- Beth Israel Lahey Health (Boston, MA)
- …difference in people's lives.** Position Summary: In conjunction with the admitting/attending physician , the Utilization Review RN assists in determining the ... Conducts concurrent reviews as directed in the hospital's Utilization Review Plan and review of medical records...outpatient) based on medical necessity. 3. Actively seeks additional clinical documentation from the physician to optimize… more
- AdventHealth (Orlando, FL)
- …nurses and clinical documentation specialists. This role will oversee the review processes of complex patients that vary in age and have different developments ... have proven leadership and management skills that will promote effective and efficient review of physician documentation that supports the patient's level of… more
- Geisinger (Danville, PA)
- …of our world-class Geisinger Neuroscience Institute, we have innovative high-value clinical protocols for acute inpatient and chronic outpatient disease management, ... a 20-year clinical data warehouse (Geisinger had one of the very...neurosurgery programs in the United States by Becker's Hospital Review . + Program and leadership recognized in Harvard Business… more
- Trinity Health (Hartford, CT)
- …of occupational medicine clinic patient charges. Communicates effectively with clinical operations and administrative personnel concerning the transmission of ... on a continual basis with the Collections Manager + Review EOB denials and identifies denial trends along with...in a timely manner + Establish working relationship with clinical site personnel for the effective transfer of information… more
- Catholic Health Initiatives (Omaha, NE)
- …Quality Improvement: + Participate in quality assurance and improvement initiatives. + Review and analyze clinical outcomes for continuous improvement. + ... ongoing medical education and training. + Contribute to the development of clinical protocols and guidelines. **Qualifications** + American Board Certified or Board… more
- Dartmouth Health (Lebanon, NH)
- …competence in providing comprehensive primary care to adults as delineated on the Clinical Privilege list. * Demonstrated competence in providing care to adults with ... complex or serious medical problems as delineated on the Clinical Privilege list. * * * * Position Objective...request consultation in a timely and collegial manner. * Review previously ordered laboratory and imaging studies and determine… more
- Dartmouth Health (Lebanon, NH)
- …competence in providing comprehensive primary care to adults as delineated on the Clinical Privilege list. * Demonstrated competence in providing care to adults with ... complex or serious medical problems as delineated on the Clinical Privilege list. * POSITION PHYSICAL REQUIREMENTS * Anything listed here requires a pre-employment… more
- Ansible Government Solutions (Pittsburgh, PA)
- …specimens. + Preform autopsies with pathology trainees. + Participate in prospective peer review and retrospective review of 10% cases when needed. + Perform ... responsibilities may include oversight of a section of the laboratory, providing clinical consultation services and oversight of the QA/QI of the department. +… more
- Mount Sinai Health System (New York, NY)
- … Program Manager, Clinical Command Center is a Registered Professional Nurse, Physician Assistant, or Nurse Practitioner, who manages the 24 hour a day functions ... of health-system throughput, transfer center, quality, and delivery of care. The Clinical Program Manager, Clinical Command Center participates in the… more
- Elara Caring (South Bend, IN)
- …+ Observes clients for abnormal signs and symptoms and reports immediately to the physician , RN Case Manager, and/or Clinical Team Manager and Director. + ... or needs, physician orders or special instructions. + Participates in continual review and evaluation of clinical practices and learning activities to update… more