- Luminis Health (Annapolis, MD)
- …responsible for any charges incurred by the recipient. Candidates are encouraged to review their mobile carrier's plan for applicable text messaging rates and ... Objective: Contributes to the provision of high-quality, cost-effective health care through the direct care of patients...Preferred Experience: Successful completion of first year of the clinical nursing program. Completion of one clinical … more
- Luminis Health (Lanham, MD)
- …health care team. Functions as a competent member of the health care team. 1. Clinical Decision Making/Judgment Demonstrates clinical nursing knowledge ... problem lists for assigned patients. Develops and individualizes a plan of care for each patient in...and organizational policies and procedures to promote safe patient care and a safe practice environment. 4. Clinical… more
- MASONICARE (Rocky Hill, CT)
- …recommend level of care required by resident. 14. Assist the licensed staff with the review of care plan with each significant change in condition or at ... coordinating and managing all aspects of nursing and personal care services provided by ALSA staff to residents of...activities of daily living. Ensure the evaluation of the clinical competence of assigned nursing personnel and assisted living… more
- Luminis Health (Lanham, MD)
- …to develop individualized problem lists for assigned patients; Develops and individualizes a plan of care for each patient in accordance with established ... and mutually agreed upon goals; Efficiently implements the patient's plan of care in accordance with applicable...and organizational policies and procedures to promote safe patient care and a safe practice environment. Clinical … more
- Luminis Health (Annapolis, MD)
- …medication management as needed. For the inpatient unit, initiates the interdisciplinary care plan . For the mental health emergency department, collaborates with ... problem lists for assigned patients Develops and individualizes a plan of care for each patient in...and organizational policies and procedures to promote safe patient care and a safe practice environment. Clinical … more
- Geisinger (Danville, PA)
- … of the medical record, and discussion with other members of the interdisciplinary health care team in assigned area Develops a plan to meet assessed needs ... Wellbeing Services, Dietitian Schedule: Days Work Type: Full time Department: Clinical Nutrition Team Date Posted: 12/13/2025 Job ID: R-89478 Job SummaryProvides… more
- Signify Health (Olympia, WA)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation?s leading health solutions company, we reach millions ... of their own homes and helping bridge gaps in care . You?ll play a critical role in building trusted...health questions. It includes a medication and medical history review , a physical evaluation, and, if ordered by the… more
- Luminis Health (Lanham, MD)
- …responsible for any charges incurred by the recipient. Candidates are encouraged to review their mobile carrier's plan for applicable text messaging rates and ... Administers daily external beam therapy to patients. Accurately documents clinical progress and dosage consistent with established quality standards. Essential… more
- Luminis Health (Odenton, MD)
- …responsible for any charges incurred by the recipient. Candidates are encouraged to review their mobile carrier's plan for applicable text messaging rates and ... recommendations on personnel matters within an assigned area. Obtains pertinent clinical data prior to sonographic examination, supervises the preparation of… more
- Luminis Health (Lanham, MD)
- …responsible for any charges incurred by the recipient. Candidates are encouraged to review their mobile carrier's plan for applicable text messaging rates and ... provide supervised medical services for patients with emphasis on acute/same day care . All duties are in collaboration with contracted physician; services are… more
- Luminis Health (Annapolis, MD)
- …responsible for any charges incurred by the recipient. Candidates are encouraged to review their mobile carrier's plan for applicable text messaging rates and ... and productivity and makes recommendations related to them. Obtains pertinent clinical data prior to diagnostic examination, supervises the preparation of patients,… more
- Campbell County Health (Gillette, WY)
- …on integrating care management, social services, discharge planning, utilization review and post-hospital services to ensure clinical efficacy and best ... Assess resident/family adaptation to illness/disability and capacity to provide for residents care needs. Completes assessment of resident clinical course to… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …therapists, and facilities as needed to gather clinical information to support the plan of care . + Monitor clinical quality concerns, make referrals ... true colors to blue. The RoleThe RN Utilization Management Reviewer is responsible for facilitating care for...is self-directed and works independently and collaboratively to facilitate care using clinical skills, principles of managed… more
- Home Care Providers of Texas (San Antonio, TX)
- …Therapists, etc.) including supervision and oversight of patient's plan of care , achievement of both clinical and administrative outcomes, and professional ... to manage patient care episodes, changes to plan of care , clinical evaluations,...the level of staff person required to provide services. Review , sign and fax 485's to MD . … more
- LA Care Health Plan (Los Angeles, CA)
- Physical Accessibility Review Survey Reviewer II Job Category: Clinical Department: Facility Site Review Location: Los Angeles, CA, US, 90017 Position ... $57,062.00 (Mid.) - $68,474.00 (Max.) Established in 1997, LA Care Health Plan is an independent public...to achieve that purpose. Job Summary The Physical Accessibility Review Survey (PARS) Reviewer II is responsible… more
- Centers Plan for Healthy Living (Margate, FL)
- …applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works within a multidisciplinary team to help ... home to improve their quality of life. Utilization Management Clinical Reviewer will assess and process all...of members' care /social needs, developing a "living care plan " that is modified as needed,… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …of the Senior Medical Director of the Physician Review Unit (PRU), the reviewer also provides clinical leadership in other areas of BCBSMA. The physician ... The Physician Reviewer is responsible for evaluating pre & post-service clinical service requests made by BCBSMA members and providers. The Physician Reviewer… more
- Healthfirst (NY)
- **Duties/Responsibilities:** + The Medical Peer Reviewer will assess/ review requests for authorization, and claims payment, based on medical records and internal ... make informed clinical judgments and recommendations. + The Medical Peer Reviewer will render determinations in the format and within timeframes to follow… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …the Associate Medical Director of the Physician Psychologist Review Unit, the Reviewer also provides clinical leadership in other areas of BCBSMA. The ... your true colors to blue. The Role The Physician Reviewer is responsible for evaluating clinical service...anticipatory case management for members whose cases come for review , in partnership with case managers + Participate in… more
- Point32Health (MA)
- …of utilization management and care management principles. Health Plan experience performing utilization review activities. Experience with McKesson's ... Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide...as specified in the prior authorization list using specified clinical criteria sets. + Concurrent review of… more
