditing…

    University of Pennsylvania (Philadelphia, PA)
    …and much more. Posted Job Title Clinical Research Monitoring and Auditing Specialist (Abramson Cancer Center) Job Profile Title Clinical Research Quality ... Specialist C Job Description Summary The Abramson Cancer Center...conduct of clinical research. + Ensure data entered into case report form is accurate, complete and verifiable. +… more
    University of Pennsylvania (05/04/25)
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  • Patient Safety Specialist , RN -Peer Rev…

    Cedars-Sinai (CA)
    …patient care we strive for. **About the Team** **:** The Patient Safety Specialist is a highly motivated, reliable, clinical expert on internal and external patient ... identify potential or actual risk of harm to patients. The Patient Safety Specialist identifies and addresses the need for system opportunities in clinical practice,… more
    Cedars-Sinai (06/19/25)
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  • Clinical Authorization Specialist

    Dana-Farber Cancer Institute (Brookline, MA)
    …**Minimum Experience:** + 1 year of clinical and/or related experience required. Case Management , Utilization Review and/or Prior Authorization experience is ... Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals… more
    Dana-Farber Cancer Institute (07/01/25)
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  • Clinical Documentation Integrity Specialist

    AdventHealth (Altamonte Springs, FL)
    …with physicians, nursing and HIM coders, the Clinical Documentation Specialist (CDS) strategically facilitates and obtainsappropriate and quality physician ... guidelines, including physicians, allied health practitioners, nursing, and care management . The CDS adheres to strict departmental and organizational goals,… more
    AdventHealth (06/11/25)
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  • RN - Registered Nurse - Senior Clinical…

    Geisinger (Danville, PA)
    …of care of the patient. The role of the Clinical Documentation Improvement Specialist (CDIS) is to assist the providers with accurately identifying and documenting ... and other clinical professional on documentation relevant to the Revenue Management processes and Discharge Not Final Billed reduction. Provides daily interactions… more
    Geisinger (06/19/25)
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