- Guardian Life (Bethlehem, PA)
- The ** RN Clinical Consultant , Disability Claims ** serves as a clinical resource for the investigation and assessment of medical information regarding ... by providing comprehensive medical reviews and analysis of long-term disability claims . You will be responsible for restrictions, limitations and duration impacting… more
- Veterans Affairs, Veterans Health Administration (Walla Walla, WA)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... Summary The Risk Manager/Controlled Substance Coordinator Management Consultant functions as a resource person and consultant for risk-related activities to… more
- The County of Los Angeles (Los Angeles, CA)
- …Requirements SELECTION REQUIREMENTS: Option I: Five (5) years of experience as a Registered Nurse including two (2) years of experience in an administrative*, ... HEALTH FACILITIES CONSULTANT , NURSING Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2307969) Apply HEALTH FACILITIES...university AND four (4) years of experience as a Registered Nurse including two (2) years of… more
- Rush University Medical Center (Chicago, IL)
- …origin, disability, veteran status, and other legally protected characteristics. **Position** Clinical Risk Manager RN **Location** US:IL:Chicago **Req ID** ... Hospital: Rush University Medical Center Department: RUSH Risk & Claims Management **Work Type:** Full Time (Total FTE between...well as lawsuits and attorney's liens. The Risk Manager RN will participate with the loss control activities in… more
- NHS Management, LLC (Tallahassee, FL)
- …the successes they experience along the way. We are in search of a qualified Regional Nurse Consultant : The Regional Nurse Consultant will be responsible ... policies and established customer service program. 4. Monitor corporate clinical benchmarks, QI's, QM's and other available consultant...Holidays and Paid Vacation Requirements + Must be a Registered Nurse in good standing + Previous… more
- CVS Health (Topeka, KS)
- …- 5+ years of clinical experience required - 2+ years of experience as a Registered Nurse - Must have active current and unrestricted RN licensure in ... line with regulatory and accreditation requirements for member and/or provider claims . Independently coordinates the clinical resolution with clinician/MD… more
- US Tech Solutions (Chesapeake, VA)
- …healthcare costs and improve healthcare program/operational efficiency involving clinical issues Determines medical necessity/ appropriateness Facilitates optimal ... enable decision making at most appropriate level **Duties:** + Nurse Case Manager is responsible for face to face...policies and programs are comprised of network management and clinical coverage policies. + Through the use of … more
- Corewell Health (Farmington Hills, MI)
- …as needed. Qualifications Required + Bachelor's Degree or equivalent in Nursing or related field + LIC- Registered Nurse ( RN ) - State of Michigan + 5 years of ... year. Join our team at Corewell Health as an RN Clinical Risk Specialist Senior and play...patient related injuries and manage the resolution of pre-notice claims . Essential Functions + Reviews and provides recommendations regarding… more
- Baylor Scott & White Health (Temple, TX)
- … experience. Or, an Associate's Degree in a healthcare field and six years of clinical experience. Or, an RN with less than a Bachelor's Degree and six ... works to resolve issues before they develop into liability claims . + Receives information from other team members who are...years of clinical experience. + RN… more
- UPMC (Pittsburgh, PA)
- …very sensitive and confidential information. **Licensure, Certifications, and Clearances:** + Pharmacist OR Registered Nurse ( RN ) + Act 34 *Current licensure ... is systematic management of potential as well as actual claims . Clinical data will by analyzed to...staff regarding medical legal issues. ? Act as a resource/ consultant for staff and affiliates for questions and concerns… more
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