- Evolent (Montpelier, VT)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… more
- Dartmouth Health (Bennington, VT)
- …care, regulatory compliance, clinical staff professional development and peer review . * Collaborates with medical providers, patients & families, community ... care continuum. * Navigates the continuum of care by serving as a clinical resource, assisting with access issues, coordinating transitions with providers and the… more
- CenterWell (Montpelier, VT)
- …complaints. + Makes clinical level of care determination based on discussion, medical records, and any other pertinent clinical data. Matches these needs to ... to work every other holiday.** The **Care Manager, Telephonic Nurse ** helps to ensure optimal continuity of care for...Health, Hospice, and Palliative Care Services. + Assist with clinical eligibility review for alternate services +… more
- Wellpath (Waterbury, VT)
- …EKGs, and assist with procedures + Maintain accurate documentation in SOAP format and review medical records + Respond to emergencies and ensure safety and ... month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and… more
- Wellpath (Springfield, VT)
- …Must be able to obtain and maintain CPR certification. **What you will do** + Review and ensure compliance of nursing plans, medical records, and referrals with ... a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We...and point of care support. **About this role** The Nurse Supervisor is responsible for the direct supervision of… more
- Wellpath (Springfield, VT)
- …Planner, you'll collaborate with various healthcare stakeholders including the Discharge Nurse Manager, Regional Clinical Leaders, and Facility Health Services ... a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We...procedures for patients with mental health issues or serious medical illnesses. + Review requests from external… more
- Datavant (Montpelier, VT)
- …years of CDI experience + 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS or ... realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role… more
- Highmark Health (Montpelier, VT)
- …:** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs clinical review and data abstraction of patient records to support ... Preferred + Associate's or Bachelor's Degree in Nursing + 1 year performing medical record review and data abstraction for cardiovascular registries + Proficient… more
- CenterWell (Montpelier, VT)
- …will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review ... Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience,...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Dartmouth Health (Bennington, VT)
- …into a BSN program may be considered.Prior experience in utilization review , discharge planning and/or case management preferred.3-5years of recent clinical ... of nursing and a Bachelors of Science of Nursing required. Five years of clinical nursing experience and BS required. BSN preferred. Prior experience in utilization … more