- New York State Civil Service (Albany, NY)
- …General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking an experienced Registered Nurse to serve as a Medical Analyst in its Albany office. Medical ... No Agency Attorney General, Office of the Title Legal Nurse /Medical Analyst : Medicaid Fraud Control Unit (6393)...Minimum Qualifications Qualifications: * A current New York State Registered Professional Nurse 's license; * A minimum… more
- CVS Health (Harrisburg, PA)
- …(SDoH) needs and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager, Care Coordinator, Social Worker, and other ... clinical decision making + **Collaborates and leverages** the Care Manager RN clinical expertise to ensure members' needs are adequately addressed. +… more
- Access Dubuque (Dubuque, IA)
- …+ **Job ID:** 161733 **Overview** As a member of the interdisciplinary team, the Registered Nurse ( RN ) contributes professional nursing knowledge and skills ... Practice Model and in collaboration with other caregivers. The RN oversees the unit as the Charge Nurse...Current licensure in good standing to practice as a Registered Nurse in Iowa . Must possess… more
- The Cigna Group (Peoria, AZ)
- …and rising-risk, disease burdened members. The Nurse Case Management Lead Analyst utilizes clinical skills to assess, plan, implement, coordinate, monitor ... **Summary** The Nurse Case Management Lead Analyst is...elements of the target population such as disease states, quality standards, utilization patterns, clinical treatment guidelines.… more
- Henry Ford Health System (Troy, MI)
- …months of start date. + Billing experience (professional and/or hospital) preferred. + Clinical experience including RN , NP, RT, etc. a plus. Additional ... Reporting to the CDM Manager, the CDM Analyst is responsible for supporting and maintaining the...in CAB call for Service Now Tickets submitted by Clinical and/or Operational departments. Routes/assigns Service Now tickets to… more
- AdventHealth (Altamonte Springs, FL)
- …and maintain Epic and other associated systems. The Epic Revenue Cycle Senior Analyst must utilize the knowledge of clinical and business practice, computer ... Full Time **The role you'll contribute:** The Epic Revenue Cycle Senior Analyst has a comprehensive understanding of system build and implementation, the ability… more
- Commonwealth Care Alliance (Boston, MA)
- …Provider Contracting department and will have regular interaction with relevant internal Clinical , Quality , and BI departments, while frequently interfacing with ... considered at this time._** **Position Summary:** The HEDIS Network Analyst will support CCA's ability to meet and surpass...Network on the measures** + Organize trainings, working with Quality and Clinical teams to build reference… more
- Covenant Health Inc. (Knoxville, TN)
- …and imaging department workflows and supporting end users. Licensure Requirement: Professional/ clinical licensure ( RN , ARRT, etc.) may be required based ... Overview Business Support Analyst Full Time, 80 Hours per Pay Period,...and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million… more
- Arkansas Children's (Little Rock, AR)
- …career ladder for internal employees., Nursing - 1 year of experience **Required Certifications:** Registered Nurse ( RN ) license - Arkansas or Compact State ... clinical judgments and efficiently manage routine and unexpected clinical situations. **Additional Information:** **Behavioral RN -Acute Crisis Unit,Part… more
- Baptist Memorial (Memphis, TN)
- Overview Job Summary Revenue integrity professionals will create value for our clinical areas, principally in revenue recovery and claim acceleration. This role ... Coordinator to ensure consistency in delivering services efficiently, timely, and great quality to all hospitals and BMH entities. Assist the Revenue Integrity… more