- A-Line Staffing Solutions (Columbus, OH)
- …denial management processes. (20%) Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions and Non-Formulary ... for ensuring cases are accurately set up for our members, review clinical information for the request, performing outreach to providers for more information… more
- A-Line Staffing Solutions (Columbus, OH)
- …emergencies (eg, first aid, CPR, psychotropic emergencies, etc.) & assists in decision making in supervisors absence. Monitor health care charts on living areas ... new staff. Conducts & participates in In-Service trainings sessions. Provides clinical oversight to Licensed Practical Nurses (LPNs). Performs other related duties… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …clinical quality metric dashboards, care gaps, outreach encounter documentation, and clinical decision support tools.Develop workflows that utilize the cost ... of improving the health of our communities. About the Role:Job SummaryThe clinical informatics specialist (CIS) functions as a consultant, educator, and evaluator to… more
- A-Line Staffing Solutions (Atlanta, GA)
- …& denial management processes. Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions and Non-Formulary ... NOW HIRING! A-Line is looking for a Remote Clinical Pharmacist Advisor to join our team! As an RPh Advisor you will be directly supporting Medicare Part D members… more
- Physicians East (Greenville, NC)
- …a team-oriented, patient-centric culture. The ideal candidate will also: Be confident in clinical decision -making and autonomous in providing care to patients in ... care for our patients using acquired professional knowledge and exercise independent decision making in the assessment, diagnosis, and development of a plan of… more
- A-Line Staffing Solutions (Atlanta, GA)
- …denial management processes . Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions and Non-Formulary ... for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing outreach to providers for more… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …Skills and AbilitiesAbility to work effectively with othersOrganizational and decision making skillsGood clinical assessment and judgment skillsAbility ... the neonate, child, adolescent, adult, and geriatric age groups. Employee performs clinical duties in accordance with population specific guidelines and adheres to… more
- A-Line Staffing Solutions (Atlanta, GA)
- …denial management processes. (20%) Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions and Non-Formulary ... Responsibilities Collaborates with multiple groups within CD&A, including answering clinical questions, collecting appropriate clinical / medical data needed… more
- A-Line Staffing Solutions (Atlanta, GA)
- …management processes. (20%) . Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions and Non-Formulary ... Responsibilities . Collaborates with multiple groups within CD&A, including answering clinical questions, collecting appropriate clinical / medical data needed to… more
- A-Line Staffing Solutions (Atlanta, GA)
- …denial management processes. (20%) Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions and Non-Formulary ... Pharmacist Overview: Collaborates with multiple groups within CD&A, including answering clinical questions, collecting appropriate clinical / medical data needed… more
- Volunteers of America Mid-States (Owensboro, KY)
- …data into the Homeless Management Information System (HMIS). i. Demonstrate good clinical judgment in decision making regarding participants. j. Demonstrate ... Leadership Development Program VOA University - Staff Development VOA Academy - Clinical Training and Development JOB SUMMARY AND QUALIFICATIONS: The SSVF program… more
- Volunteers of America Mid-States (Johnson City, TN)
- …data into the Homeless Management Information System (HMIS). j. Demonstrate good clinical judgment in decision making regarding participants. k. Demonstrate ... Leadership Development Program VOA University - Staff Development VOA Academy - Clinical Training and Development JOB SUMMARY AND QUALIFICATIONS: The SSVF program… more
- Volunteers of America Mid-States (Louisville, KY)
- …services, legal services, childcare, and housing counseling. i) Demonstrate good clinical judgment in decision making regarding participants. j) Demonstrate ... Leadership Development Program VOA University - Staff Development VOA Academy - Clinical Training and Development JOB SUMMARY AND QUALIFICATIONS: The Moral Injury… more
- Volunteers of America Mid-States (Louisville, KY)
- …and Portal billing logs to the Program Manager weekly k) Demonstrate good clinical judgment in decision making regarding participants. l) Demonstrate ability to ... Leadership Development Program VOA University - Staff Development VOA Academy - Clinical Training and Development JOB SUMMARY AND QUALIFICATIONS: Case Manager will… more
- Advocate Aurora Health (Aurora, IL)
- …which is represented by achieved clinical outcomes. Using evidence-based practice, clinical decision making, and skilled dialogue, nurses lead efforts to ... with patients and families develop to support achievement of health goals. Clinical Excellence: The registered nurse contributes to inter-professional excellence… more
- Parkview Health (Fort Wayne, IN)
- …learn more about Parkview Bleed Green HERE Registered Dietitian supporting Inpatient Clinical Nutrition The Registered Dietitian (RD) will support inpatients who are ... to integrate facts, informed opinions, active listening, and observations. * Decision making , problem solving and collaboration. * Excellent counseling skills… more
- MultiPlan (Atlanta, GA)
- …with internal and external sources to complete objectives, keeping the needs of external and internal customers as a priority when making decision and taking action. ... Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client's… more
- Monadnock Family Services (Keene, NH)
- …as possible. Client Services Managers work independently and must demonstrate good clinical judgment, decision making, time management and appropriate treatment ... for consumers in the community. Reports to: ACT Team LeaderCaseloads are assigned for optimization of client care.Travel: 50-60%Requirements:QualificationsBachelor's Degree in psychology social work, psychosocial rehabilitation or related human services field… more
- Option Care Health (Bannockburn, IL)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... employment will be terminated.Job Description Summary:Reporting to the SVP, Quality & Clinical Services, the VP, Clinical Effectiveness develops and leads… more
- Compass Health Network (Raymore, MO)
- …treatment* Demonstrates a thorough knowledge of assigned clients* Demonstrates good clinical judgment and decision -making skills* Demonstrates energy, respect, ... compassion, and enthusiasm while making a positive contribution to the team and program* Works as scheduled with rare absences and tardiness* Engages in supervision and is open to feedback while making apparent efforts for improvement* Conducts activities in a… more
