- AmeriHealth Caritas (Washington, DC)
- …necessity for inpatient and outpatient services, ensuring treatment aligns with clinical guidelines, regulatory requirements, and patient needs. This role requires ... requests, gathering necessary medical documentation, and making determinations based on clinical criteria. Using professional judgment, the Clinical Care… more
- Baylor Scott & White Health (Waxahachie, TX)
- …condition and the competencies of the employee. **ESSENTIAL FUNCTIONS OF THE ROLE** Clinical Judgment: Using clinical reasoning, conducts accurate clinical ... and evaluates the nursing plan of care. Modifies plan to meet clinical outcomes. Clinical Inquiry: Systematically evaluates the quality and effectiveness… more
- Logan Health (Cut Bank, MT)
- …coaching and supporting clinical teams + Strength in problem solving and decision making + Desire to learn, grow, and help others grow REQUIRED QUALIFICATIONS + ... attendance of meetings and educational classes for the purpose of staff reviews, unit staff meetings and quality improvement or clinical case review(s), required… more
- Community Health Systems (Jackson, MS)
- …for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, ... for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians,… more
- US Tech Solutions (May, OK)
- **Job Description:** + It is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty ... medications. The clinical pharmacist will apply clinical knowledge to...service level agreements. + Coordinates timely communication of case decision to physician, health-plan/employer, patient and other healthcare professionals… more
- University of Virginia (Charlottesville, VA)
- The Advanced Practice Provider (APP) will provide comprehensive clinical care for both Women's Program and General Cardiology populations. In the UVA Women's Heart ... no weekends, holidays or call expected. Work Arrangement: * Full-time, outpatient clinical role based primarily in UVA's Ambulatory Cardiology and Women's Heart… more
- Edwards Lifesciences (Irvine, CA)
- …Counsel and will be responsible for timely review and analysis of clinical contracts, review and approval of advertising and promotion materials, assistance with ... duties as needed. The Manager provides legal guidance to Marketing and Clinical teams in each of the business units (Transcatheter Heart Valves, Transcatheter… more
- Veterans Affairs, Veterans Health Administration (East Orange, NJ)
- …Oversees quality assurance for Community Care, including the implementation of clinical monitors and comprehensive analysis of adverse events or care deficiencies. ... to Veterans with a panel consisting of work equivalent to .5 FTE (50% clinical ) Leads or contributes to special projects and organizational reviews under the Office… more
- Dartmouth Health (New London, NH)
- …priority level for care based on patient acuity and resource needs. Clinical Decision -Making * Identify high-risk patients and initiate life-saving interventions ... The ED Lead/Triage Nurse is a vital leadership and clinical role responsible for overseeing shift operations in the...* Coordinate staffing assignments based on patient acuity and unit needs. * Manage shift operations, including delegation of… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …aspects of patient care across the health care system. They utilize advanced clinical knowledge and judgment in decision -making and evaluating outcomes. They ... and skillset of incumbent and service needs, cross coverage for SCI/D inpatient unit may also be a part of the responsibilities. Ongoing collaboration with… more
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