- Cleveland Clinic (Weston, FL)
- …of Quality and Safety. As a Safety, Quality, and Patient Experience (SQPE) Specialist I, you will direct safety, quality and patient experience activities within ... to ensure compliance and strong performance across safety, quality, utilization and patient experience metrics and support implementation of requirements… more
- Trinity Health (Columbus, OH)
- …time **Shift:** Day Shift **Description:** **Position Purpose:** Clinical Documentation Specialist utilizes advanced clinical and coding expertise to direct efforts ... accuracy, and integrity of medical record documentation through extensive record review . Through extensive interaction with physicians and other members of the… more
- Hackensack Meridian Health (Red Bank, NJ)
- …ED inpatient admissions and observations as specified by the facility's Utilization Management/ Review Committee for documentation completeness and compliance ... experience. **Licenses and Certifications Required:** + Current state Registered Nurse license. + Certified Clinical Documentation Specialist (CCDS)… more
- Veterans Affairs, Veterans Health Administration (Georgetown, DE)
- …and Experience, and Dimension criteria must be met to qualify for Advanced Practice Nurse (Clinical Nurse Specialist ) II: Exception to Licensure for Graduate ... teamwork, high quality care, patient satisfaction, positive outcomes, appropriate utilization of resources and cost-effective services. The Nurse...of the Nurse II, as a Graduate Nurse Technician Clinical Nurse Specialist … more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 11/19/2025 **Requisition Number** PRN43626B **Job Title** PS Clinical Nurse Specialist **Working Title** PS Clinical Research Nurse ... Rate Range** 47600 to 74609.60 **Close Date** 02/17/2026 **Priority Review Date (Note - Posting may close at any...required of employees assigned to the job. The Clinical Nurse Specialist makes decisions independently and in… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Quality Outcomes Specialist position is responsible for assessing and facilitating clinical systems and/or processes to ensure that care ... compliance to accreditation standards and regulatory agency requirements. Conducts record review for performance improvement, peer review , patient safety, risk… more
- Parkview Health (Fort Wayne, IN)
- Summary: The Patient Placement Specialist will be responsible for daily patient flow, acting as the central facilitation point for patients requiring admission ... Case Manager to ensure all patients have verified admission order and status review . Monitors and projects bed availability based on known, predicted, or expected… more
- Northwell Health (Melville, NY)
- …level of care decisions and billing status and ensures compliance with the Utilization Review standard and regulations. + Performs concurrent and retrospective ... + Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications...4+ years preferred. + Prior Acute Case Management and/or Utilization Review experience, preferred. + Must have… more
- LA Care Health Plan (Los Angeles, CA)
- …and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity and Utilization Management projects. The ... Payment Integrity Nurse Coder RN III Job Category: Clinical Department:...inpatient, outpatient, and professional claims. Serves cross functionally with Utilization Management, Medical Directors, and other internal teams to… more
- STG International (Milledgeville, GA)
- …any other protected class. Medical Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps - 66B,66H, 66P Medical Service ... FUNCTIONS: + Ensure the facility meets the minimum staffing levels for nurses and nurse aides; complete required posting of nursing staff data as required. + Ensure… more