• Group Director Utilization Review

    Tenet Healthcare (Detroit, MI)
    …resurgence, which continues to draw national and international attention. A dedicated corporate citizen with strong community ties, DMC is one of the largest ... of Centralized Utilization Review as a leader, mentor, and consultant . Will execute on strategic initiatives and will provide...status and level of care per Tenet policy Balances clinical and financial requirements and resources in advocating for… more
    Tenet Healthcare (04/20/25)
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  • DRG Specialist

    UPMC (Pittsburgh, PA)
    UPMC Corporate Revenue Cycle is hiring a DRG Specialist to work on inpatient auditing within our Coding Department. This position will be a work-from-home position ... of coding experience. In this role, you will review clinical documentation within the medical record to ensure that...System and DRG selection; OR specific knowledge as a consultant in Medical Record coding and DRG assignment required.… more
    UPMC (05/21/25)
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  • System Accreditation Specialist

    Houston Methodist (Houston, TX)
    …regulatory program requirements and activities. The position serves as a consultant , resource, mentor, and educator for regulatory and accreditation programs; works ... program standards); communicates updates to hospital entities and relevant corporate departments. + Facilitates communication and assessment of needs for… more
    Houston Methodist (03/16/25)
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  • RN Director of Emergency Department

    AdventHealth (Calhoun, GA)
    …+ Requires two years hospital management experience and a minimum of five years clinical experience. + Must be a Registered Nurse with valid Georgia license ... The Director also assumes the role of professional educator, manager, and consultant /resource person. He/she works with all levels of management, health care… more
    AdventHealth (03/04/25)
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  • Chief Nursing Officer (Santa Rosa)

    Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
    …and quality. + Serves as the internal Infection Control liaison to the corporate Infection Prevention consultant . + Perform and direct surveillance and related ... services. + Participates with the Governing Body, management, medical staff and clinical leaders in the facility's decision-making process. + Plans and recommends to… more
    Sacramento Behavioral Healthcare Hospital (04/09/25)
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  • Case Manager RN - Field (PA)

    CVS Health (Chester Springs, PA)
    …through assessment and evaluation. **Required Qualifications** + Active and unrestricted Registered Nurse PA license + Minimum 3+ years clinical practical ... in serving our members by utilizing best-in-class operating and clinical models. You can have life-changing impact on our...members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community… more
    CVS Health (05/17/25)
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