• Per Diem Diagnosis/Oasis Specialist

    St. Luke's University Health Network (Bethlehem, PA)
    …JOB DUTIES AND RESPONSIBILITIES: + Reviews documentation from Liaison/Intake nurse , referral source, Medical Director and admitting clinician. Utilizing standard ... admitting clinician either verbally or through written methodology to validate audit findings and recommend additional and/or more specific documentation. + Works… more
    St. Luke's University Health Network (07/22/25)
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  • Appeals Manager

    BronxCare Health System (Bronx, NY)
    …the department's leadership develop strategies for denial prevention, improved utilization management, documentation of medical necessity and identify patterns and ... such as IPRO, The Joint Commission, Regional and Medical Audit Contractors, and other licensing, accrediting, or review agencies....electronic database system. The Appeal Manager should be a nurse who has 3-5 years or more of experience… more
    BronxCare Health System (06/21/25)
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  • State Director, Health Services

    BrightSpring Health Services (Houston, TX)
    …and responds to negative trends in performance metrics (outcomes, quality audit results, surveys, etc.) by assisting local operations and nursing leadership ... with local leadership in driving improvement in performance.* Ensures that there is a nurse on call after hours for all homes (and may participate in on-call duties… more
    BrightSpring Health Services (06/20/25)
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  • RN Case Mgr I-HC

    Rochester Regional Health (Rochester, NY)
    …Level II + Manages larger and more complex caseloads with effective service utilization and independent decision-making. + Acts as a mentor and informal leader, ... improvement ideas, participates in problem-solving, and consistently achieves positive audit outcomes. + Serves as a clinical role model,...of 2 years of home care experience. + Registered Nurse license in New York State. + Valid NYS… more
    Rochester Regional Health (06/18/25)
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  • Gov Contracts Property Generalist

    GE Aerospace (Nashville, TN)
    …the management of the GP subcontractor and affiliate risk assessment and surveillance audit process to ensure compliance and mitigate risks. + Ensure compliance with ... inventory, subcontractor control, reports, relief of stewardship, loss reporting, utilization , declaration of excess, maintenance, and contract closeout activities.… more
    GE Aerospace (08/02/25)
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  • Site Medical Director

    YesCare Corp (Waxahachie, TX)
    …8 hours a week and PRN. **Administrative** + Serve as Chairman of the Medical Audit Committee. + Consult with medical providers in the community to resolve issues in ... of care and chart reviews as requested. Sponsors physician assistants or nurse practitioners as required. + Notifies Regional Medical Director and Site Health… more
    YesCare Corp (07/31/25)
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  • Attending Physician

    Genesis Healthcare (Forestville, CT)
    …among residents of skilled nursing and senior living facilities. Our physicians, nurse practitioners (NPs) and physician assistants (PAs) are supported by a clinical ... assigned Centers and AlignMed Partners managers to oversee the implementation, utilization , and outcomes measurement of AlignMed Partners Clinical Programs and… more
    Genesis Healthcare (07/31/25)
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  • Senior Manager Clinical Nutrition

    Banner Health (Gilbert, AZ)
    …ability to interact with patients via two-way audio-video to assist the bedside nurse with patient care. POSITION SUMMARY This position exists to manage and ... the clinical nutrition labor and supply budget. Promotes and manages efficient utilization of resources. 4. Provides effective patient nutrition care through the… more
    Banner Health (07/30/25)
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  • Medical Assistant

    MTC (Quincy, FL)
    …history of assigned patients. 3. Prepare patients for examinations and assist nurse or provider during examination. 4. Work efficiently to ensure providers have ... maintain inventory PAR levels. 15. Practice basic cost containment and utilization management techniques. 16. Attend scheduled staff meetings; promote communication… more
    MTC (07/30/25)
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  • Benefits Specialist I

    East Boston Neighborhood Health Center (Revere, MA)
    …to the health and well-being of our patients and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part ... to: ACA, HIPAA, COBRA, ERISA, FMLA, Section 125 and state regulations. + Audit health and welfare benefit plan enrollment data to ensure accuracy. + Reconcile… more
    East Boston Neighborhood Health Center (07/17/25)
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