• Full Time Home Health Quality Specialist-Office…

    Penn Medicine (Lancaster, PA)
    …Credentials: + PT or RN (Required) + Currently licensed as a professional Registered Nurse or Physical Therapist in the state of Pennsylvania. + Basic ... Collaborate with clinicians to confirm assessment documentationand Plan of Care Support Home Health criteria. Review the...SCIC assessments if there are changes in condition. + Review and collaborate with a clinician (s) on… more
    Penn Medicine (07/11/25)
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  • Hybrid General Surgery / Trauma Nurse

    Henry Ford Health System (Detroit, MI)
    …REQUIRED: Certified Nurse Practitioner in Michigan. Licensed as a Registered Nurse in Michigan. Current ACLS and PALS provider status. ... is highly preferred, andICU experience is required, either as an APP or RN .New graduate APPs will only be considered if they have strong ICU experience.The… more
    Henry Ford Health System (07/25/25)
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  • Utilization Management Clinical Consultant…

    CVS Health (Phoenix, AZ)
    …+ Licensed Professional Counselor (LPC) + Licensed Marriage and Family Therapist (LMFT) + Registered Nurse ( RN ) + Associate-level licenses may be considered ... in the lives of children and adolescents? Join Mercy Care as a Behavioral Health Utilization Management Clinician... is the place for you. **Key Responsibilities** + Review clinical information and apply medical necessity criteria to… more
    CVS Health (07/13/25)
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  • Utilization Management Clinical Consultant…

    CVS Health (Frankfort, KY)
    … (_** **_LPCC, LCSW, LMFT, LPAT_** **_) - OR - Active unrestricted Compact Registered Nurse ( RN ) license with psychiatric specialty or behavioral health ... Experience working with Substance Use Disorder diagnoses + Managed care /utilization review experience + Medicaid experience +...(LPCC, LCSW, LMFT, LPAT) OR Minimum of a Diploma RN or Associate's degree in Nursing **Anticipated Weekly Hours**… more
    CVS Health (07/25/25)
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  • QM Nurse Consultant

    CVS Health (Topeka, KS)
    …- 5+ years of clinical experience required - 2+ years of experience as a Registered Nurse - Must have active current and unrestricted RN licensure ... 5:00pm in time zone of residence_** **Preferred Qualifications** - Utilization Management review - Managed Care experience - Client processing experience… more
    CVS Health (08/03/25)
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  • Director, Clinical Documentation Improvement…

    Rochester Regional Health (Rochester, NY)
    …experience preferred. + Experience with EPIC preferred. EDUCATION: BS LICENSES / CERTIFICATIONS: RN - Registered Nurse - New York State Education ... leadership and management skills to promote effective and efficient review of physician documentation and the medical record. +...two years of hire. + Minimum five years acute care experience required. + RN (must be… more
    Rochester Regional Health (07/04/25)
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  • Supervisor, Care Management

    Centene Corporation (Tucson, AZ)
    …required + For YouthCare Illinois plan only: Graduate degree and IL licensure - RN or independently licensed behavioral health clinician (eg LCSW, LCPC, PsyD). ... is working with our Mediciad line of business.** **Position Purpose:** Supervises the care management team and the care coordination of behavioral health members… more
    Centene Corporation (07/31/25)
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  • Licensed Practical Nurse , Casual- 4 Main…

    UPMC (Coudersport, PA)
    …to the RN in charge. + Provide appropriate, direct patient care . Give injections, take vital signs, perform basic diagnostic tests, observe patients, dress ... care . Discuss any patient or family concerns with RN in charge so that issue can be appropriately...challenging skills. + Maintain current CPR certification at Health Care Provider level. + Participate in self- review more
    UPMC (06/07/25)
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  • Per Diem Diagnosis/Oasis Specialist

    St. Luke's University Health Network (Bethlehem, PA)
    …conditions, snow, ice and/or fog. Hazards - road and driving. EDUCATION: PA-Licensed Registered Nurse or Physical Therapist. A bachelor's degree in specific ... information. JOB DUTIES AND RESPONSIBILITIES: + Reviews documentation from Liaison/Intake nurse , referral source, Medical Director and admitting clinician .… more
    St. Luke's University Health Network (07/22/25)
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  • Clinical Documentation Integrity (CDI) Coordinator…

    Trinity Health (Livonia, MI)
    …or Nursing or equivalent in experience. Must possess one of the below: + Current Registered Nurse ( RN ) License + Registered Health Information ... in-services and other user group forums. Provides direction for daily review assignments and operations. Responsible for developing and maintaining systems training… more
    Trinity Health (07/30/25)
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