• Licensed Clinical Social Worker

    CommonSpirit Health (Colorado Springs, CO)
    …closely with the RN Care Coordinator to coordinate care plans based on the utilization review activities performed by the RN Care Coordinator with compliance of ... federal, state and third party payers. The Social Worker will be required to participate in performance improvement initiatives related to appropriate patient care management and perform other departmental duties as assigned. The care team program improves the… more
    CommonSpirit Health (12/30/25)
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  • Supervisor, Pharmacy

    Northwell Health (Staten Island, NY)
    …and procedures. + Supervises clinical specialty pharmacy operations with Utilization Review Accreditation Commission (URAC) accreditation activities including ... medication preparation, dispensing, and supervision of pharmacy operations and personnel. + Assists in establishing, updating and maintaining the Pharmacy computer system and maintains all patient prescription charges, pharmaceutical supplies and controlled… more
    Northwell Health (12/30/25)
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  • Psychologist 2

    New York State Civil Service (Glens Falls, NY)
    …research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or ... as a habilitation specialist or instructor of psychology.A practicum, externship, or clinical fieldwork assignment is defined as a direct clinical experience providing psychological services in a hospital, psychiatric hospital, psychiatric clinic, community… more
    New York State Civil Service (12/30/25)
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  • Nurse Practitioner Mobile - Part Time

    Project Renewal, Inc. (New York, NY)
    …in the development and implementation of quality assurance management and utilization review + Participates in interdisciplinary meetings with shelter ... and housing staff for the assigned site to discuss high risk patients + Participates in quality improvement initiatives + Participates in community outreach programs as needed + Contributes to the overall functioning of the department + Maintains patient… more
    Project Renewal, Inc. (12/30/25)
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  • RN Case Manager

    Cleveland Clinic (Dover, OH)
    …or AHA Certification by an approved entity + Two years of recent experience in utilization review , quality or care management + Knowledge of acute care and ... accreditation requirements + Experience in discharge planning and quality improvement **Physical Requirements:** + Requires normal or corrected hearing and vision to normal range. + Ability to perform work in a stationary position for extended periods. +… more
    Cleveland Clinic (12/30/25)
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  • Director of Nursing - Roundup Memorial Hospital

    Billings Clinic (Roundup, MT)
    …Responsibilities also include other services as assigned (eg, Pharmacy), utilization review /case management, discharge planning, orientation and training ... of staff, and trauma designation. (4)Develops, retains, recruits, and leads a talented team committed to accomplishing the goals and objectives of RMH.Recommends, implements, and evaluates plans and systems that assure a sufficient number of qualified and… more
    Billings Clinic (12/30/25)
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  • LMSW - Acute Care

    Bassett Healthcare (Cooperstown, NY)
    …consistent with ethical standards of practice in the field + Participates in the Utilization Review Process + Collaborates with outside agencies, such as CPS/DSS ... + Performs other duties as requested and observed by supervisor or manager + Partial remote work is available dependent upon department needs and employee capabilities What we need from you Education: + Master's Degree in Social Work, required Experience: +… more
    Bassett Healthcare (12/30/25)
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  • Clinical Psychologist - Outpatient

    UNC Health Care (Raleigh, NC)
    …activities/meetings. 2. Continuous Quality Improvement - Participate in quality assurance, utilization review , and performance improvement programs. 3. Education ... - Provide professional guidance and input during the development of new policies, formulation of new protocols, procedures, and programs. Provide professional consultation and participation in all aspects of accreditation, licensure and certification… more
    UNC Health Care (12/30/25)
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  • VP of Quality and Patient Safety

    HCA Healthcare (Hudson, FL)
    …Healthcare Quality) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians) _Individuals without CPHQ or ABQUARP will be ... granted a 12 month grace period to obtain CPHQ or ABQAURP , if all other qualifications are met_ .CPPS (Certified Professional in Patient Safety) preferred .Minimum 5 years of experience .Knowledge of State, Federal, and TJC regulations. .Previous experience… more
    HCA Healthcare (12/30/25)
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  • RN Patient Logistics Access Coordinator- UNC…

    UNC Health Care (Chapel Hill, NC)
    …through the integrating and functions of point of entry case management, utilization review , and effective patient flow activities. Responsibilities: 1. Capacity ... Planning- Attend and actively participate in daily collaborative meetings to develop and implement a hospital wide capacity management strategy. Alert hospital leaders and care team stakeholders of capacity constraints that may impact Transfer Center… more
    UNC Health Care (12/28/25)
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