- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …& entry, clinical intake screening assessment, and effectively communicating with Nurse Case Managers. The Clinical Coordinator reports to the Manager, Case ... Case Management / Medical Management services to its clients. Clinical Coordinator facilitates case management by performing intake and...GED is required. + Strong skills in medical record review . + Familiarity with medical terminology a plus. +… more
- Penn State Health (Reading, PA)
- …processes to improve reliability of systems. Accountable for medical staff peer review coordination to support medical staff clinical quality professional ... status, and family medical or genetic information._ **Position** RN Registered Nurse Patient Safety/Peer Review /Mortality - Quality Services **Location**… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the… more
- Wellpath (Franklin, TN)
- …education, and point of care support. **How you make a difference** The Clinical Operations Specialist is a Registered Professional Nurse with advanced expertise ... a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We...in correctional nursing and administration of nurse services. The role involves providing guidance to operational… more
- Centene Corporation (New York, NY)
- …a fresh perspective on workplace flexibility. **Position Purpose:** The Utilization Review Nurse I provides first level clinical review for all ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- HCA Healthcare (Houston, TX)
- …clinical specialty is required. + Licensed professional in Texas in a clinical health care specialty (ie Registered Nurse , Licensed Physical Therapist, ... Do you have the PRN career opportunities as a Clinical Rehab Liaison - Corpus you want with your...Clinical Rehab Liaison PRN - Corpus opening. We review all applications. Qualified candidates will be contacted for… more
- CVS Health (Salt Lake City, UT)
- …in a collaborative process to implement, coordinate, monitor and evaluate medical review cases. + Applies the appropriate clinical criteria/guideline and plan ... critical thinking, evidenced based clinical criteria and clinical practice guidelines. Med Review nurses use...referral as needed. + Assists management with training new nurse reviewers/business partners or vendors to include initial and… more
- US Tech Solutions (Chicago, IL)
- … clinical policy, regulatory and accreditation guidelines. + Responsible for the review and evaluation of clinical information and documentation. + Reviews ... and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations. + Considers all documented...Review ? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions… more
- HCA Healthcare (Austin, TX)
- …Austin Medical Center.** **Preferred: Computer skills** **EDUCATION AND EXPERIENCE** **:** **Required: Clinical Background - Registered Nurse with a minimum of ... The APC is responsible for all program management, report generation and review , process improvement, patient satisfaction, facilities review , and administrative… more
- Stony Brook University (Stony Brook, NY)
- …Medicine: Neurology **Description** The Department of Neurology is seeking two Nurse Practitioners (FNP)/Physician Assistants who will work with physicians and ... diagnosis based on this information, as well as, initiate, review and revise treatment plans and record and present...higher). Current registration to practice as a Licensed Registered Nurse in New York State. Must have excellent communication… more