- TIC - The Industrial Company (Brownsville, TX)
- …pertinent governmental regulations, company policies and procedures; and provide emergency medical support to any injured or critically ill patient. **District ... site in Brownsville, TX. **Responsibilities** * Work out of the onsite Medical Clinic * Administer audiometric, respiratory fit and pulmonary function tests *… more
- Veterans Affairs, Veterans Health Administration (Daytona Beach, FL)
- …and intensive case management to a panel of patients with complex chronic medical conditions managed under PCMM guidelines to reduce recurrent ED visits and hospital ... limited to: Manages chronic conditions, evaluate and treat inter-current medical conditions. Determine medical assessment and develop...urgent care or ED (VA or Non-VA). The COM-PACT RN will carry the phone during business hours and… more
- UNC Health Care (Morrisville, NC)
- …with leaders from various departments-case management, physician advisors, revenue cycle, medical staff, nursing, and information systems (ISD) to create a unified ... academic institutions. Ensure uniform application of care level determinations, medical necessity assessments, and documentation enhancement initiatives. Oversees development… more
- University of Miami (Miami, FL)
- …potentially compensable events to Chief Medical Risk Officer, Director of Medical Claims and Assistant General Counsel. + Conduct additional investigation ... Degree in relevant field required + Minimum 5 years of relevant experience required + Medical /Legal background is a plus + RN Training and licensure is a plus… more
- Eastern Connecticut Health Network (Manchester, CT)
- …clinical reviews to payers for authorization of services provided and completes case review for claim reimbursement. + Reviews outlier cases to determine level ... POSITION SUMMARY: The Utilization Review Case Manager (UR CM) works in collaboration...of care is determined and ensures accurate assessment of medical necessity, thus appropriate reimbursement. Performs duties in support… more
- Veterans Affairs, Veterans Health Administration (Mansfield, OH)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Former participants are ineligible to apply for… more
- Veterans Affairs, Veterans Health Administration (Reno, NV)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... Care are responsible for outpatient and inpatient care, graduate and undergraduate medical education and scientific research as appropriate. Clinical care: Serves as… more
- Catholic Health Services (Melville, NY)
- …The ProFee CDS will focus on pre-visit provider support, post-visit provider review , and collaboration and education with providers. Pre-visit provider support - ... indicators + Validation of data-driven suspect diagnoses Post-visit provider review - Perform post-visit reviews focused on what is...other chronic conditions that are addressed as part of medical decision making and the treatment plan + Assesses… more
- Veterans Affairs, Veterans Health Administration (Temple, TX)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... of healthcare services through an interdisciplinary team that includes the PCP, RN care manager, LVN, clerical associate as well as other clinical services… more
- Veterans Affairs, Veterans Health Administration (Asheville, NC)
- …and outpatient Rheumatology patient care at the Charles George VA Medical Center. Recruitment/Relocation Incentive May Be Authorized for Highly Qualified Applicants. ... patient care Communicates and documents with clarity to patients and medical personnel to coordinate patient care Procedural skills may include arthrocentesis,… more