- Novo Nordisk Inc. (Boulder, CO)
- …Here, we are building for the future, creating a distinct R&D community based on collaboration, partnerships, and cutting-edge research across multiple modalities ... us. Our R&D hub merges biotech speed and agility with large pharmaceutical company quality , resources, and stability, uniting the best of both worlds to develop new… more
- Novo Nordisk Inc. (Boston, MA)
- …nurses, and other key stakeholders within targeted accounts and community advocacy partners. The Ecosystem Portfolio Specialist must work collaboratively ... systems and ability to discuss economics of hospital and/or group, including quality metrics, as needed Ability to view, manipulate and extract actionable insights… more
- PeaceHealth (Vancouver, WA)
- …PeaceHealth Home Health in Vancouver, WA is seeking a Home & Community Quality Reviewer for a Per Diem/Relief, 0.00 FTE, Day position. The ... is met. Works closely with the System Manager of Quality for Home & Community ... leadership and oversite for LPN OASIS/HIS reviewers. + Home Health Quality Reviewer : In… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Coding Quality Audit Reviewer ? At Parallon, you come first. HCA Healthcare has committed up ... of three years. **This position is fully remote/work from home !** **Schedule: Monday-Friday Day Shift** **Must have DRG Validation...a difference. We are looking for a dedicated Coding Quality Audit Reviewer like you to be… more
- The Cigna Group (Sacramento, CA)
- …the effectiveness of alternative care services and that cost effective, quality care is maintained. Performs prospective, concurrent, and retrospective reviews for ... inpatient acute care, rehabilitation, referrals, and select outpatient services. May review initial liability disability claims to determine extent and impact of… more
- Centers Plan for Healthy Living (Margate, FL)
- …need of additional care or support in their home to improve their quality of life. Utilization Management Clinical Reviewer will assess and process all ... for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works within a multidisciplinary team to help identify and manage… more
- Corewell Health (Grand Rapids, MI)
- …right time and the right price in the right location to promote high quality health outcomes. Work entails medical necessity reviews on weekends and holidays. Ideal ... of clinical utilization guidelines, health management programs and clinical quality programs. + Provide clinical oversight to utilization management. Qualifications… more
- Sea Mar Community Health Centers (Seattle, WA)
- …a Federally Qualified Health Center (FQHC) founded in 1978, is a community -based organization committed to providing quality , comprehensive health, human, ... meetings of professional groups to maintain communications with the medical/ home care community . Essential Duties and Responsibilities:...(RN). + Prepare recommendations for hiring and termination for review and approval by the Home Health… more
- Beth Israel Lahey Health (Burlington, MA)
- …Case Manager for Hospital at Home Care Transitions coordinates utilization review , discharge planning and monitors quality assurance for Lahey Clinic ... people's lives.** Joint role of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and Medical Center...Lahey Hospital and Medical Center in Burlington Hospital at Home Program Full Time Days 8:00am-4:30pm Weekend and holiday… more
- BAYADA Home Health Care (Rock Hill, SC)
- …and lead a caring, professional team that is instrumental in providing the highest quality care to our clients. BAYADA Home Health Care is currently seeking ... a **Transitional Care Manager (TCM)** to join our Charlotte Community Sales Team. Clinical Liaisons / TCMs at BAYADA...of BAYADA. + Demonstrate mastery of clinical and regulatory home care eligibility criteria. + Review all… more
