- SUNSHINE ENTERPRISE USA LLC (Orange, CA)
- Job Description Grievance & Appeals Nurse Specialist At Sunshine Enterprise USA, we're not just a company; we're a community of dedicated professionals committed ... explore our current job opportunities below. Job Title: Grievance & Appeals Nurse Specialist Department(s): Grievance and Appeals Resolution Services (GARS)… more
- Hebrew SeniorLife (Boston, MA)
- …health and wellness, identify areas of need/risk and provide intensive, individualized case management and support as needed and desired by the resident. The ... Nurse Care Manager is a key member of the...triage resident issues, provide a wide variety of case management tasks including coordinating care for residents returning home… more
- Fenway Health (Boston, MA)
- Job Type Part-time Description As a Registered Nurse (RN) at Fenway Health you will provide compassionate, evidence-based, and efficient care to individuals, ... families, communities, and patient populations. The Registered Nurse 's care delivery is consistent with the Massachusetts Board of Registration in Nursing, the ANA… more
- UHS (Palmdale, CA)
- …Healthcare is seeking a Full-Time Remote RN Clinical Documentation Integrity Specialist . Duties include but not limited to: Providing clinically based concurrent ... and retrospective review of inpatient medical records to evaluate the utilization and documentation of acute care services.Responsible for improving the overall… more
- Carilion Clinic (Roanoke, VA)
- …leadership and assumes accountability for appropriate patient placement and resource utilization through collaboration with Carilion Management , Clinical Staff, ... throughput by ensuring proper patient placement through collaboration with Carilion's management and patient care teams. Ensures and facilitates communication to… more
- Conifer Health Solutions (Federal Way, WA)
- …including attending physicians, allied health practitioners, nursing, and case management . ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may ... to enable individuals with disabilities to perform the essential functions. CDI Specialist must display teamwork and commitment while performing daily duties Must… more
- Strategic Staffing Solutions (Detroit, MI)
- …Must have Medicare Advantage experience working for a health insurance provider. Utilization Management experience is a plus. Engagement Description: We are ... for one of our largest clients in Detroit, MI! Job Title: Registered Nurse -Medical Policy Specialist Duration: 6 months W2 contract engagement, no C2C.… more
- NYC Health Hospitals (New York, NY)
- …4.Foreign Medical Graduate; and, two (2) years of medical records review or utilization and case management experience; or 5.Successful completion of education ... and current registration to practice as a Registered Professional Nurse (RN) issued by the New York State Education Department...State license and current registration to practice as a Nurse Practitioner (NP) issuedby the NYSED; and two (2)… more
- Northwell Health (Manhasset, NY)
- …transplant team and provide pharmacy recommendations Education and development of nurse , physician and pharmacy staff development pertaining to transplant and ... and research. Develops and monitors the hospital's policies/procedures regarding utilization of medications in collaboration with the medical staff, Pharmacy,… more
- 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. ... following established standards and practices in accordance with the South Carolina Nurse Practice Act. Applies professional nursing theory and practice to assess,… more
- Georgia Department of Community Health (Atlanta, GA)
- …of clinical and treatment facilities, regulated entity operations and program management . Conducts utilization reviews, peer reviews, evaluation activities and ... DCH is currently seeking qualified applicants for the position of Compliance Specialist 2, Long-term Care Unit with Healthcare Facility Regulation Division. This… more
- 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. ... following established standards and practices in accordance with the South Carolina Nurse Practice Act. Applies professional nursing theory and practice to assess,… more
- CAMC Health System (Weston, WV)
- Job Summary Under the direction of the Nurse Director, the Nurse Manager is responsible for the direction and coordination of all functions in the unit to ... team to ensure consistency in provision of services, resource management 24hrs/day, service excellence to include all ICARE Values,...nursing staff to meet the needs of onboarding nurses, nurse graduates, and experienced nurses in a variety of… more
- Gentell (Louisville, KY)
- …for our customers and for our employees. We are looking for a licensed nurse , physical therapist, occupational therapist or LPN. The ideal candidate will live within ... hotel stays. Travel arrangements are made and paid for through our travel management system, with reimbursement of incidental expenses. We are committed to the… more
- CAMC Health System (Morgantown, WV)
- Job Summary Under the direction of the Nurse Director, the CNC is responsible for the direction and coordination of all functions in the unit during his/her shift to ... include ongoing assessment of the quality of patient care provided. The Clinical Nurse Coordinator is the resource for the staff assisting with educational needs as… more
- Pair Team (Oakland, CA)
- …Plan Supports nurse care manager, behavioral health care manager, nurse practitioner and Community Engagement Specialist with delegated tasks Collaborates ... You'll Do Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and...on care issues with Enhanced Care Management team by participating in systematic case reviews and… more
- MAXhealth (Sarasota, FL)
- … Specialist . 1 year experience as a Referral Coordinator Responsibilities Utilization management activities to include coordinate timely approval of ... referrals, coordinate efficiency of referral department, collects medical information in order to determine appropriate use of services. Monitoring quality of care that correlates with patients benefit plan and appropriate contracted providers. Assists in… more
- Small Door Veterinary (Washington, DC)
- …in invoicing Manage and optimize the appointment schedule, including surgery and specialist bookings, with an eye towards maximizing utilization of our ... status - meaning we abide by strict standards! What you'll do People Management and Leadership Manage, develop, and lead a high-performing team in providing… more
- GRIFOLS, SA (Kansas City, KS)
- …institutions aligned with customer segmentation and enhance formulary and dosing protocols. * Utilization of Managed Markets, Marketing, Ig Nurse Educators, MSL, ... resources to fulfill customer needs and impact pull-through (eg, MSL, IG Nurse Educator, reimbursement specialist ) *Gather and provide customer insights to… more
- Success Education Colleges (Glendale, CA)
- …of ownership and demonstration of reasonability and accountability. Collaborates with Educational Nurse Specialist and others on content and operational design ... nursing in the designated nursing area; or One (1) academic year of register nurse level clinical teaching experience in the designated nursing are or its equivalent… more
