- CHRISTUS Health (Wake Village, TX)
- …Physician Advisor or CMO when discrepancies are present. * Performs the initial clinical medical necessity review utilizing evidence-based criteria and ... Description Summary: The Registered Nurse Clinical Care Coordinator is responsible...management of patients in Observation status to include repeated review of clinical and opportunities for conversion… more
- Novo Nordisk Inc. (Milwaukee, WI)
- About the Department The Clinical , Medical and Regulatory (CMR) department at Novo Nordisk is one of the most diverse and collaborative groups within the ... trials in all stages of development. Incumbents have a deep scientific and clinical education and experience. Within Field Medical Affairs, this position… more
- Novo Nordisk Inc. (Boston, MA)
- …sales volume Utilize discretionary budget for maximum impact on sales Clinical Understanding Deep understanding of cardiometabolic disease state and patient ... Inform health system decision makers, influencers and stakeholders hospital faculty, medical students, residents, interns as well as attending physicians, nurse… more
- Novo Nordisk Inc. (Fort Lauderdale, FL)
- …Externally, the DCS maintains relationships with physicians, physician assistants, nurse practitioners, medical assistants, pharmacists, nurses and other ... Demonstrates understanding of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses this to identify… more
- Lovelace Women's Hospital (Alameda, NM)
- …People First, Always . Here's how we take care of our people: Medical , vision, dental health insurance, health savings account / flexible spending, competitive pay, ... a Center of Excellence in Robotic Surgery by Surgical Review Corporation. We believe healthcare is a team sport...operating room under the direct supervision of a registered nurse to include conveying sterile instruments and supplies used… more
- Lovelace Women's Hospital (Alameda, NM)
- …People First, Always . Here's how we take care of our people: Medical , vision, dental health insurance, health savings account / flexible spending, competitive pay, ... a Center of Excellence in Robotic Surgery by Surgical Review Corporation. We believe healthcare is a team sport...operating room under the direct supervision of a registered nurse to include conveying sterile instruments and supplies used… more
- CareFirst (Cumberland, MD)
- **Resp & Qualifications** **PURPOSE:** The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and ... programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Clinical Medical Review **Equal Employment Opportunity**… more
- System One (Baltimore, MD)
- …requirements. + Medical Record Retrieval, Abstraction and Research during the Medical Record Review Project + Medical Record Retrieval for ... ALTA IT Services is staffing a contract opportunity for a Clinical HEDIS Specialist support a leading health insurance customer. The main duties include conducting… more
- Hackensack Meridian Health (Little Falls, NJ)
- …educate and support appropriate documentation for coding, OASIS and Hospice, and other clinical assessment tools as needed. + Review every Medicare and Managed ... issues to the Director of the certified operation, Hospice Clinical Director, and the Nurse Manager for...clinical audits. Trend data obtained from reports and review results with managers. + Identify areas for improvement… more
- Hackensack Meridian Health (Brick, NJ)
- …educate and support appropriate documentation for coding, OASIS and Hospice, and other clinical assessment tools as needed. + Review every Medicare and Managed ... issues to the Director of the certified operation, Hospice Clinical Director, and the Nurse Manager for...clinical audits. Trend data obtained from reports and review results with managers. + Identify areas for improvement… more
- Centene Corporation (Tallahassee, FL)
- …workplace flexibility. **Must be a current Florida resident!!** **Centene is currently seeking a Clinical Review Nurse - Prior Authorization to join our ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services...with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive… more
- Elevance Health (Miami, FL)
- ** Clinical Review Nurse I - Medicare...medical care. + Adapts to a wide variety of medical review topics and multiple Medicare lines of ... 5 pm EST or CST. Hours are flexible.** The ** Clinical Review Nurse I** is...criteria to clearly articulate health information strongly preferred. + Medical Review experience is a plus. +… more
- CommonSpirit Health Mountain Region (Durango, CO)
- …flourish and leaders who care about your success. Assist with training and coordinating clinical review and quality assurance. Lead and review the ... clinical care and documentation practices related to patients/residents. Review and evaluate quality data to determine areas needing...of the home health and/or hospice patient. + Registered Nurse + Valid CO Driver's License. + BLS Sedentary… more
- Centene Corporation (Madison, WI)
- …be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies… more
- Fresenius Medical Center (New York, NY)
- …regulatory requirements and programs. Collaborates with the Medical Director and the Clinical Coordinator /Charge Nurse or Nurse Supervisor regarding the ... + Addressing patient concerns, issues, and questions including the review of patient satisfaction surveys. + Developing and communicating...with the Clinical Coordinator /Charge RN or Nurse Supervisor and Medical Director to implement… more
- HCA Healthcare (Englewood, CO)
- …HealthONE Swedish we support our colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator Medical Acute Care and access programs to ... gain certifications and job skills. Apply today for our Clinical Nurse Coordinator Medical Acute...Medical Acute Care opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** Med Surg Oncology Clinical Nurse Leader **Location:** Chicago, IL **Hospital:** RUSH University Medical Center **Department:** 14 W Tower ... 8 Hr (7:00:00 AM - 3:30:00 PM) **Summary:** The Clinical Nurse Leader (CNL) functions as an...+ Demonstrated ability to navigate and utilize an electronic medical record. + Demonstrates population-specific clinical knowledge… more
- Rush University Medical Center (Chicago, IL)
- **Job Description** **BMT Clinical Nurse Leader** **Location:** Chicago, IL **Hospital:** RUSH University Medical Center **Department:** 14 E Tower (BMT/Heme ... 8 Hr (7:00:00 AM - 3:30:00 PM) **Summary:** The Clinical Nurse Leader (CNL) functions as an...* Demonstrated ability to navigate and utilize an electronic medical record. * Demonstrates population-specific clinical knowledge… more
- HCA Healthcare (Anchorage, AK)
- …Regional Hospital we support our colleagues in their positions. Join our Team as a(an) Clinical Nurse Coord Medical - Oncology and access programs to assist ... gain certifications and job skills. Apply today for our Clinical Nurse Coord Medical -...Medical - Oncology opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- Medical Mutual of Ohio (OH)
- …provider community, explaining processes for accessing health plan to perform clinical review , identifying appropriate community resources, or otherwise ... pre-employment substance abuse and nicotine testing._ \#LI-REMOTE **Title:** _Registered Nurse Clinical Appeal & Claim_ **Location:** _Ohio_ **Requisition… more
