- Evolent (Carson City, NV)
- …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
- Centene Corporation (Carson City, NV)
- …be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies… more
- Cognizant (Carson City, NV)
- …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 (Reno, NV)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- Gentiva (Carson City, NV)
- …(LCD) criteria per hospice policy and regulatory requirements. + Communicate clinical findings, review treatment plans, lab results, diagnostics, and ... Partnerships. Transform Hospice Care.** We are seeking a dedicated Hospice Nurse Practitioner to perform Face-to-Face (F2F) encounters essential for hospice… more
- Dialysis Clinic, Inc. (Carson City, NV)
- …experience; experience preferred **Benefits:** + Paid training with preceptor + Charge nurse continuing education classes + Comprehensive medical , dental and ... and document orders + Participate in patient care conferences, medical rounds and chart review ; document progress...as directed and supervised by the education coordinator, the clinical supervisor and/or the nurse manager +… more
- Nevada County (Truckee, CA)
- …Public Health Nurse I? In order to accurately respond, please review the Public Health Nurse I job description located at: ... Public Health Nurse II - UP TO $4,000 NEW HIRE... to be an integral part of our Truckee Clinical Services Team. Duties will include: + Screening adolescent… more
- CVS Health (Carson City, NV)
- …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
- CVS Health (Carson City, NV)
- …criteria to evaluate outpatient and inpatient services requiring precertification and concurrent review . + Conduct clinical reviews via phone and electronic ... Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care… more
- Prime Healthcare (Reno, NV)
- …institution in a Health and Human Services field is highly preferred. 2. Utilization Review experience is highly preferred. 3. Clinical experience in acute care ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/226984/ medical - review -coordinator--utilization-managment/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306)… more
- Cardinal Health (Carson City, NV)
- …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 (Carson City, NV)
- **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
- Molina Healthcare (Reno, NV)
- …compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence based clinical ... within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information from members or providers in… more
- Molina Healthcare (Reno, NV)
- … medical officer. * Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the denial ... practice patterns and recommends corrective actions as needed. * Fosters clinical practice guideline implementation and evidence-based medical practices. *… more
- Veterans Affairs, Veterans Health Administration (Reno, NV)
- … Service, incumbent will serve as the first line supervisor for a portion of clinical Medical Service employees which includes but is not limited to: medical ... compassionate, high-quality healthcare to all patients, functioning as a member of the Medical Service team providing clinical care to the patients at VASNHCS.… more
- IQVIA (Reno, NV)
- …and dedicated Mobile Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) to deliver in-home clinical services to patients initiating therapy ... **Position Title:** Mobile Nurse (LPN/LVN) - Per Diem, In-Home Services **Location:**...diem role involves traveling to patient residences to perform clinical services such as, but not limited to, phlebotomy,… more
- Veterans Affairs, Veterans Health Administration (Reno, NV)
- …Care are responsible for outpatient and inpatient care, graduate and undergraduate medical education and scientific research as appropriate. Clinical care: ... the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible...primary care provider for a panel of Veterans for medical evaluation and treatment and by request from other… more
- Reno Orthopedic Center (Reno, NV)
- …ambulatory surgery center (ASC), and collaborate closely with physicians, leadership and clinical staff to ensure the smooth operation of a large section of ... 67 years, Reno Orthopedic Center has driven innovation and medical advancement in our community and beyond, and we...initiatives and goals, with the support from your ASC Nurse Manager and 5 position specific supervisors. Responsibilities +… more