• APN Consulting, Inc (New York, NY)
    …the Utilization Management team primarily responsible for inpatient medical necessity/ utilization review and other utilization management activities ... authorizations (as needed) according to Client policy for Client members as part of the Utilization Management teamIdentifies appropriate benefits, eligibility,… more
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  • APN Consulting, Inc (Remote, OR)
    …the Utilization Management team primarily responsible for inpatient medical necessity/ utilization review and other utilization management activities ... authorizations (as needed) according to Client policy for Client members as part of the Utilization Management team* Identifies appropriate benefits,… more
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  • APN Consulting, Inc (VA)
    …the Utilization Management team primarily responsible for inpatient medical necessity/ utilization review and other utilization management activities ... authorizations (as needed) according to Client policy for Client members as part of the Utilization Management teamIdentifies appropriate benefits, eligibility,… more
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  • Fresenius Medical Care (Austin, TX)
    About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... - As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering...kidney disease. -Training and advancement: You will enter our Clinical Leadership Program that creates and supports a culture… more
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  • University Hospital New Jersey (Newark, NJ)
    …either CCM, ACMA or RN-BC preferred. Recent experience in case management, home health, utilization review , and or unit clinical specialty required. Basic ... progress through the system. He/she collaborates with physicians and clinical staff to ensure resource utilization is...the Bachelor's degree on a year-for-year basis. Must be available to rotate on weekends as part of a… more
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  • Northeast Georgia Health System, Inc (Oakwood, GA)
    …for all surgical cases in conjunction with various suite capabilities and available clinical staff. Understands the block utilization concept and is able to ... Job Category: Clinical Support Work Shift/Schedule:9 Hr Morning - AfternoonNortheast...patient care and maximize operating room and endoscopy suite utilization . Tasked with maintaining balanced operations between nursing services,… more
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    …be able to function in the charge role if needed, thus maintaining clinical competencies of the nursing specialty he/she leads. The Nurse Manager coordinates, ... and other nursing support personnel, the Nurse Manager directly supervises the clinical nursing and ancillary personnel assigned to a unit or care delivery… more
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  • Northeast Georgia Health System, Inc (Demorest, GA)
    …support from Charge Nurses and Educators, the Nurse Manager directly supervises the clinical nursing and ancillary nursing personnel assigned to a unit or care ... of the unit and staff including stat orders, treatments, plans of care, and clinical pathways are being carried out in a consistent manner. The Nurse Manager has… more
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  • Compass Health Network (Camdenton, MO)
    …needs to support personal recovery.Acts as team lead; assuming responsibility for review of clinical documentation and completion of team/staff AIMS, time ... you to make this happen! The Therapist ITCS is part of the person-centered integrated team and provides direct...strategic plan goalsActs as team lead; assuming responsibility for review of clinical documentation and completion of… more
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  • Compass Health Network (Camdenton, MO)
    …needs to support personal recovery.*Acts as team lead; assuming responsibility for review of clinical documentation and completion of team/staff AIMS, time ... you to make this happen! The Therapist ITCS is part of the person-centered integrated team and provides direct...plan goals* Acts as team lead; assuming responsibility for review of clinical documentation and completion of… more
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    …of individual patient needs; Works collaborate with the Physicians, patient/family, nursing, utilization review and other members of the healthcare team to ... aligns with patient needs using resources to meet quality, clinical and cost effective outcomes. Coordinates a team approach...to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent… more
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  • Compass Health Network (Camdenton, MO)
    …needs to support personal recovery.Acts as team lead; assuming responsibility for review of clinical documentation and completion of team/staff AIMS, time ... make this happen! The Therapist ICTS (Improving Community Treatment Success) is part of the person-centered integrated team and provides direct and indirect services… more
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  • Compass Health Network (Camdenton, MO)
    …needs to support personal recovery.* Acts as team lead; assuming responsibility for review of clinical documentation and completion of team/staff AIMS, time ... make this happen! The Therapist ICTS (Improving Community Treatment Success) is part of the person-centered integrated team and provides direct and indirect services… more
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    …help restore function; prevent disability following disease, injury, or loss of a body part ; and help the patient to reach maximum performance and assume a place in ... in the child, adolescent, adult, and geriatric age groups. Employee performs clinical duties in accordance with population specific guidelines and adheres to… more
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  • Northeast Georgia Health System, Inc (Oakwood, GA)
    …Requirements: Preferred Experience: Knowledge of products to be sourced, clinical experience.Other: Job Specific and Unique Knowledge, Skills and AbilitiesStrong ... to develop specifications, requests for proposals, to place and review bids to ensure alignment with organizational objectives.Maximize achievement while… more
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    …enterprise data strategy, ensuring alignment with business strategy and driving optimal utilization of data resources. This position will manage a team of Analytics ... the organization. Minimum Job QualificationsLicensure or other certifications: Certified in Epic Clinical or Revenue Data Model or (or MUST be obtained within 1… more
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  • A-Line Staffing Solutions (Grand Rapids, MI)
    …staff assignments and promoting staff development. * Responsible for the utilization and continued review of patient care protocols, standards ... shifts) (2)Child and adolescent and (1)Adult unit 1 - Part time 24 hours a week Evenings (8 hour...co-workers and external customers. * Provides care in various clinical settings with diverse persons served populations. Identifies specific… more
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    …of their caseloads, provides coverage to Intake department, and assists with Utilization Review , Quality Assurance, and Performance Improvement activities as ... nursing. Minimum Experience: Minimum of one (1) year of clinical nursing experience with emphasis on care of adults...Reasoning, Talking, Fingering, Driving Working at NGHS means being part of something special: a team invested in you… more
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  • Compass Health Network (Wentzville, MO)
    …individual treatment plan goalsOther ResponsibilitiesOther miscellaneous duties as assignedPerform Utilization Review activities as assignedAttend all training ... families to other Compass Health services as deemed appropriateDirect Clinical ServicesCollaborate with families and systems to develop Pinocchio Child… more
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  • ChristianaCare (Wilmington, DE)
    …their family/primary caregiver(s), third-party payers, and employer following established clinical guidelines, standards, and pathways. Review the admission ... experience in Transitional Care or Discharge Planning in an Acute Care Hospital SettingAs part of our Weekend Incentive Program (WIP) you will commit to work 3 out… more
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