- Molina Healthcare (Madison, WI)
- JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... least 2 years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of relevant… more
- Molina Healthcare (San Diego, CA)
- …work Pacific Business Hours.** JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying ... least 2 years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of relevant… more
- Molina Healthcare (CA)
- …work Pacific business hours.** JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying ... least 2 years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of relevant… more
- Trinity Health (Newtown Square, PA)
- … Nurse License + Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist (CCDS), or Certified Documentation Improvement Professional (CDIP) ... **Description:** Trinity Health Mid-Atlantic, is looking for a CIN Ambulatory Clinical Documentation Specialist to join our team! **Employment Type:** Full Time… more
- Beth Israel Lahey Health (Burlington, MA)
- …Candidates must be local to New England States for consideration** The Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) assists with ... for accurate DRG assignment, risk of morality, and severity of illness. Track review details in 3M software. Conducts follow-up reviews of patients every 2 days… more
- Molina Healthcare (Bronx, NY)
- JOB DESCRIPTION **Job Summary** The Care Review Clinician RN provides support for clinical member services review assessment processes. Responsible for ... least 2 years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of relevant… more
- Adelphi University (Garden City, NY)
- Clinical Assistant or Assistant Professor - Graduate Studies in Nursing Job Department/School College of Nursing and Public Health FT/PT/Temp Full time Location ... Garden City, NY Clinical Assistant or Assistant Professor Graduate Studies in Nursing...RESPONSIBILITIES: + Teaching: 18 credits/year. Teaching responsibilities within the nurse practitioner and DNP program primarily; however, all faculty… more
- Centene Corporation (Austin, TX)
- …appropriate related to behavioral health (BH) and/or autism spectrum disorder needs and clinical standards + Performs prior authorization reviews related to BH ... (BCBA) required. Master's degree for behavioral health clinicians required. Behavioral health clinical knowledge and ability to review and/or assess ABA… more
- UnityPoint Health (Cedar Rapids, IA)
- …discharge plans are in place, and completing utilization management and quality review activities. The PCC teams with Social Services in guiding these efforts. ... fulfilling career and make a difference with UnityPoint Health. Responsibilities Clinical Excellence + Maintains knowledge of utilization management criteria and… more
- Penn Medicine (West Reading, PA)
- …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... our future each day. Are you living your life's work? Job Title: Clinical Services Associate (Phlebotomist) - Transplant Institute Entity: Hospital of the University… more