- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …retrospective claim review, special review requests, and UM pre\-certifications and appeals , utilizing medical appropriateness criteria, clinical judgement, and ... **Join our team as a Clinical Review Manager\!** We are seeking a quick...for other internal positions\. **Job Qualifications** _License_ + Registered Nurse \(RN\) with active license in the state of… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …the use of medical and health care services for members. The SN CHA Nurse may also perform other technical and administrative tasks essential to the efficient ... expert and occasionally works directly with the operation and clinical staff to resolve issues and escalated problems. +...not limited to UM and CM, Fair Hearings and Appeals /Grievances, within three months of working in position. +… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- … Clinical Services (CS) functions (prior authorization, concurrent review, appeals , case management, disease management, population health) per defined Client ... health plan administrator is looking for a full-time dynamic clinical leader who will provide leadership, oversight and accountability...Management and Population Health divisions. The position can be remote , or on-site our New York or New Jersey.… more
- State of Colorado (Denver, CO)
- …+ Diversity and inclusion + Strong family and community partnerships The Clinical Mental Health Clinician III works in the 24-hour state psychiatric hospital ... the Staffing Office Position Purpose of this position: The Clinical MHC III is an unlicensed staff member who...member who operates under the supervision of a licensed nurse within Nursing Services. This position is generally responsible… more
- State of Colorado (Pueblo, CO)
- …Position: This position works under the supervision and direction of a registered nurse and assists with psychiatric and medical nursing care of mentally ill ... of all the above. Duties in this position include: Clinical Skills: + Under the supervision of a registered... Skills: + Under the supervision of a registered nurse , interact with patients to build and sustain a… more
- State of Colorado (Pueblo, CO)
- …deliver nursing care and therapeutic interventions under the supervision of a registered nurse . The Client Care Aide II provides nursing care as assigned (ie ... Ports, or in lower-security community reintegration settings. Duties include: Clinical Skills + Is responsible to administer nursing care,...at the unit level as directed by the Lead Nurse . + Attends weekly nursing rounds or read/review and… more
- State of Colorado (Pueblo, CO)
- …including physical, psychiatric, and dental maintenance. Primary Job Duties Clinical Management.Ensuring that health screens, health appraisals, histories and ... by formulating and implementing corrective action plans as needed. Supervises clinical staff to ensure compliance with established treatment protocols. Communication… more
- State of Colorado (Pueblo, CO)
- …to deliver nursing care and therapeutic interventions under the supervision of a registered nurse . The Client Care Aide I (CCA I) provides nursing care, which often ... in lower-security community reintegration settings. Duties in this position include: Clinical Skills: + Responsible for administering nursing care, both psychiatric… more
- State of Colorado (Denver, CO)
- …duties. This position works under the supervision and direction of a registered nurse and assists with psychiatric nursing care of mentally ill patients; observes, ... Therapeutic Patient Care: Under the direction and supervision of a registered nurse , engage with patients to establish and maintain a therapeutic relationship which… more
- State of Colorado (Denver, CO)
- …duties. This position works under the supervision and direction of a registered nurse and assists with psychiatric nursing care of mentally ill patients; observes, ... with an Associate's degree in psychology, sociology, social work, behavioral science, clinical mental health, nursing, child development, human services or a closely… more