- State of Colorado (Trinidad, CO)
- …dental care, assessment, diagnosis and treatment of patients in a prison clinical setting. Assures daily completion of dental clinic operations to include but ... of the department's action. For more information about the appeals process, the official appeal form, and how to...position, please direct your inquiries to our Employee Relations Specialist , Kristen Lange , at doc_###@state.co.us or call ###… more
- State of Colorado (Canon City, CO)
- …dental care, assessment, diagnosis and treatment of patients in a prison clinical setting. Assures daily completion of dental clinic operations to include but ... of the department's action. For more information about the appeals process, the official appeal form, and how to...position, please direct your inquiries to our Employee Relations Specialist , Kristen Lange , at doc_###@state.co.us or call ###… more
- State of Colorado (Denver, CO)
- …when possible and refer issues to the hospital Patient's Rights Specialist , as indicated. Model solution-focused problem-solving strategies. + supports patient in ... and addresses safety violations in patient care areas. Using therapeutic clinical skills, anticipates and initiates intervention at an appropriate level in… more
- State of Colorado (Pueblo, CO)
- …position is responsible for, but not limited to, the following: + In a clinical setting, assist patients with activities of daily living to include bathing, mouth ... of the department's action. For more information about the appeals process, the official appeal form, and how to...position, please direct your inquiries to our Employee Relations Specialist , Kristen Lange , at doc_###@state.co.us or call ###… more
- Evolent (Phoenix, AZ)
- …guidance and expertise to ensure the application of best practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations ... Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular… more
- HCA Healthcare (Manchester, NH)
- …staff services, and play a key role in the integration of HCA Clinical Strategies and HCA systems. 1. Medical Staff Administration Develop facility credentialing ... (in partnership with other key stakeholders to include Director of Advanced Clinical and IT&S personnel). Facilitate orientation for new officers, committee members… more
- UnityPoint Health (Cedar Rapids, IA)
- …This position is on site at St. Luke's Hospital. The Utilization Management Specialist in the Behavioral Health Hospital Outpatient Departments serves a key role in ... utilization of health care resources, provision of high-quality health care, optimal clinical outcomes and patient and provider satisfaction. The UM Specialist … more
- State of Massachusetts (Waltham, MA)
- …Eligibility Psychologist to join our Metro Regional Office. This role will provide clinical assessment and evaluation at the request of the Regional Director or ... determinations, competency evaluations, emergency case reviews and other specialized clinical assessments and evaluations. The Intake and Eligibility Psychologist… more
- Elevance Health (Chicago, IL)
- …Coding Specialist , CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). + Requires minimum of 10 years experience ... may be so complex and advanced that disputes or appeals may only be reviewed by other DRG Coding...Clinics, and the ICD-10 Alphabetic and Tabular Indices), complex clinical guidelines and maintaining objectivity in the performance of… more
- University of Rochester (Rochester, NY)
- …**Responsibilities:** Serves as the patient referral and prior authorization specialist , with oversight of data and compliance to enterprise standards ... referral and prior authorization guidelines. Communicates regularly with patients, families, clinical and non- clinical staff, identifying barriers to appointment… more