- BayCare Health System (Tampa, FL)
- …of trust, dignity, respect, responsibility and clinical excellence. **The Utilization Review Specialist Senior/RN responsibilities include:** + Functions ... necessity of outpatient observation and inpatient stays and the utilization of ancillary services + Perform other duties as...Call:** No **Certifications and Licensures:** + Required RN (Registered Nurse ) + Preferred ACM (Case Management ) +… more
- Houston Methodist (Sugar Land, TX)
- At Houston Methodist, the Senior Denials Management Specialist position is responsible for performing utilization review activities, and monitoring the ... with clinical team partners. This position uses sound clinical judgement in the Utilization Management process and knowledge of regulatory requirements to make… more
- LA Care Health Plan (Los Angeles, CA)
- …the coordination of member care with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and ... Enhanced Care Management Clinical Specialist II Job Category:... Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer:… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Skills and Experiences * 2+ years of managed care experience; eg case management /health coach, utilization management and/or auditing experience (may be ... protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: RN Specialist Complex Care Case Management Location: Remote Career Area: Health… more
- Carle Health (Champaign, IL)
- …The Registered Nurse (RN) who serves in the role of System Case Management Specialist /Analyst will serve the Case Management division in orientation and ... goal of establishing evidence based best practice with quality outcomes. The Case Management Specialist /Analyst collects and analyzes data; allowing for a data… more
- Montrose Memorial Hospital (Montrose, CO)
- …position combines the unique skill sets of the Utilization Review Nurse and Clinical Documentation Specialist to facilitate documentation that clearly ... Montrose, CO, USA | Case Management | Hourly | 36.17-57.87 per hour 36.17...The Career: + The purpose of the Clinical Revenue Specialist position is to ensure the integrity and quality… more
- DePaul (Rochester, NY)
- Overview The Quality Management Specialist works with the Quality Management Department to provide the highest achievable quality of services to the ... appropriate. + Provide support to the Quality Management Vice-President, Quality Management Director and Quality Management Specialist II as requested.… more
- HCA Healthcare (Dallas, TX)
- …Case Management and the Rehab Medical Director. The Clinical Rehabilitation Specialist works closely with hospital case management to ensure a responsive ... **Description** **Medical City Healthcare** Clinical Rehabilitation Specialist PRN Position serves all of the Division...rehab through their assigned case manager. + Once Case Management has completed the Patient Choice process and the… more
- HCA Healthcare (Richmond, VA)
- …**Introduction** Do you have the PRN career opportunities as a(an) Clinical Rehab Specialist PRN you want with your current employer? We have an exciting opportunity ... Do you want to work as a(an) Clinical Rehab Specialist PRN where your passion for creating positive patient...screenings and assessments in collaboration with both hospital Case Management and the Rehab Medical Director and works closely… more
- J&J Family of Companies (San Francisco, CA)
- …appropriate utilization of JJIM access and fulfilment resources. The APP- Specialist will compliantly collaborate with other field team members in delivering all ... Innovative Medicine (JJIM) is recruiting for an **Advanced Practice Provider Specialist , Gastroenterology** , in the Northern California territory. Our expertise in… more