- Hartford HealthCare (Bridgeport, CT)
- …and customer experience, the Central Intake Coordinator's core purpose is to review referral documentation to clinically assess and align the appropriate level of ... risk and safety concerns and triaging appropriately. * Responding to internal and external communication timely and accurately. * Acts as a liaison to SSO, HHCAH… more
- CVS Health (Dallas, TX)
- …service strategies, tactics, policies, and programs that drive the delivery of quality healthcare to our members. Health service strategies, policies, and programs ... are comprised of utilization management, quality management, network management, clinical coverage, and policies.` + The position requires advanced clinical judgment… more
- US Tech Solutions (May, OK)
- **Position Summary:** Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained from ... and/or provider issues. Independently coordinates the clinical resolution with internal/ external clinician support as required. Requires an RN with unrestricted… more
- US Tech Solutions (MI)
- …+ Through the use of clinical tools and information/data review , conducts comprehensive assessments of referred member's needs/eligibility and determines ... needs by evaluating member's benefit plan and available internal and external programs/services + Application and/or interpretation of applicable criteria and… more
- US Tech Solutions (Atlanta, GA)
- …+ Through the use of clinical tools and information/data review , conducts comprehensive assessments of referred member's needs/eligibility and determines ... needs by evaluating member's benefit plan and available internal and external programs/services. + Application and/or interpretation of applicable criteria and… more
- Dignity Health (Phoenix, AZ)
- …licensure, contractual, protocol and policy requirements + Directs intradepartmental and external resource activities relating to assigned studies + Assists in the ... review and development of proposed study budgets + Ensures...extremely proud to be a nationally recognized center for quality quaternary care, medical education and research. St. Joseph's… more
- Bon Secours Mercy Health (Lima, OH)
- …Bon Secours Mercy Health, we are dedicated to continually improving health care quality , safety and cost effectiveness. Our hospitals, care sites and clinicians are ... and in alignment with the standards of excellence and quality . Under the direction of the provider, the Medical...in care in all interactions, for both internal and external customers. .Maintains clinical and administrative skills per the… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …is discharged from the hospital setting, ensuring and facilitating high quality clinical and cost outcomes, procuring and securing post-acute services, coordinating ... advocating for patients and families with both internal and external stakeholders, and identifying and addressing potential barriers to...as the care team. + Through continuous assessment and review , the RN CM will apply critical thinking to… more
- Bon Secours Mercy Health (Tiffin, OH)
- …Bon Secours Mercy Health, we are dedicated to continually improving health care quality , safety and cost effectiveness. Our hospitals, care sites and clinicians are ... and in alignment with the standards of excellence and quality . Under the direction of the provider, the Medical...in care in all interactions, for both internal and external customers. * Maintains clinical and administrative skills per… more
- UCLA Health (Los Angeles, CA)
- …for the staff, adherence to personnel policies and procedures. + Provide continuous quality improvement for the clinic and creates a culture of teamwork to ensure ... + Manage resources and oversee compliance with internal policies and external regulatory agency requirements and contributes to strategic plans and policies.… more