- MD Anderson Cancer Center (Houston, TX)
- …policy. Will require dictating in a clear and concise manner, and visual review of documents. Correspond as appropriate, in writing or by telephone, to conversations ... resident, and other trainees rotating through the Department; and Provide peer review for assessing the clinical practice for faculty within the Department. Medical… more
- Adecco US, Inc. (Minneapolis, MN)
- …. Experience applying benefits and criteria to clinical reviews . Utilization Management, pre-authorization, concurrent review , or appeals experience **Why ... Adecco Healthcare & Life Sciences is hiring remote RN Appeals Reviewers! This role is ...when appropriate. . You will summarize medical information for review by the Medical Director as needed, ensuring a… more
- University of Michigan (Ann Arbor, MI)
- …process. + Coordinate and expedite patient transfer to inpatient unit by utilization of MiChart and paging in collaboration with ABCC, nursing (inpatient/ED), and ... ensuring continuity of care for ED patients. + Monitor nurse call system responding to patient requests for assistance...of Work** Positions that are eligible for hybrid or mobile/ remote work mode are at the discretion of the… more
- Grifols Shared Services North America, Inc (Rockford, IL)
- …skill sets: CRM evolution/expansion Enhanced approach to customer targeting and engagement Remote engagement Use of analytical data to generate insights Better use ... Pharmacists, DOP, Physician, therapeutic departments, ADR/SP Partner, Infusion Suite Nurse , etc.) Demonstrate account-based selling skills (including group presentations,… more
- LA Care Health Plan (Los Angeles, CA)
- …and Grievance (A&G) clinical unit. This position is responsible for the quality review of complex and/or escalated clinical A&G cases for all line of business ... on performance of staff. Ensure team effectiveness and project completion. Duties Review and process complex and/or escalated clinical A&G cases. Analyze the patient… more
- HCA Healthcare (Dallas, TX)
- …rehabilitation services prior to returning home. The Clinical Rehabilitation Specialist will review these patients daily until they have strong clinical evidence to ... source within 2 hours. + Performs on-site and off-site review of patients in designated facilities to assist Case...commitments to referral sources. Develops a call-plan to prioritize utilization of time. + Assists in developing the annual… more
- AmeriHealth Caritas (Lugoff, SC)
- …status, compliance with treatment plans and promote self-management.; **Work Arrangement** + Remote within the region + Community Visits - Kershaw County area.; ... plan of care, referrals, and evaluation of the effectiveness of the plan + Review medication list and educate Members with pharmacy needs, and counsel on side… more
- CVS Health (Columbus, OH)
- …IN OHIO The Care Management Associate (CMA) role is a full-time, predominately remote telework position. Some in-state travel (5-10%) may be required for meetings, ... and supporting the implementation of Wellness Plans to promote effective utilization of healthcare services. This position promotes/supports quality effectiveness of… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Shield of Minnesota Position Title: RN Case Manager - Commercial TOC Location: Remote Career Area: Health Services About Blue Cross and Blue Shield of Minnesota ... and transition of care between settings. Required Skills and Experience * Registered Nurse licensure in the state of Minnesota with no restrictions. * 3 years… more
- Sharing Hope SC (North Charleston, SC)
- …Job Location Charleston - North Charleston, SC Secondary Job Location(s) Undisclosed Remote Type N/A Position Type Full Time Education Level Bachelor Degree Salary ... Undisclosed Travel Percentage Road Warrior Job Shift Rotating Shift Job Category Nurse Description Summary The Clinical Donation Coordinator I (CDC I) supports the… more