- 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 (Bryan, OH)
- …Experience Preferred recent experience in acute care setting. Preferred experience in Case Management activities. Preferred experience or knowledge of InterQual ... and outcomes of assigned patient populations. Coordinates, verifies, negotiates alternatives, and case manages the care of complex patients to facilitate safe, high… more
- STG International (Rockville, MD)
- STGi is currently seeking a Registered Nurse- Case Review Specialist . The position is remote and open to candidates nationwide. JOB SUMMARY: Provides direct ... FOH Business Operations team. Serves as a Registered Nurse Case Review Specialist for the case... review process to include ensuring exam scheduling, appropriate management and processing of all medical records, Quality Assurance… more
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- …responsibilities that demonstrate leadership, experience, and creative approaches to management of complex patient care. Assesses, plans, implements, and evaluates ... responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care. Works on identification and reduction… more
- Billings Clinic (Billings, MT)
- …(https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Patient Safety Specialist PATIENT SAFETY (Billings Clinic Main ... every two weeks (Exempt) Starting Wage DOE:$40.91 - $51.14 Patient Safety Specialist is a position within the Patient Safety Department and Transformation Division… more
- Katmai (Usaf Academy, CO)
- **SUMMARY:** Performs healthcare coordination and case management activities IAW Medical Treatment Facility (MTF) instructions. **ESSENTIAL DUTIES & ... Commission on Accreditation of Healthcare Organizations(JCAHO), Ambulatory Health Care (AAAHC) & Case Management Society of America (CMSA)). + Collaborates with… more
- ERP International (Anchorage, AK)
- …include, but are not limited to the following; * Participate in all phases of the Case Management Program (CMP) and ensure that the CMP meets established case ... telephonic CM * Develop and implement tools to support case management , such as those used for...of Disability Management Specialists Commission: Certified Disability Management Specialist (CDMS) o Association of Rehabilitation… more
- Access Dubuque (Dubuque, IA)
- … Case Manager** to join our team. This role is responsible for delivering comprehensive case management services across the continuum of care. The RN Case ... office and is also available remotely. **Key Responsibilities:** + Provide telephonic case management and utilization review for assigned consumers. + Develop,… more
- WestCare Foundation (Miami, FL)
- …offers a range of supportive services, such as mental health counseling, case management , risk reduction education, and referrals to additional healthcare ... person in or seeking recovery self directs his/her care while the Support Specialist provides expertise in supporting successful change. The Support Specialist … more
- 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 (Danville, PA)
- …driver for overall System Case Mix Index. Job Duties The RN CDI Specialist acts as a liaison between the clinical and coding functions. Provides education to the ... of care of the patient. The role of the Clinical Documentation Improvement Specialist (CDIS) is to assist the providers with accurately identifying and documenting… more
- University of Southern California (Arcadia, CA)
- …of three years' experience in clinical disciplines (RN, MD, FMG) or utilization review/ case management in an acute care facility, with clinical knowledge. + ... JOB REQUIREMENTS Education Minimum (Required) + Graduate from a program of nursing, BSN , Health Information Management RHIT, RHIA, or foreign medical doctorate… more
- UTMB Health (Galveston, TX)
- …positive and open communication with physicians, members of the patient care team, case management , and hospital coding staff. + Adhere to internal controls ... Clinical Documentation Specialist (Remote -Texas Resident) - Clinical Data **Galveston,...is highly desirable.** + Bachelor of Science in Nursing ( BSN ). + CCDS or CDIP Certification. **Job Summary:** **Scope:**… more
- Northwell Health (Melville, NY)
- …as needed. + Inpatient clinical experience; 4+ years preferred. + Prior Acute Case Management and/or Utilization Review experience, preferred. + Must have ... payer. + Prepares and defends level of care and medical necessity for assigned case . + Collaborates with physician advisor, payor representative and site case … more
- AssistRx (Orlando, FL)
- …system data entry quality. Within this role, the Quality Assurance Specialist serves customers by identifying, analyzing, and developing improvements in ... quality, internal team relationships, and customer service. The Quality Assurance Specialist regularly provides support to the department managers and director to… more
- Philips (Rogers, AR)
- **Medical Education Program Specialist ** You will be responsible for the development, facilitation, execution, documentation, and monitoring of our customer-facing ... + Develop clinically accurate and engaging curricula, including presentations, case studies, videos, and facilitator guides. Collaborate with clinical experts… more
- Parkview Health (Fort Wayne, IN)
- …scheduling, and ED software preferred. Experience in pre-certification, utilization, or case management desirable. Previous coding experience desirable. Other ... Summary: The Patient Placement Specialist will be responsible for daily patient flow,...initial clinical care. Works collaboratively with Point of Entry Case Manager to ensure all patients have verified admission… more
- UNC Health Care (Chapel Hill, NC)
- …well-being of the unique communities we serve. Summary: The RN Quality Assurance Specialist will oversee the clinical documentation of the direct care clinical staff ... 2. Assesses and interprets patient data as needed to provide guidance to Case Managers on patient needs relative to his/her age and conditions. Consults with… more
- Northwell Health (Melville, NY)
- …payer. Prepares and defends level of care and medical necessity for assigned case . Collaborates with physician advisor, payor representative and site case ... Review standard and regulations. Performs concurrent and retrospective utilization management using evidenced-based medical necessity criteria; conducts clinical reviews… more
- 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