• Garden Place Healthcare (Attleboro, MA)
    …and benefit period through regular communications with Clinical Reimbursement Specialist , Business Office and external Case Managers. *Ensures that additional ... accordance with CMS Correction Policy and collaboration with Clinical Reimbursement Specialist . *Conducts regular audit of MDS process including validation of coding… more
    Upward (07/21/25)
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  • Registered Nurse - Payment Integrity…

    LA Care Health Plan (Los Angeles, CA)
    Registered Nurse - Payment Integrity Nurse Coder RN III Job Category: Clinical Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position ... of Microsoft Office suite, including Word, Excel and PowerPoint. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted… more
    LA Care Health Plan (07/06/25)
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  • Quality Assurance Performance Improvement…

    Hartford HealthCare (Mansfield Center, CT)
    …**Organization:** **Hartford HealthCare at Home* **Title:** *Quality Assurance Performance Improvement Coordinator ( RN , Registered Nurse , QA, PI) - HomeCare ... of our patients; we take great care of our Registered Nurses too! Our benefit options at Hartford HealthCare...lead development of Performance Improvement Plans. The QAPI Specialist has a variety of responsibilities including development of… more
    Hartford HealthCare (05/09/25)
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  • Diabetes Care- Registered Nurse

    Ochsner Health (New Orleans, LA)
    …Contents are subject to change at the company's discretion. **Education** Required - Registered nurse diploma or bachelor's degree in related field Preferred - ... has never changed - our commitment to serve, heal, lead , educate,** **and innovate. We believe** **that every award...Preferred - Certification as a Diabetes Care and Education Specialist (CDCES) by the Certification Board for Diabetes Care… more
    Ochsner Health (06/12/25)
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  • Manager, Utilization Management

    Commonwealth Care Alliance (Boston, MA)
    … Management is responsible for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for ... 013650 CCA-Auth & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA)...compliance with CMS, NCQA and state Medicaid requirements. * Lead preparation for internal and external audits (eg CMS… more
    Commonwealth Care Alliance (05/21/25)
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  • CDI Specialist Lead

    Community Health Systems (Fort Wayne, IN)
    …professionalism, collaboration, and leadership in interdisciplinary environments **Licenses and Certifications** + RN - Registered Nurse - State Licensure ... **Job Summary** The Clinical Documentation Improvement (CDI) Specialist Lead provides advanced support for...or trainer designation required or + Certified Clinical Documentation Specialist (CCDS) required + RHIA - Registered more
    Community Health Systems (07/12/25)
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  • Ops-UM Training Specialist

    Integra Partners (Troy, MI)
    …to design individual training plans to help improve employee performance EDUCATION: + Registered Nurse ( RN ) certification from an accredited nursing program ... Integra Partners is seeking an experienced nurse educator to join our Operations Training &...Training & Development team as an Operations UM Training Specialist , specializing in Utilization Management (UM) processes.… more
    Integra Partners (06/03/25)
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  • Nursing Practice Specialist - Toledo…

    ProMedica Health System (Toledo, OH)
    …(NPD) specialist . License: Must hold current license in good standing as a Registered Nurse in the state of Ohio and/or State of Michigan. Must be ... care that we provide our communities. The Nursing Practice Specialist focuses on the lifelong learning needs of the...able to obtain and maintain Registered Nurse licensure in both Ohio and… more
    ProMedica Health System (06/18/25)
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  • Clinical Nurse Specialist , Neuro…

    Rush University Medical Center (Chicago, IL)
    …vary depending on the circumstances of each case. **Summary:** The Clinical Specialist RN is an advanced practice nurse with knowledge in a specialized area ... an integrated role of practice, education, administration and research. The Clinical Nurse Specialist exemplifies the Rush mission, vision, and values and… more
    Rush University Medical Center (06/26/25)
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  • Lead Case Manager, RN - Inpatient…

    Cedars-Sinai (Beverly Hills, CA)
    …acute inpatient or outpatient settings preferred **Req ID** : 11236 **Working Title** : Lead Case Manager, RN - Inpatient Specialty Programs **Department** : MNS ... Little More About What You Will be Doing** The Lead Case Manager will assist in the daily operations...with health plans (including concurrent review, which assists the hospitalist/ specialist and case manager to determine the appropriateness of… more
    Cedars-Sinai (07/20/25)
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  • SQPE Specialist I

