- Fairfax County Sheriff's Office (Fairfax, VA)
- …Marriage and Family Therapist, Licensed Substance Abuse Treatment Practitioner or Clinical Nurse Specialist . + In addition, to recognize and reinforce the ... of hire + Qualified Developmental Disabilities Professional (QDDP) or Qualified Intellectual Disability Case Manager (QIDCM) - required within 1 month of hire… more
- Mount Sinai Health System (New York, NY)
- …as per department protocol (IPRO Discharge Appeals / Insurance requests) + Support Appeals Nurse / Manager by confirming status of denials + Tracking status of ... **Job Description** **Insurance Specialist MSH PT Days 4/Days Week (Days Vary)...Every Weekend** To maintain front end operations of the Case Management Department by monitoring all incoming correspondence and… more
- Baylor Scott & White Health (Temple, TX)
- …health-related issues, as needed. + Acts as a liaison between injured employees, Nurse Case Managers, and Claim Specialists. Provides care for injured employees ... based on position type and/or level **Job Summary** The Occupational Injury Safety Specialist II, directed by the Safety Manager /Director, uses education and… more
- LA Care Health Plan (Los Angeles, CA)
- …Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements Light ... Enhanced Care Management Clinical Specialist II Job Category: Clinical Department: Care Management...Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance… more
- Cleveland Clinic (Cleveland, OH)
- …and continued stays. + Maintain and support collaborative relationships with RN Case Manager , Physicians and the multidisciplinary team. + Document appropriately ... healthcare organizations in the world. As a Utilization Management Specialist , you will perform UM activities, such as admission,...to provide evidence that the UR process for the case was followed. Minimum qualifications for the ideal future… more
- Dana-Farber Cancer Institute (Brookline, MA)
- Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization and appeals ... Reporting to the Prior Authorization Superv isor , the Clinical Authorization Specialist is responsible for managing all work related to molecular pathology,… more
- Beth Israel Lahey Health (Newburyport, MA)
- …Director of Health Information Management, the Health Information Management Audit Specialist handles various audit requests for the release of confidential patient ... from a variety of sources (eg Auditors, CMS, BCBS, Permedion, DPH, Nurse Audit, HCHP, DPH, Disability, Workman's Comp, EHR, attorneys, patients, insurance agencies,… more
- Veterans Affairs, Veterans Health Administration (Grand Island, NE)
- …have been filled. Qualified applicants will be reviewed and referred to the hiring manager on a weekly basis. **This position is eligible for the Education Debt ... care in the CLC. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance… more
- Carle Health (Peoria, IL)
- …The Case Assistant works under the direction of the Clinical Transition Specialist (RN Case Manager ) and/or Social Worker to establish appropriate ... , Work Experience: Certified nurse assistant Responsibilities Collaborates with the RN Case Manager and SW Case Manager to develop a plan of… more
- Elevance Health (Atlanta, GA)
- …through home-care and community-based services. **Title** : Outreach Care Specialist , 100% Virtual, CareBridge **Location:** Tennessee and/or Alabama residents ... granted as required by law. **Shift:** 8:00am-5:00pm CST The **Outreach Care Specialist ** is responsible for ensuring that appropriate member treatment plans are… more