- Munson Healthcare (Traverse City, MI)
- …of resources. + Assists in developing and revising policies to support utilization management activities, including criteria and guidelines for appropriate use ... colleagues and hospital associates at information meetings. + May represent Utilization Management on various committees, professional organizations, physician… more
- HCA Healthcare (Dallas, TX)
- **Description** **Clinical Pharmacist Specialist BMT** **BMT Experience required** ** PRN Position** **Introduction** Are you looking for a work environment where ... diversity and inclusion thrive? Submit your application for our Clinical Pharmacist Specialist BMT PRN opening with Medical City Dallas today and find out what… more
- HCA Healthcare (Nashville, TN)
- …Do you have the PRN career opportunities as a(an) Clinical Pharmacist Specialist BMT Oncology PRN you want with your current employer? We have ... Do you want to work as a(an) Clinical Pharmacist Specialist BMT Oncology PRN where your passion...multidisciplinary and bedside rounds + You will complete drug utilization reviews to promote rational drug therapy and implement… more
- LifePoint Health (Sylva, NC)
- …information given regarding these. 15. Assists with transfer arrangements for case management patients. 16. Provides input into resource utilization and ... law. **Job:** **Behavioral Health* **Organization:** ** **Title:** *Behavioral Health Specialist - PRN * **Location:** *NC-Sylva* **Requisition ID:** *7463-11485* more
- AdventHealth (Hendersonville, NC)
- …of responsibility, autonomy and expertise under administrative supervision of pharmacy management personnel. Work to meet highly specialized pharmacy business need ... Machine Support, Informatics, Medication History, Investigational Drugs or Cleanroom Specialist . **PRINCIPAL DUTIES AND JOB RESPONSIBILITIES** : Pharmacy Operations… more
- Avera (Sioux Falls, SD)
- …with the largest employer in South Dakota.** **Job Summary** + PreArrival Management Specialist is responsible for ensuring insurance eligibility, benefit ... with information on their financial responsibility. + The PreArrival Management Specialist will calculate and communicates to...service and attempt to collect prior balances. + The Specialist also collaborates with the Utilization Review,… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Pharmacy Clinical Specialist position is responsible for performing advanced clinical pharmacy duties enabling the delivery of optimal ... designated area(s) of responsibility or populations served. The Pharmacy Clinical Specialist position supports the delivery of pharmacy managed protocols, formulary… more
- AdventHealth (Bolingbrook, IL)
- …documents avoidable days, and facilitates progression of care. . Collaborates with Utilization Management staff for collaboration on patient status changes and ... AND EXPERIENCE PREFERRED:** . Current working knowledge of discharge planning, utilization management , care management , performance improvement and… more
- AdventHealth (Hinsdale, IL)
- …documents avoidable days, and facilitates progression of care. **.** Collaborates with Utilization Management staff for collaboration on patient status changes ... BSN . Health-related Master's degree or MSN . Prior hospital care management / utilization management experience **LICENSURE, CERTIFICATION OR REGISTRATION… more
- AdventHealth (Hinsdale, IL)
- …documents avoidable days, and facilitates progression of care. **.** Collaborates with Utilization Management staff for collaboration on patient status changes ... AND EXPERIENCE PREFERRED:** . Current working knowledge of discharge planning, utilization management , care management , performance improvement and… more
- Nuvance Health (Norwalk, CT)
- *Description* *Title: * PRN * *Cardiovascular Technologist - Norwalk Hospital Cardiac Cath Lab - Per Diem - Shifts:7:00am- 3:30pm or 9:00am - 5:30pm with on call after ... hours and weekends. *Summary: *The invasive cardiovascular technologist, through the utilization of specialized equipment and under the direction of a qualified… more
- AdventHealth (Davenport, FL)
- …team. All while understanding that **together** we are even better. **Schedule:** PRN **Shift** : Nights **Location:** 40100 US-27, Davenport, FL 33837 **The ... Accepts shift supervisory responsibility in the absence of a Clinical Specialist or Supervisor. Respiratory Care processes include assessing, planning, implementing,… more
- AdventHealth (Orlando, FL)
- …in Nursing (BSN) + Health-related Master's degree or MSN + Prior Care Management / Utilization Management experience + ACM/CCM Certification + Knowledge of ... patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the interdisciplinary team… more
- STG International (Springville, NY)
- …to ensure compliance and patient safety. + Participates in quality improvement, care management , risk management , peer review, utilization review, clinical ... an accurate and complete fashion. + Assist in the management /coordination of the clinic's day-to-day activity, in conjunction with...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps -… more
- Baptist Memorial (Oxford, MS)
- …Preferences and Experience Experience Preferred: Prefer additional two years of quality/ utilization management or dischage planning experience. Minimum: LPN with ... of acute care experience; or an individual with 5 years of utilization management /case management experience. Licensure, Registration, Certification… more
- Baptist Memorial (Memphis, TN)
- …prior to initial appeal action in order to optimize reimbursement and utilization of resources. + Prepares response to appeal/request for information based on ... skills. Experience Preferred: Five years clinical experience and 3-5 years case management or denial management experience. Minimum: RN, 5 years clinical… more
- Ascension Health (Indianapolis, IN)
- …of hospital admissions, discharge planning, and length of stay. + Serve as content specialist for staff in the areas of utilization criteria, appeal and review ... **Details** + **Department:** Case Management + **Schedule:** Full time, Mon-Fri days, occasional...exclusions may apply for some roles (for example: Travel, PRN , Short-Term Option, etc.). Actual compensation offer will vary… more
- Ascension Health (Baltimore, MD)
- …including but not limited to: Access Authorization and pre-certification, utilization review and denial management , CareCoordination, Collaborative treatment ... planning, and length of stay. + Serve as content specialist for staff in the areas of utilization...utilization criteria, appeal and review process, and case management system documentation. + Develop staff schedule and revises… more
- Covenant Health Inc. (Sevierville, TN)
- Overview Registered Nurse Care Manager, Continuum of Care PRN /OCC, Variable Hours, Day Shift LeConte Medical Center Overview: LeConte Medical Center is a part of ... and reports directly to the Manager/Coordinator of Quality and Care Management at the facility level Recruiter: Jennifer Lawless ||###@covhlth.com|| ###… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Manager, Social Services PRN /OCC, Variable Hours & Shifts Fort Sanders Regional Medical Center is an award-winning, certified, and ... nursing unit and reports directly to the Manager/Coordinator of Quality and Care Management at the facility level If you have any questions, please contact… more
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