- Rush University Medical Center (Chicago, IL)
- …duties as required. * Collaborates with Bone and Joint Service Line Leader, Medical Director, and Practice Manager to implement processes to support growth ... of a program in Surgical First Assisting (RNFA) and case log. * Maintains State of Illinois and Federal...(RUMC), Rush Oak Park Hospital (ROPH), and Rush Copley Medical Center (RCMC) clinical privileges, as applicable.… more
- Elevance Health (DE)
- …of medical services for the company health plan including the overall medical policies or clinical guidelines of the plan to ensure the appropriate ... patients' office visits with providers and external physicians.** **May conduct peer-to-peer clinical appeal case reviews with attending physicians or other… more
- Covenant Health Inc. (Harriman, TN)
- …RN Care Manager III is responsible for integrating evidenced based clinical practice into the patient care setting, coordinating education of staff and patients ... Documentation Improvement (CDI) specialist + As necessary to ensure appropriate clinical documentation is available in the patient's medical record to… more
- Covenant Health Inc. (Harriman, TN)
- …RN Care Manager II is responsible for integrating evidenced based clinical practice into the patient care setting, coordinating education of staff and patients ... Clinical Documentation Improvement (CDI) specialist, as necessary to ensure appropriate clinical documentation is available in the patient's medical record to… more
- Trinity Health (Syracuse, NY)
- …and various regulatory and professional agencies. **Supervised By:** + Team Leader, Clinical Coordinator, Unit Manager , and Clinical Services/Nursing ... with our Hospitalist, Pharmacy, Education, Care Coordination department, and clinical staff work closely to provide individualized evidenced-based interventions for… more
- Elevance Health (Mason, OH)
- …and providers. **How you will make an impact** : + Ensures timely completion of clinical case reviews for their board certified specialty. + Makes physician to ... ** Clinical Operations Associate Medical Director** **Carelon...necessity decisions. + Brings to their supervisors attention, any case review decisions that require + Medical … more
- Elevance Health (Indianapolis, IN)
- …an impact:** + Determines the medical necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization ... ** Clinical Operations Associate Medical Director** **Orthopedic...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- UNC Health Care (Chapel Hill, NC)
- …patient and family education. Coordinates discharge plans with the provider and case management. Serves as clinical consultant for wound, ostomy, continence ... work toward full CWOCN certification per timeline set by manager /director and to provide regular updated on their progress...skin conditions for new nursing staff. Serves as a clinical preceptor to nursing and medical staff… more
- Elevance Health (Washington, DC)
- …The ** Medical Management Specialist I** will be responsible for providing non- clinical support to the Medical Management and/or Operations areas. **How you ... ** Medical Management Specialist I** **Location:** Washington, DC. This...will make an impact:** + Gathers clinical information regarding case and determines appropriate… more
- Houston Methodist (Houston, TX)
- …complex financial counseling functions (eg, extended payment arrangements, discounts, single case agreements, case rates, etc.). **PEOPLE ESSENTIAL FUNCTIONS** + ... the initial determination for approval and alerting the department manager of potential concerns. + Enters and updates patient...+ Enters and updates patient data into the electronic medical record with a high level of thoroughness, accuracy… more