- Guthrie (Corning, NY)
- …and complete appeals for denials as needed * *Monitor and Review REMS clearance for monthly refills of high-risk medications ordered for patients Monitor ... monitoring, overdue results, referrals, provider orders and support the nurse navigator role. Experience: A minimum of 2 years'...and Outgoing * *Sick calls - collect data for review , assessment and instruction from RN or Provider *… more
- Sacramento County (Sacramento, CA)
- …Psychologist, Licensed Clinical Social Worker, Marriage Family Therapist, or Registered Nurse . Note: Failure to maintain a required license may be cause for ... improperly rejected may request the Employment Services Division to review its decision to reject the application. If the...Clinical Social Worker, Marriage Family Therapist, or Registered Nurse . Note: Failure to maintain a required license may… more
- Alameda Health System (Oakland, CA)
- …development and implementation of quality improvement initiatives. + Oversees the secondary review process; actively appeals denied cases when necessary and ... classification. + Lead and manage a team of utilization review professionals providing guidance, training, and performance evaluations. +...assists physicians with appeals . Maintains minimal denial rates by Medicare, MediCal, private… 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
- State of Colorado (Pueblo, CO)
- …+ Assist clients in becoming oriented to the program, which includes a review of the program requirements, their responsibilities as clients, inventory of all ... documents refusals of medications and reports this to the clinical team; and all information relevant to all aspects...clients as well as clients' self-administration of medications. + Review the MAR, pull out the appropriate medication per… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- … nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical pharmacists, and nursing staff) to accomplish team goal setting ... is responsible for processing all requests from VA Regional Offices to include appeals board for Compensation and Pension (C&P), to Environment of Care, Burn Pit,… more
- Sharp HealthCare (San Diego, CA)
- …patient care areas. This position requires the ability to combine clinical /quality considerations with regulatory/financial/utilization review demands to assure ... 1 **Shift Start Time** **Shift End Time** California Registered Nurse (RN) - CA Board of Registered Nursing; Bachelor's...Cycle/HIM regarding RAC decision to appeal, denials, input into appeals , share findings with providers. Review all cases… more
- Sharp HealthCare (La Mesa, CA)
- …patient care areas. This position requires the ability to combine clinical /quality considerations with regulatory/financial/utilization review demands to assure ... advice to Revenue Cycle/HIM regarding RAC decision to appeal, denials, input into appeals , share findings with providers. Review all cases with readmission within… more
- State of Colorado (Grand Junction, CO)
- …pay/time-in-series upon an offer. We will also be accepting any registered nurse applicants at this time. Starting LPN salary: $68,532/annually Starting RN salary: ... life provided by health care facilities through observations, interviews, and record review . + Uses experience, training and judgment in evaluating and applying… more
- Morehouse School Of Medicine (Atlanta, GA)
- …pedagogies. Reporting directly to the Senior Associate Dean and Chief of Clinical & Academic Education, the Chair will collaborate closely with senior leadership ... Holds or is eligible for DEA licensure . Strong clinical background with a minimum of five years full-time...selection for Dean approval . Maintain comprehensive gap analysis review processes for admitted students Faculty Leadership & Development… more