- Hackensack Meridian Health (Red Bank, NJ)
- …experience. **Licenses and Certifications Required:** + Current state Registered Nurse license. + Certified Clinical Documentation Specialist (CCDS) or ... and serve as a leader of positive change. The **Clinical Documentation Specialist RN ** facilitates improvement in the overall quality, completeness and… more
- Houston Methodist (Houston, TX)
- …Officer (IBFCSM) **AND** + CPPS - Certified Professional in Patient Safety (IHI) **AND** + RN - Registered Nurse - Texas State Licensure -- Compact Licensure ... At Houston Methodist, the Quality Outcomes Specialist position is responsible for assessing and facilitating clinical systems and/or processes to ensure that care… more
- Houston Methodist (Houston, TX)
- …+ Two years of leadership experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure -- Compact ... At Houston Methodist, the Quality Outcomes Specialist position is responsible for assessing and facilitating...has been submitted on our career site. We will review your interest but recommend to apply at houstonmethodistcareers.org… more
- HCA Healthcare (Kissimmee, FL)
- …personal growth, we encourage you to apply for our Clinical Inpatient Rehab Specialist opening. We promptly review all applications. Highly qualified candidates ... care like family! Jump-start your career as a(an) Clinical Inpatient Rehab Specialist today with HCA Florida Osceola Hospital. **Benefits** HCA Florida Osceola… more
- Nuvance Health (Danbury, CT)
- …the time of review . If unable to resolve, escalate to the PA and Utilization Review (UR) Leadership. * Coordinate with the care team in changing patient ... in Milliman and InterQual Guidelines required * Minimum of 2-3 years experience as Utilization Management Nurse in an acute care setting required, minimum of 4… more
- Carle Health (Urbana, IL)
- …assists the team for timely planning and collaboration. Qualifications Certifications: Licensed Registered Professional Nurse ( RN ) - Illinois Department of ... issues in appropriate locations, including but not limited to: case management/ utilization review software and the multidisciplinary plan of care document… more
- Carle Health (Normal, IL)
- … issues in appropriate locations, including but not limited to: case management/ utilization review software and the multidisciplinary plan of care document ... Case Management Association (ACMA), Education: Bachelor's Degree: Nursing, Work Experience: RN >2yrs Responsibilities Act as a liaison working with patient/family… more
- Sanford Health (Fargo, ND)
- …Summary** Responsible for analyzing and synthesizing of data to maximize utilization of data in clinical decision-making, business and strategic initiative. ... team in grant post award activities, maintain grant and contract files, review contracts, develops progress reports, and reviews closed grant for completeness.… more
- Sanford Health (Fargo, ND)
- …This position will support Evidence Based Practice with a focus on Nurse Sensitive Indicator (NSI) support by using our infrastructure for the dissemination ... Summary** Responsible for analyzing and synthesizing of data to maximize utilization of data in clinical decision-making, business and strategic initiative.… more
- Houston Methodist (Sugar Land, TX)
- …Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the clinical denial management and ... clinical nursing/patient care experience which includes three years in utilization review , case management or equivalent revenue...nongovernmental payers preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more