- Guthrie (Sayre, PA)
- …and autonomy in nursing practice. Preferred experience with PCMH process, care management/ utilization review , and payer knowledge. Fast paced ambulatory care ... experience preferred. Education Licensed Registered Nurse with 5 years' experience, preferably in an outpatient/ambulatory setting. Bachelor's Degree in Nursing… more
- Stony Brook University (Stony Brook, NY)
- Care Manager - Readmission Specialist **_Position Summary_** _At Stony Brook Medicine the_ Care Manager - Readmission Specialist _must have both hospital and ... may be at a high risk for readmission. The RN following these patients must have good clinical and...of excellence._ Duties of a Care Manager - Readmission Specialist may include the following but are not limited… more
- HCA Healthcare (Nashville, TN)
- …treatment is reimbursed by contacting managed care organizations and completing initial utilization review . Documents in Midas as required. Involves mobile ... any other healthcare provider. We are seeking a(an) Assessment Specialist PRN to join our healthcare family. **Benefits** TriStar...patients in regard to managed care organizations + Conducts utilization review for managed care cases in… more
- HCA Healthcare (Dallas, TX)
- …this opportunity compelling, we encourage you to apply for our Clinical Pharmacist Specialist BMT opening. We promptly review all applications. Highly qualified ... **Description** **Clinical Pharmacist Specialist BMT** **Full Time Day Shift Position, rotating...in daily multidisciplinary and bedside rounds + Completes drug utilization reviews to promote rational drug therapy and implement… more
- St. Luke's University Health Network (Bethlehem, PA)
- …conditions, snow, ice and/or fog. Hazards - road and driving. EDUCATION: PA-Licensed Registered Nurse or Physical Therapist. A bachelor's degree in specific ... patient's ability to pay for health care. The Diagnosis and OASIS Specialist is responsible for coding pertinent medical information on patient classifications… more
- HCA Healthcare (Kissimmee, FL)
- …personal growth, we encourage you to apply for our Clinical Inpatient Rehab Specialist opening. We promptly review all applications. Highly qualified candidates ... care like family! Jump-start your career as a(an) Clinical Inpatient Rehab Specialist today with HCA Florida Osceola Hospital. **Benefits** HCA Florida Osceola… more
- Albany Medical Center (Albany, NY)
- …field of Clinical Social Work or Nursing with experience in Case Management, Utilization Review and Discharge Planning. * BLS Certification. * Demonstrated ... will be prorated based on hours worked. The Education Specialist is expected to utilize their knowledge and skills...to accomplish the goals of the organization. The Education Specialist achieves this goal through the roles of educator,… more
- HCA Healthcare (Richmond, VA)
- …compelling, we encourage you to apply for our Certified Strength Conditioning Specialist opening. We promptly review all applications. Highly qualified ... individual is recognized. Submit your application for our Certified Strength Conditioning Specialist opening with Chippenham Hospital today and find out what it… more
- Commonwealth Care Alliance (Boston, MA)
- …claims adjudication, clinical coding reviews for claims, settlement, claims auditing and/or utilization review required + 7+ years experience with Optum Claims ... regulations. The role will also be responsible for timely review and research, as necessary on all new and...applicable)), an OIG Report and verification of a valid MA/ RN license (if applicable). Commonwealth Care Alliance is an… more
- Parkview North Hospital (Fort Wayne, IN)
- …installing systems to obtain precertification and recertification for payment and utilization review . Attends treatment planning to advise regarding ... (ASN); Bachelor of Science in Nursing (BSN) preferred. Licensure/Certification Current Indiana RN license. CPI required upon hire or within 3 months of employment.… more