- Evolent (Cheyenne, WY)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… more
- STG International (Yellowstone National Park, WY)
- …of Quality Performance Improvement Team (QPIT) strategic initiatives. * Participate in review and improvement of clinical success in areas of responsibility. ... Participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes,... Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse… more
- Humana (Cheyenne, WY)
- …effectively communicate a meaningful narrative with those findings + Proven ability to perform clinical reviews and review medical records + Ability to ... of our caring community and help us put health first** The Senior Clinical Medical /Financial Risk Evaluation Professional is responsible for supporting the… more
- Dialysis Clinic, Inc. (Cody, WY)
- …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
- Humana (Cheyenne, WY)
- …and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis ... independent determination of the appropriate courses of action. The Nurse Auditor 2 validates and interprets medical ...coding experience to conduct a clinical validation review of the inpatient medical record to… more
- Banner Health (Worland, WY)
- …Wyoming **Department Name:** C/P-Worland Oncology-Clinic **Work Shift:** Day **Job Category:** Clinical Care **$2,000 Sign on Bonus Available** Find your path in ... complex specialty. You will be conducting assessments and offering medical advice to patients undergoing treatments. This role is...treatments. This role is best suited for an experienced nurse or an eager nurse wanting to… more
- CVS Health (Cheyenne, WY)
- …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
- CenterWell (Cheyenne, WY)
- …complaints. + Makes clinical level of care determination based on discussion, medical records, and any other pertinent clinical data. Matches these needs to ... regarding Home Health, Hospice, and Palliative Care Services. + Assist with clinical eligibility review for alternate services + Participates in special… more
- STG International (Yellowstone National Park, WY)
- …or any other protected class. Medical Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps - 66B,66H, 66P Medical ... Yellowstone National Park? STGi is currently seeking a Registered Nurse to provide services at our seasonal facilities at... (RN) will work in one of the three medical clinics in Yellowstone National Park. The clinics are… more
- Datavant (Cheyenne, WY)
- …years of CDI experience + 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS or ... realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role… more
- Amergis (Rock Springs, WY)
- …disability examinations for veterans in accordance with VBA guidelines. + Review medical records and document findings using standardized templates. ... We are seeking a compassionate and detail-oriented Nurse Practitioner (NP) to join our team in...serve those who have served our country by conducting medical assessments that help determine eligibility for disability benefits.… more
- Amergis (Cheyenne, WY)
- …disability examinations for veterans in accordance with VBA guidelines. + Review medical records and document findings using standardized templates. ... We are seeking a compassionate anddetail-oriented Nurse Practitioner (NP) to join our team insupporting disabled veterans through the Veterans BenefitsAdministration… more
- Otsuka America Pharmaceutical Inc. (Cheyenne, WY)
- …regulations and guidance, ICH/GCP, and Otsuka SOPs. * Contribute to the development and review of all critical clinical study documents, including clinical ... of assigned trial(s), as assigned. * Participates in ongoing review of clinical trial data focusing on...25%. **Educational Qualifications** Required: * Bachelor's Degree or Registered Nurse (RN). Minimum of 10 years industry experience with… more
- Evolent (Cheyenne, WY)
- …The Specialty Appeal nurses work with a group of nurses, providing appeal intake review for one dedicated client. They interact with coordinators who set up the ... appeal, Physicians and other Clinicians who review the appeal, and managers for direction and leadership....to company policies and procedures. + Documents communications with medical office staff and/or MD provider as required. +… more
- Oracle (Cheyenne, WY)
- …+ Excellent communication, stakeholder engagement, and leadership skills. **Preferred Qualifications:** + Clinical experience as a nurse or physician with a deep ... **Job Description** The Clinical Note AI Agent Product Management Leader will...Gather and analyze information to define product specifications and review design specifications. Envision and communicate product strategy and… more
- BioLife Plasma Services (Laramie, WY)
- …You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. BioLife ... of laboratory test results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse ) works under the guidance of… more
- Zurich NA (Cheyenne, WY)
- Sr Supplier Medical Process Specialist 128416 Zurich North America is seeking am experienced Sr. Supplier Medical Process Specialist to join our team in one of ... commitment to work/life balance, and outstanding culture. As a Sr. Supplier Medical Process Specialist, you will manage supplier performance and work product in… more
- Veterans Affairs, Veterans Health Administration (Sheridan, WY)
- …range of medical clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social ... Summary The Advanced Medical Support Assistant (MSA) position serves as a...patient cannot be scheduled within mandated clinic timeframes. Daily review of active/pending consults, Electronic Wait List, Recall list… more
- CVS Health (Cheyenne, WY)
- …Manager role includes: -Collaborate with an interdisciplinary care management team ( nurse case managers, medical directors, dietitians, social workers) to ... of a care management team -Currently and on a daily basis applies clinical knowledge to review medications and resolve different disease management scenarios… more
- Humana (Cheyenne, WY)
- …our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... documentation and communication of medical services and/or benefit administration...of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills,… more