• Clinical Research Data Specialist

    University of Miami (Miami, FL)
    …Specialist assists in creating, updating, and maintaining research charts and case report forms, including regulatory related issues, in accordance with department ... more
    University of Miami (02/07/25)
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  • RN Auditor, Clinical Services - Utilization…

    Molina Healthcare (Columbus, OH)
    …auditing of registered nurse and other clinical functions in Utilization Management ( UM ), Case Management (CM), Member Assessment Team (MAT), Health Management ... more
    Molina Healthcare (01/24/25)
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  • Integrated Care Management Assistant Utilization…

    McLaren Health Care (Detroit, MI)
    **Position Summary:** Responsible for providing assistance to the Utilization Manager ( UM ) RN in the coordination of patient admission and continued stay ... more
    McLaren Health Care (01/13/25)
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  • Delegation Oversight Nurse

    Molina Healthcare (Long Beach, CA)
    …Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM) ... more
    Molina Healthcare (02/02/25)
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  • Clinical Research Coordinator 2

    University of Miami (Miami, FL)
    …regulations. + Maintains study binders and filings according to protocol requirements, UM and department policy. + Distributes study drug materials according to ... more
    University of Miami (01/28/25)
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  • St Joseph Hospital

    Covenant Health (Nashua, NH)
    …and duplication of care and enhancing quality, cost-effective clinical outcomes. The RN Case Manager works closely with, and delegates care to, the High-Risk ... more
    Covenant Health (01/28/25)
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  • Clinical Outpatient Utilization Review Nurse

    US Tech Solutions (Canton, MA)
    …frames. The Clinical Reviewer functions as a member of the Precert / Outpatient UM team and works under the general direction of the Precertification Team Manager ... more
    US Tech Solutions (02/11/25)
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  • RN (Registered Nurse) Auditor, Clinical Services…

    Molina Healthcare (Reno, NV)
    …auditing of registered nurse and other clinical functions in Utilization Management ( UM ), Case Management (CM), Member Assessment Team (MAT), Health Management ... more
    Molina Healthcare (12/06/24)
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  • Mgr CDI

    Covenant Health Inc. (Knoxville, TN)
    Overview Clinical Documentation Improvement Manager , Clinical Document Integrity Full-Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant ... more
    Covenant Health Inc. (12/14/24)
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  • RN Care Coordinator

    Dignity Health (Merced, CA)
    …of nursing experience + Certified Case Manager (CCM), + Accredited Case Management (ACM-RN), or UM Certification preferred Please be advised that this ... more
    Dignity Health (02/07/25)
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  • Enhanced Care Management Clinical Specialist II

    LA Care Health Plan (Los Angeles, CA)
    …Licenses/Certifications Preferred Certified Professional in Utilization Review (CPUR) Certified Case Manager (CCM) Required Training Physical Requirements Light ... more
    LA Care Health Plan (12/30/24)
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  • Patient Care Technician

    University of Michigan (Ann Arbor, MI)
    …equipment for surgeries. + Ensure availability of instruments and supplies needed for case . Assist with opening of supplies and instruments. + Assist nursing staff ... more
    University of Michigan (01/30/25)
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  • Primary Care Physician

    ChenMed (Philadelphia, PA)
    …performance of the center, as the true dyad partner to the Center Manager /Center General Manager . Directly supervise, performance manage and train PCPs in ... more
    ChenMed (02/01/25)
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  • Patient Care Technician

    University of Michigan (Ann Arbor, MI)
    …when necessary, due to backup of malfunctioning lift + Unloading dirty lift with used case carts, and replacing with new case carts + Sending sterile instruments ... more
    University of Michigan (02/11/25)
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  • Director of Behavioral Health Services-…

    Elevance Health (Winston Salem, NC)
    …for providing oversight and leadership of integrated behavioral health benefits, including UM program, network development and care management. **How you will make ... more
    Elevance Health (02/06/25)
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  • Sr Utilization Review Spec FT Humc

    Hackensack Meridian Health (Hackensack, NJ)
    …iii. Clarifying ambiguous or conflicting documentation iv. Target DRGs Reviews v. Use of case manager as a resource 4. Uses guidelines to evaluate patient status ... more
    Hackensack Meridian Health (02/01/25)
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  • Physician Utilization Review Specialist Per Diem…

    Hackensack Meridian Health (Hackensack, NJ)
    …d. Clarifying ambiguous or conflicting documentation e. Target DRGs Reviews f. Use of case manager as a resource + Uses guidelines to evaluate patient status ... more
    Hackensack Meridian Health (11/18/24)
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  • Trainer - Utilization Management Team

    Fallon Health (Worcester, MA)
    …department goals and processes, including introductory database management and case triage process. Understands interdepartmental processes and relationships. + ... more
    Fallon Health (12/12/24)
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  • Family Health Advocate- Remote

    Sharecare (Juneau, AK)
    …hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management ( UM ) status, including but not limited to medical, dental, and vision ... more
    Sharecare (02/11/25)
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  • Clinical Nursing Director: Von Voigtlander Women's…

    University of Michigan (Ann Arbor, MI)
    …and position qualifications consistent with the respective unit objectives and patient case mix. Interview and select qualified personnel. + Evaluate the performance ... more
    University of Michigan (02/09/25)
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