- Shannon Health (San Angelo, TX)
- …promptly. Provides diagnostic medical sonography services that are consistent with clinical education and training in accordance with facility policies, procedures, ... and professional standards. Individuals will demonstrate clinical competencies to perform Ultrasound procedures ranging in age from infant to geriatric under the… more
- Community Health Systems (Franklin, TN)
- …collaborates with healthcare providers to facilitate efficient patient care . The Clinical Utilization Review Specialist monitors adherence to hospital ... **Job Summary** The Remote PRN Clinical Utilization Review Specialist ...+ 2-4 years of clinical experience in utilization review, case management, or acute care … more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves… more
- BriteLife Recovery (Englewood, NJ)
- …by effectively communicating clinical information and advocating for appropriate levels of care . The UR Specialist works closely with clinical staff, ... What you will be doing? The Utilization Review (UR) Specialist is a...for the organization. Success in this role requires strong clinical judgment, documentation skills, familiarity with ASAM criteria, and… more
- Penn Medicine (Lancaster, PA)
- …Medicine Lancaster General Health is looking for an experienced RN to join our Utilization Management Specialist team! In this critical role, you'll advocate for ... denials-all while meeting tight deadlines in a fast-paced acute care environment. If you have deep clinical ...we'd love to hear from you!_ **Summary** : The Utilization Management Specialist - Admissions is responsible… more
- FLACRA (Clifton Springs, NY)
- Utilization Management Specialist FLACRA Clifton Springs, NY (Onsite) Full-Time $16.50 - $17.50/Hour Apply Now ... (https://flacra.jobs.net/apply/jqn6gn6t2h294xv9ngh?ipath=CR¬ify=true&siteid=cbnsv) Job Details Job Title: Utilization Management Specialist Location:Finger Lakes Region, NY… more
- AnMed Health (Anderson, SC)
- …here. This position is responsible for performing the daily operations of the Utilization Management program at AnMed within the Care Coordination model. These ... + Uses clinical knowledge to independently review the medical record for clinical appropriateness and resource utilization including but not limited to :… more
- Hackensack Meridian Health (Hackensack, NJ)
- …include but are not limited to utilization review, hospital reimbursement, clinical compliance, case management, and transitions of care , as outlined in ... **The Senior Utilization Review Specialist collaborates with the...and resolution of activities that assure the integrity of clinical records for the patient population and Hackensack UMC.… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Utilization Management Specialist MSH Case Management FT Days** This position is responsible for coordinating requests for clinical ... internal and external to the institution. Position responsibilities will include utilization management support functions for patient admissions and continuing stay.… more
- WestCare Foundation (Henderson, NV)
- …Description Position Summary: Person in this position is responsible for collecting clinical information and communicating with MCOs in a timely manner in order ... to advocate for the highest level of care that is supported by the clients acuity, and...notes and be able to disseminate patient needs and professional/ clinical recommendations and communicate this information effectively + Call… more
- SSM Health (St. Louis, MO)
- …Hospital 1201 Grand **Worker Type:** Regular **Job Summary:** Optimizes patient care by promoting rational, safe, and cost-effective drug therapy by developing ... and providing clinical services in their area of expertise. Conducts drug...**Job Responsibilities and Requirements:** PRIMARY RESPONSIBILITIES + Provides pharmaceutical care in their specialty practice area which may include:… more
- Penn Medicine (Lancaster, PA)
- …no weekends or holidays. Penn Medicine Lancaster General Health is seeking a Clinical Nurse Specialist (CNS) **_or_** CNS Fellow with Cardiac and/or Critical ... the continuum of care to promote team building and to provide clinical consultation and education. + Collaborates with nursing personnel and other health care… more
- HCA Healthcare (San Antonio, TX)
- **Description** **Introduction** Do you have the career opportunities as a(an) Clinical Pharmacist Specialist Critical Care you want with your current ... of colleagues. Do you want to work as a(an) Clinical Pharmacist Specialist Critical Care ...multidisciplinary and bedside rounds + You will complete drug utilization reviews to promote rational drug therapy and implement… more
- Bon Secours Mercy Health (Richmond, VA)
- … and operational excellence. **Primary Function/General Purpose of Position** The Critical Care Clinical Pharmacy Specialist participates in clinical ... care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical...of the time with a consistency in schedule. The Clinical Pharmacy Specialist has received specialized training… more
- Medtronic (Queens County, NY)
- …the region. A valid driver's license is essential for this role. As a OR/NICU Clinical Product Specialist (OR/NICU CPS), you will enhance the selling process by ... serving as the clinical expert on the application of Acute ...in-servicing, and ongoing support to ensure robust adoption and utilization . + Stimulate, support, and facilitate clinical … more
- UNC Health Care (Kinston, NC)
- …transition of care delays/issues as necessary; in collaboration with the care team. This position provides third-party payers clinical information to assure ... win rates. 12. Assists in documentation review in the clinical documentation specialist role when needed. Working...experience as a Registered Nurse required. + 2 years utilization review, care management, or compliance experience… more
- Stanford Health Care (Palo Alto, CA)
- …used, all while maintaining or improving patient care quality. The specialist collaborates with physicians, clinical staff, and administrative leaders to ... your expertise ensures rigorous protocol implementation and high-quality patient care . As a Sr. Clinical Value Based...job.** **A Brief Overview** The Senior Value Based Management Specialist works as a key link between the supply… more
- UnityPoint Health (Cedar Rapids, IA)
- …the case management plan to include: clinical needs, barriers to quality care , effective utilization of resources and pursues denials of payment and ... position is on site at St. Luke's Hospital. The Utilization Management Specialist in the Behavioral Health...best practices, effective utilization of resources, linking clinical and financial aspects of care , and… more
- Mount Sinai Health System (New York, NY)
- …Serves as a consultant by: 1) Assisting clinical nurses and other health care professionals in the utilization of the nursing problem solving process in ... - WOC Nursing - MSH, Mount Sinai Hospital **Responsibilities** ** Clinical Practice** + Provides direct patient care ...2) Assisting clinical nurses and other health care professionals in the utilization of the… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a* Utilization Review Manager* to join ourTransitional Care Team.This is a full-time role and will be required to work ... utilization management activities. The goal is to achieve clinical , financial, and utilization goals through effective...reimbursement requirements. Serves as a resource to the health care team for utilization and denial management.… more
