- Independent Health (Buffalo, NY)
- …credentials preferred. + Four (4) years of clinical experience required. Utilization Management experience preferred. + Comprehensive knowledge and experience ... standards, clinical criteria, and member benefit contract. **Qualifications** + Registered Nurse (RN) with active, current, unrestricted NYS license required; BSN… more
- Ascension Health (Baltimore, MD)
- …Assist with treatment ordered by provider as supervised by provider or registered nurse . + Perform select clinical duties. + Interview patients, measure vital signs, ... phone, maintaining records, and filing. + Perform basic materials management functions to include ordering and stocking of supplies....CMA, a community health worker, and a peer recovery specialist . The clinic's goals are to: Improve access to… more
- Access Dubuque (Dubuque, IA)
- …Area's most comprehensive team of Psychologists, Psychiatrists, Therapists, Psychiatric-Mental Health Nurse Practitioners, and supportive nursing and office staff + ... Utilization of shared electronic medical records for whole-patient care...records for whole-patient care across primary care & multidisciplinary specialist team + Over 200 providers and 1,100 staff… more
- HCA Healthcare (San Antonio, TX)
- …and performance of assigned home health care team(s)Supervises ongoing case management of all patients ensuring an accurate evaluation and treatment plan, ... regarding deficiencies or OASIS corrections (with feedback from Quality Review Specialist ) to ensure the medical records reflect compliance with medical necessity,… more
- AnMed Health (Anderson, SC)
- …patient care for patients undergoing procedures in the Cardiac Cath/EP Lab/Hybrid OR. Utilization and management of digital x-ray equipment and archiving system. ... of an accredited RCIS or ARRT program. + Registered Cardiovascular Invasive Specialist (RCIS) or a Registered Radiologic Technologist (RTR). + Registered Nurse… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …for timely response * Follows up on any prior authorization denials; assists Utilization Management with appeals, as needed * Connects patients with financial ... primarily work remotely (Days M-F). *Purpose of this position:*The Prior Authorization Specialist plays a key role in the patient financial experience by… more