- HCA Healthcare (San Antonio, TX)
- …disciplinary team maintaining effective communication with Emergency Department staff, Utilization Review Staff, Admissions Staff, Attending Psychiatrists, ... organization that invests in you as an Assessment Referral Specialist ? At Methodist Healthcare, you come first. HCA Healthcare...Has and maintains ONE of the following:** A. Licensed Registered Nurse to practice professional nursing in… more
- Community Health Systems (Fort Wayne, IN)
- …professionalism, collaboration, and leadership in interdisciplinary environments **Licenses and Certifications** + RN - Registered Nurse - State Licensure ... education experience required + Experience in ICU/Critical Care, case management, utilization review , quality, or inpatient coding preferred **Knowledge, Skills… more
- AmeriHealth Caritas (Philadelphia, PA)
- …; **Education/ Experience:;** + Bachelor's degree or equivalent relevant experience + Unrestricted Registered Nurse ( RN ) or Physical Therapist (PT) + Valid ... Review Home Modification Team and staff members within the LTSS Review Utilization Management Department. Responsibilities include providing technical and… more
- Trinity Health (Columbus, OH)
- …lieu of a RN .** **Licensure / Certification: Current license to practice as registered nurse in the State of Ohio.** ** Registered Health Information ... Administrator (RHIA), Registered Health Information** **Technologist (RHIT), or Certified Coding Specialist (CCS) will be considered in lieu of a RN .**… more
- Cleveland Clinic (Weston, FL)
- …Preferred qualifications for the ideal future caregiver include: + Master's degree + Registered Nurse ( RN ) + Certified Professional in Healthcare Quality ... of Quality and Safety. As a Safety, Quality, and Patient Experience (SQPE) Specialist I, you will direct safety, quality and patient experience activities within… more
- Datavant (Nashville, TN)
- …The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical necessity ... expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well...letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted providers +… more
- LA Care Health Plan (Los Angeles, CA)
- …Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse ( RN );current and unrestricted California ... Care Management Specialist II, D-SNP Team (12 month Assignment) Job...health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims… more
- HCA Healthcare (Nashville, TN)
- …or instruction of Clinical EHR application - Required + Currently licensed as a registered nurse or allied health professional in the state(s) in which he ... join an organization that invests in you as a(an) Expanse Professional Development Specialist ? At HealthTrust, you come first. HCA Healthcare has committed up to… more
- State of Georgia (Fulton County, GA)
- …. Knowledge of DATEP, NTP, ARMHP, and/or CLA services . Experience as a Registered Nurse /LPN, or licensed/certified professional in a related field or setting . ... Intake and Triage Specialist - Atlanta Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/74385/other-jobs-matching/location-only)...Experience in utilization review and/or quality assurance in a… more
- Cleveland Clinic (Cleveland, OH)
- …may offset two years of related required experience + Current licensure as a Registered Nurse ( RN ) + Certified Professional in Healthcare Quality (CPHQ) ... leader in patient safety. As a Safety Quality and Patient Experience (SQPE) Specialist , you will direct our safety, quality and patient experience work. In this… more