- Optum (San Juan, PR)
- …production environment. Primary Responsibilities: Clinical Case Reviews -75% Perform clinical review of professional (or facility) claims vs. medical records ... outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best....are defined by the department Provide clear and concise clinical logic to the providers when necessary Examine, assess,… more
- AmeriHealth Caritas Health Plan (Washington, DC)
- …to facilitate timely authorizations and optimize patient care Analyze medical records and clinical data to ensure compliance with regulatory and payer guidelines ... Role Overview Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates...cases are escalated to the Medical Director for further review . The reviewer independently applies medical and… more
- University of Maryland Medical System (Baltimore, MD)
- … for a professional journal (minimum of 2/year, submit signed "Peer Reviewer Validation Form")Demonstrated ability to assume a clinical leadership role. ... state, we are dedicated to saving and transforming lives. Job Description Senior Clinical Nurse I Ortho Service Line Coordinator Must have OR experience Full-Time -… more
- Pennsylvania Medicine (Philadelphia, PA)
- …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... future each day. Are you living your life's work? Entity: CPUP ( Clinical Practices of the University of Pennsylvania) Department: Pulmonology Location: Penn Medicine… more
- Highmark Health (Pittsburgh, PA)
- …of the outcome. Provides peers with both verbal and written feedback regarding clinical practice and role performance. Shares knowledge and skills with peers and ... and adaptability are key. Collaborates with an interdisciplinary team to evaluate clinical care or health services. Promotes patient safety initiatives (ex: National… more
- Southern Ohio Medical Center (Portsmouth, OH)
- …log into UKG Pro to use the internal application process. Department: Surgical Associates Shift/Schedule: Full Time (40 hrs/wk) GENERAL SUMMARY Works under the ... is to provide assistance to the provider with patient exams. Collects data on patient vitals, documents patient medical history and current complaints,… more
- Mount Sinai Hospital (New York, NY)
- …Professional Nurse with broad knowledge and skills who assumes the role of a clinical leader in the daily functioning of the unit and oversight of quality patient ... and role models expected behaviors. 3. Ensures the integration of PHR into clinical activities to enhance Relationship Centered Care. 4. Assists in the validation of… more
- HCA Healthcare (Fort Worth, TX)
- …field, surgical room turnover between cases, collection and recording of pertinent clinical data in the medical record and consistent collaboration with the ... Registered Nurse in clinical decision making. What you will do in this...personal growth, we encourage you to apply for our Surgical Tech Cert PRN opening. We review … more
- Henry Ford Health System (Troy, MI)
- …Financial Consultant will support the operational finance activities of System Clinical Departments (Pharmacy, Pathology, Radiology, Emergency Medicine, Surgical ... financial projects, involving coordination of multiple participants and/or teams. Research and review of financial data in preparation for presentation of… more
- Methodist Healthcare (Boerne, TX)
- …field, surgical room turnover between cases, collection and recording of pertinent clinical data in the medical record and consistent collaboration with the ... Registered Nurse in clinical decision making. What you will do in this...growth, we encourage you to apply for our Certified Surgical Technician opening. We promptly review all… more
- Pennsylvania Medicine (Lancaster, PA)
- …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... the American Nurses Association standards of nursing practice. The Clinical Nurse 2 Colleague is an RN that practices...on recognized trends and changes. Collects and manages comprehensive data pertinent to the patient's health or the situation.… more
- WVU Medicine (Uniontown, PA)
- …of the nursing process. The incumbent accepts accountability, applies competent clinical knowledge skills, and uses independent nursing judgment for care provided ... The incumbent also must possess the ability to assess and interpret patient data needed to identify each patient's requirements relative to his or her age-specific… more
- Cleveland Clinic (Cleveland, OH)
- …practices, guidelines, and research. May conduct research studies. May assists in data collection and analysis. May serve as clinical preceptor for ... Power of Every One. Job Title Nurse Practitioner or Physician Assistant- Surgical House "Purple Service" Fairview Hospital II (Straight NIGHTS) Location Cleveland… more
- Becker Health (Bangor, ME)
- …IntraOperative Services, has the responsibility for the business operations for Surgical and Perioperative Services. The Business Manager collaborates with ... Surgical and Perioperative Leadership to develop strategies to manage...relationships with surgeons and organizational leadership to promote effective clinical and operational outcomes; functions as the primary liaison… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …support the Surgery Center's strategic plans. Coordinate the budgeting process with clinical leadership. Review and evaluate operations to ensure efficiencies ... in a busy ambulatory surgery environment; solid understanding of the various surgical specialties and technical/ clinical issues surrounding a surgical … more
- Immigration and Customs Enforcement (Tacoma, WA)
- …(ERO), ICE Health Service Corps (IHSC), Office of Deputy Assistant Director of Clinical Services (DAD-CSU). This is a supervisory position. This position is only ... analyzing, advising, consulting, and reporting on nursing, theoretical, and factual data , conditions, and problems, as evidenced by demonstrating strong oral/written… more
- AHMC Healthcare (Anaheim, CA)
- …the critical care service line, interventional cardiologists, the cardiothoracic surgical team, electrophysiologists, advanced practitioners, and clinical staff. ... expertise in cardiovascular diseases and treatment modalities, including invasive and surgical interventions (TAVR, CABG). The RN Cardiovascular Clinical … more
- Northern Light Health (Bangor, ME)
- Northern Light Eastern Maine Medical Center Bangor, ME Department: Medical Surgical Unit - G5 Position is located: Northern Light Eastern Maine Medical Center Work ... knowledge and skills in location, operation, and care of equipment. Clinical Assessments Performs and documents systematic assessments according to established… more
- OrthoAlliance (Cincinnati, OH)
- …patients, families, co- workers, supervisor and other employees. Ability to correlate clinical data with patient's medical and nursing care. Displays positive ... SURGICAL TECHNICAN - PRN EVENDALE LOCATION Our ...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department… more
- International SOS Government Medical Services (Warwick, RI)
- …prevention, offering real-time, actionable insights and on-the-ground quality delivery. We provide clinical services to include "hands on" direct care at over 800 ... sites around the world, many of which include inpatient clinical care capabilities. With 12,000 staff (including 5,200 medical and behavioral health providers) our… more
