- Methodist Hospitals (Merrillville, IN)
- Overview Under the guidance of the Case Manager, the Lead Utilization Specialist is responsible for serving as a resource for internal and external customers ... (DRG) coding to serve as a consultant to the Utilization Specialist . Excellent communication skills both verbally...to the customers. EDUCATION Bachelors Nursing Required 6 Years RN Required Licensed Registered Nurse … more
- Garden Place Healthcare (Attleboro, MA)
- …and benefit period through regular communications with Clinical Reimbursement Specialist , Business Office and external Case Managers. *Ensures that additional ... accordance with CMS Correction Policy and collaboration with Clinical Reimbursement Specialist . *Conducts regular audit of MDS process including validation of coding… more
- Vantive (San Diego, CA)
- …accounts by identifying opportunities to improve and expand therapy utilization Conduct comprehensive training programs for physicians, nurses and healthcare ... building and provide necessary customer service within current customer base Act as lead for incremental and replacement machine sales and key CRRT Product portfolio… more
- Guidehealth (Atlanta, GA)
- …comfortable and confident leading a team of certified but unlicensed personnel and Registered Nurse case managers Ability to read, analyze, and interpret the ... clinical and clinical support structure that will effectively monitor, support, and lead Value Based clinical initiatives. This includes but is not limited to… more
- NORTH EAST MEDICAL SERVICES (Burlingame, CA)
- …Performs other job duties as required by manager/supervisor. QUALIFICATIONS: Valid California Registered Nurse license. Minimum 3 years managed healthcare case ... coordination of care across the continuum, and performance/quality improvement activities that lead to optimal patient outcomes. Nurse Case Managers differ from… more
- Hartford HealthCare (Mansfield Center, CT)
- …**Organization:** **Hartford HealthCare at Home* **Title:** *Quality Assurance Performance Improvement Coordinator ( RN , Registered Nurse , QA, PI) - HomeCare ... of our patients; we take great care of our Registered Nurses too! Our benefit options at Hartford HealthCare...lead development of Performance Improvement Plans. The QAPI Specialist has a variety of responsibilities including development of… more
- Ochsner Health (New Orleans, LA)
- …Contents are subject to change at the company's discretion. **Education** Required - Registered nurse diploma or bachelor's degree in related field Preferred - ... has never changed - our commitment to serve, heal, lead , educate,** **and innovate. We believe** **that every award...Preferred - Certification as a Diabetes Care and Education Specialist (CDCES) by the Certification Board for Diabetes Care… more
- Commonwealth Care Alliance (Boston, MA)
- … Management is responsible for overseeing and managing the daily operation of the Utilization Management Review Nurse and Specialist staff responsible for ... 013650 CCA-Auth & Utilization Mgmt Position Summary: Commonwealth Care Alliance's (CCA)...compliance with CMS, NCQA and state Medicaid requirements. * Lead preparation for internal and external audits (eg CMS… more
- Community Health Systems (Fort Wayne, IN)
- …professionalism, collaboration, and leadership in interdisciplinary environments **Licenses and Certifications** + RN - Registered Nurse - State Licensure ... **Job Summary** The Clinical Documentation Improvement (CDI) Specialist Lead provides advanced support for...or trainer designation required or + Certified Clinical Documentation Specialist (CCDS) required + RHIA - Registered … more
- Integra Partners (Troy, MI)
- …to design individual training plans to help improve employee performance EDUCATION: + Registered Nurse ( RN ) certification from an accredited nursing program ... Integra Partners is seeking an experienced nurse educator to join our Operations Training &...Training & Development team as an Operations UM Training Specialist , specializing in Utilization Management (UM) processes.… more
- ProMedica Health System (Toledo, OH)
- …(NPD) specialist . License: Must hold current license in good standing as a Registered Nurse in the state of Ohio and/or State of Michigan. Must be ... care that we provide our communities. The Nursing Practice Specialist focuses on the lifelong learning needs of the...able to obtain and maintain Registered Nurse licensure in both Ohio and… more
- Rush University Medical Center (Chicago, IL)
- …vary depending on the circumstances of each case. **Summary:** The Clinical Specialist RN is an advanced practice nurse with knowledge in a specialized area ... an integrated role of practice, education, administration and research. The Clinical Nurse Specialist exemplifies the Rush mission, vision, and values and… more
- Cleveland Clinic (Warrensville Heights, OH)
- …the ideal future caregiver include: + Master's Degree + Current licensure as a Registered Nurse ( RN ) + Certified Professional in Healthcare Quality (CPHQ) ... leader in patient safety. As a Safety Quality and Patient Experience (SQPE) Specialist , you will direct our safety, quality and patient experience work. In this… more
- Cedars-Sinai (Beverly Hills, CA)
- …acute inpatient or outpatient settings preferred **Req ID** : 11236 **Working Title** : Lead Case Manager, RN - Inpatient Specialty Programs **Department** : MNS ... Little More About What You Will be Doing** The Lead Case Manager will assist in the daily operations...with health plans (including concurrent review, which assists the hospitalist/ specialist and case manager to determine the appropriateness of… more
- LA Care Health Plan (Los Angeles, CA)
- …of Microsoft Office suite, including Word, Excel and PowerPoint. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and unrestricted ... Payment Integrity Nurse Coder RN III Job Category:...process through medical record review for Payment Integrity and Utilization Management projects. The position serves as a subject… more
- HCA Healthcare (Dallas, TX)
- **Description** **Clinical Pharmacist Specialist BMT** **Full Time Day Shift Position, rotating weekends** **BMT Experience Required** **_Qualified, New Candidates ... of each individual is recognized. Submit your application for our Clinical Pharmacist Specialist BMT opening with Medical City Dallas today and find out what it… more
- Stanford Health Care (Palo Alto, CA)
- …their APPs. Also functions under the general Nurse Practitioner (NP), Clinical Nurse Specialist (CNS), Certified Registered Nurse Anesthetist (CRNA), ... are committed to shaping the future of medicine. Position: Lead Advanced Practice Provider (APP) We are seeking an...practice provider: (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified Registered … more
- Ochsner Health (New Orleans, LA)
- …audience (including providers). **Certifications** Required - Current State of Louisiana Registered Nurse License **Knowledge Skills and Abilities (KSAs)** + ... 1942, but one thing has never changed - our commitment to serve, heal, lead , educate,** **and innovate. We believe** **that every award earned, every record broken… more
- HCA Healthcare (Richmond, VA)
- …individual is recognized. Submit your application for our Certified Strength Conditioning Specialist opening with Chippenham Hospital today and find out what it ... for benefits may vary by location._** We are seeking a(an) Certified Strength Conditioning Specialist for our team to ensure that we continue to provide all patients… more
- ZOLL Medical Corporation (Chelmsford, MA)
- …to be a part of ZOLL!Job TypeRemoteJob SummaryThe Clinical Implementation Specialist (CIS) will coordinate post-sale customer education and training initiatives, and ... builds deep, long lasting customer relationships to encourage ongoing utilization of ZOLL hospital products and achievement of desired...Experience + Bachelor's Degree BA or BS preferred + RN , Paramedic, or RT with 5+ years of experience… more
