- Centene Corporation (New York, NY)
- …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, ... and cost effectiveness of medical care. + Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in… more
- Hartford HealthCare (Stratford, CT)
- …**St. Vincent's Special Needs Center* **Title:** *RN Case Manager (Registered Nurse , Special Education, Clinical ) - Adult Residential* **Location:** ... oversight in adult residential group homes for medically complex individuals. The Nurse Case Manager ensures optimal care and safety for residents, manages health… more
- Hartford HealthCare (Bridgeport, CT)
- …**Organization:** **Hartford HealthCare at Home* **Title:** *Weekend Transition Intake Nurse (LPN, Office, Clinical ) - HomeCare* **Location:** ... experience, the Central Intake Coordinator's core purpose is to review referral documentation to clinically assess and align the...referrals and patient care with the onsite TCCs and/or clinical areas to provide seamless care to patients. Acts… more
- Parexel (Baltimore, MD)
- **Parexel Early Phase Clinical Unit** supports the development of innovative new medicines which are vital for public health, improving outcomes, and saving lives. ... not limited):** + Support Standard Operating Procedures (SOPs), Good Clinical Practices (GCP), and all work processes to ensure...BSN preferred or relevant work experience. + Active Registered Nurse License in the state of Maryland + Current… more
- Elevance Health (Chicago, IL)
- ** Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Fraud Investigator II** is responsible for identifying issues and/or… more
- HCA Healthcare (Bradenton, FL)
- …at HCA Florida Blake Hospital! **Job Summary and Qualifications** The Resource Nurse supports high quality, patient-centered care by offering feedback, guidance, and ... that are transitioning to a new specialty. The Resource Nurse supports multiple units. The Resource Nurse ...you to apply for our RN Resource opening. We review all applications. Qualified candidates will be contacted by… more
- Penn Medicine (Philadelphia, PA)
- …for clinical nurses to attend Shared Governance Council meetings. + Tracks clinical nurse release time for council meetings for budget monitoring and future ... roles, accountabilities and performance measures to all staff. + Review unit dashboard with Nurse Manager monthly...+ Evidence Based Nursing Practice: + In collaboration with Clinical Nurse Specialist, shares/disseminates to Nurses, and… more
- Centene Corporation (Tallahassee, FL)
- …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, ... discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in… more
- Munson Healthcare (Traverse City, MI)
- …using very specific timelines, assessments and evaluations. Tasks and processes of a clinical research nurse : + Review /screen new and established patients ... areas including neurology, cardiology, cardiothoracic surgery among others. A clinical nurse provides patient care. A research... trials + Approach providers about the studies for review + Facilitate the informed consent process and ensure… more
- Mount Sinai Health System (Brooklyn, NY)
- …recovery for patients and family members who have concerns and escalates to Clinical Nurse Manager/Assistant Nurse Manager/Nursing Shift Manager or Patient ... 1.Performs charge nurse duties as assigned. 2.Coordinates with the Clinical Coordinator/ Clinical Nurse Manager/Assistant Nurse Manager/Nursing… more