- Battelle Memorial Institute (Colorado Springs, CO)
- …the POTFF Human Performance (HP) program by providing comprehensive injury prevention , acute care , rehabilitation, and performance enhancement services for ... on clinical and administrative matters, collaborating to improve patient care , and ensuring compliance with clinical guidelines and documentation standards.… more
- Battelle Memorial Institute (Sneads Ferry, NC)
- …with the Human Performance (HP) and POTFF teams, and serves as an advisor on injury prevention , rehabilitation, and program administration, including equipment ... Operators and Direct Combat Support personnel: + Provide musculoskeletal injury care , utilizing approved supplemental clinical privileges including the ordering… more
- Elevance Health (Hendersonville, NC)
- \#HealthyBlueCareTogetherCFSP ** Clinical Care Advisor - Prevention and Preservation** **$2,500 SIGN ON BONUS** _We are partnering with North Carolina ... an accommodation is granted as required by law. The ** Clinical Care Advisor - Prevention and Preservation** is responsible for coordinating operations… more
- The Cigna Group (Bloomfield, CT)
- …resulting in an optimal healthcare experience and customer satisfaction. Serves as clinical advisor to the sales organization, providing ongoing product and ... **Provides counsel and advice to top management on significant Clinical Program Management matters, often requiring coordination between organizations. Focuses… more
- CenterWell (The Villages, FL)
- …support recovery and help patients get back to the life they love. The ** Clinical Assessment Advisor ** directly completes and oversees development/ of the plan ... clinical information for optimal assessment generation. Ensures consistent team care scheduling and dissemination of updated clinical information. Coordinates… more
- The Cigna Group (Bloomington, MN)
- …upon strategic opportunities that align with clinical /financial objectives. The Clinical Program Senior Advisor , Strategic Markets is responsible for ... **POSITION SUMMARY** This role requires the combination of a strong clinical background, deep understanding of utilization management criteria, and ability to read… more
- The Cigna Group (Tallahassee, FL)
- …problem-solving and clinical judgment to improve medication outcomes and support care transitions, where applicable. This is a hands-on clinical role. The ... that address clinical and socioeconomic barriers. + Collaborate with multidisciplinary care teams to ensure continuity of care and timely resolution of… more
- Nuvance Health (Danbury, CT)
- …4hr shifts and PT Nights 12am- 830am* *Summary:* The purpose of the Denial Prevention Nurse is to ensure that all patient admissions are appropriately status within ... critical part in preventing payment denials by providing timely and accurate clinical information to all payers, while ensuring compliance with CMS requirements,… more
- Nuvance Health (Danbury, CT)
- …Provides physician leadership and expertise related to appropriate utilization/level of care (LOC) and appropriate clinical documentation. Provides oversight for ... * Serves as physician expert and provides support to care team and denial prevention and denial...and administrative facets of the healthcare industry. * Strong clinical acumen; Knowledge of Care Management/Utilization Review… more
- Catholic Health Initiatives (Bismarck, ND)
- …St. Alexius Health!** Are you a physician leader passionate about optimizing patient care , ensuring compliance, and driving clinical excellence? CHI St. Alexius ... resource utilization. + **Impactful Contribution:** Drive initiatives in denial prevention , revenue integrity, and value-based care , directly contributing… more
- City of New York (New York, NY)
- …testing in mobile settings, connect clients with a new HIV diagnosis and clients not in care to clinical care , assess clients for medical and social services ... HIV, and STIs. BHHS does this through testing initiatives; prevention , care , and treatment programming; epidemiology and...persons with a new HIV diagnosis with HIV to clinical care . - Use HIV transmission network… more
- CommonSpirit Health (Englewood, CO)
- …and Responsibilities** **Thi** **s is a remote position** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by case ... discuss the needs of patients and alternative levels of care . **The PA performs denials management and prevention...medical staff + Provides feedback and education to the Care Management and Clinical Documentation Departments through… more
- City of New York (New York, NY)
- …community groups; conducts research; and develops policies and programs to deliver high quality clinical care which best serve New Yorkers. BPHC seeks to hire a ... BPHC provides direct clinic services to people seeking health care ; monitors disease trends; provides education and training to...Tests (INSTI), provide HIV rapid test results in a clinical setting. - Prepare specimen collection room and conduct… more
- AdventHealth (Orlando, FL)
- …medical staff of specific updates, statistical trending and/or changes related to denial prevention measures for our contracted managed care payers. The PA role ... and 125,000 outpatients each year **The role you'll contribute:** As the physician advisor (PA), this role educates, informs, and advises members of the Utilization… more
- Sanford Health (Rapid City, SD)
- …Accreditation (NLN CNEA). Minimum of two years of experience in clinical , nursing, healthcare safety, process improvement, infection prevention , accreditation ... safety, inclusivity, and high reliability. We're passionate about improving the care and wellbeing of our patients and employees through collaboration, innovation,… more
- City of New York (New York, NY)
- …this the Bureau provides direct clinic services to people seeking sexual health care , and services to sex partners; monitors disease trends; provides education and ... Sexual Health Clinics. This position will be working with the Director of Clinical Operations and provide critical services to New Yorkers seeking sexual health… more
- The Cigna Group (Bloomfield, CT)
- The Program Management Senior Advisor will lead strategic initiatives to leverage Verint and emerging AI technologies to enhance operational efficiency, ... in the organization and synthesis of KPIs + Strong Clinical Acumen + Strong understanding of AI principles, including...one or more of the following Evernorth operation areas: Care Solutions, Behavioral Health, UM Legacy, Specialty Care… more
- City of New York (New York, NY)
- …groups; conducts research; and develops policies and programs to deliver high quality clinical care which best serve New Yorkers. Job Duties and ... health of New Yorkers through identification, surveillance, treatment, control, and prevention of infectious diseases, which is achieved through varied and… more
- City of New York (New York, NY)
- …groups; conducts research; and develops policies and programs to deliver high quality clinical care which best serve New Yorkers. Position Summary: The Public ... mission, the BPHC provides direct clinic services to people seeking health care ; monitors disease trends; provides education and training to service providers and… more
- Commander, Navy Installations (Coronado, CA)
- …treatment services and psycho-educational training programs. Responsibilities Non-medical Clinical Counseling (NMC) (40%) Receive and assess referrals made ... etc. Refer clients with issues falling outside the authorized scope of care (eg, schizophrenia, bipolar disorder, eating disorders, substance use disorders, major… more