    Cleveland Clinic (Warrensville Heights, OH)
    …the ideal future caregiver include: + Master's Degree + Current licensure as a Registered Nurse ( RN ) + Certified Professional in Healthcare Quality (CPHQ) ... leader in patient safety. As a Safety Quality and Patient Experience (SQPE) Specialist , you will direct our safety, quality and patient experience work. In this… more
    Cleveland Clinic (06/25/25)
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  • Clinical Pharmacist Specialist BMT

    HCA Healthcare (Dallas, TX)
    **Description** **Clinical Pharmacist Specialist BMT** **Full Time Day Shift Position, rotating weekends** **BMT Experience Required** **_Qualified, New Candidates ... of each individual is recognized. Submit your application for our Clinical Pharmacist Specialist BMT opening with Medical City Dallas today and find out what it… more
    HCA Healthcare (07/14/25)
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  • Lead Advanced Practice Provider…

    Stanford Health Care (Palo Alto, CA)
    …their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), ... are committed to shaping the future of medicine. Position: Lead Advanced Practice Provider (APP) We are seeking an...practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified Registered more
    Stanford Health Care (06/04/25)
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  • Nursing Informatics Specialist

    Ochsner Health (New Orleans, LA)
    …audience (including providers). **Certifications** Required - Current State of Louisiana Registered Nurse License **Knowledge Skills and Abilities (KSAs)** + ... 1942, but one thing has never changed - our commitment to serve, heal, lead , educate,** **and innovate. We believe** **that every award earned, every record broken… more
    Ochsner Health (07/11/25)
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  • Certified Strength Conditioning Specialist

    HCA Healthcare (Richmond, VA)
    …individual is recognized. Submit your application for our Certified Strength Conditioning Specialist opening with Chippenham Hospital today and find out what it ... for benefits may vary by location._** We are seeking a(an) Certified Strength Conditioning Specialist for our team to ensure that we continue to provide all patients… more
    HCA Healthcare (06/21/25)
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  • Clinical Documentation Specialist II

    Trinity Health (Grand Rapids, MI)
    …**Shift:** Day Shift **Description:** **Job Title:** Clinical Documentation Specialist **Location:** Remote **Job Type:** Full-Time **Department:** Health ... Summary** We are seeking a highly skilled and detail-oriented **Clinical Documentation Specialist ** to join our team. This role leverages advanced clinical and/or… more
    Trinity Health (07/22/25)
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  • Clinical Implementation Specialist I

    ZOLL Medical Corporation (Chelmsford, MA)
    …to be a part of ZOLL!Job TypeRemoteJob SummaryThe Clinical Implementation Specialist (CIS) will coordinate post-sale customer education and training initiatives, and ... builds deep, long lasting customer relationships to encourage ongoing utilization of ZOLL hospital products and achievement of desired...Experience + Bachelor's Degree BA or BS preferred + RN , Paramedic, or RT with 5+ years of experience… more
    ZOLL Medical Corporation (07/10/25)
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  • Sepsis Coordinator - RN

    Trinity Health (Pontiac, MI)
    …(ICU) setting. Lean Six Sigma training preferred. + Experience as a Clinical Nurse Specialist preferred. + Experience with current sepsis guidelines preferred. ... sepsis to ensure patients receive appropriate care. + Evaluates and analyzes utilization of treatment protocols for patients experiencing sepsis at SJMO to reduce… more
    Trinity Health (06/04/25)
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  • CAR-T Field Operations Lead - South Central

    IQVIA (Dallas, TX)
    …operations and logistics, providing counsel on topics ranging from CARVKTI(R) technology utilization to process optimization. + ** Lead Issue Resolution Process** ... Inc. is recruiting for a CAR-T Cell Therapy Experience Lead (CTEL) based in the **Central, Mountain or Pacific...therapy Treatment Center/Site of Care Certification and Activation + RN license or Advanced Practice degree ( Nurse more
    IQVIA (07/17/25)
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  • CT Surgery Operating Room and Clinic APP…

    Stanford Health Care (Palo Alto, CA)
    …their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), ... you will do** + The essential functions of a Lead Advanced Practice Professional fall in three categories: Clinical...practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified Registered more
    Stanford Health Care (07/17/25)
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