• Lead Advanced Practice Clinician

    Atlantic Health System (Morristown, NJ)
    Atlantic Health System is Seeking a Full-Time Lead Advanced Practice Clinician for Neurocritical Care in Morristown Atlantic Health System, one of New Jersey's ... more
    Atlantic Health System (01/03/25)
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  • Medical Management Clinician Associate

    Elevance Health (Tampa, FL)
    …or equivalent. + Requires a minimum of 2 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted LPN/LVN or ... more
    Elevance Health (03/19/25)
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  • Behavioral Health Clinician - Part Time…

    Atlantic Health System (Florham Park, NJ)
    …chart documentation. 8. Incorporates use of criteria sets in context of utilization management. 9. Performs other related duties as assigned. Required: 1. Master's ... more
    Atlantic Health System (01/07/25)
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  • Outpatient Clinician - FT (PACT) Denville

    Prime Healthcare (Boonton Township, NJ)
    …meetings as required to ensure continuity of care. Completes all required utilization review tasks as assigned. For Outpatient and Residential services/programs ... more
    Prime Healthcare (03/06/25)
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  • Behavioral Health Clinician - Per Diem, M-F…

    Atlantic Health System (Newton, NJ)
    …process clinical referrals + Obtain insurance authorizations and participate in utilization reviews + Complete timely and accurate documentation utilizing Electronic ... more
    Atlantic Health System (02/15/25)
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  • Behavioral Health Clinician - Part Time,…

    Atlantic Health System (Hackettstown, NJ)
    …chart documentation. 8. Incorporates use of criteria sets in context of utilization management. 9. Performs other related duties as assigned. Required: 1. Master's ... more
    Atlantic Health System (02/15/25)
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  • Non - Clinical Coding and OASIS…

    BAYADA Home Health Care (Orlando, FL)
    …+ Candidates should be available Monday-Friday from 8:30am-5:00pm. _Medicare, Coder, OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health ... more
    BAYADA Home Health Care (03/04/25)
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  • MoPOC Advanced Medical Support Assistant…

    Veterans Affairs, Veterans Health Administration (Buffalo, NY)
    …appointment availability, and adjusts as necessary to support the program and clinician needs and optimize clinic utilization . Work Schedule: Monday-Thursday ... more
    Veterans Affairs, Veterans Health Administration (03/22/25)
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  • Clinical Coding and OASIS Review Manager

    BAYADA Home Health Care (Orlando, FL)
    …your career with an industry leader. Apply now for immediate consideration. OASIS Review , Utilization Review , Quality Assurance, Remote, Home Health Coding, ... more
    BAYADA Home Health Care (03/04/25)
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  • Clinical Quality Review Specialist - RN…

    Trinity Health (Livonia, MI)
    …Health at Home is seeking an experienced RN remote Clinical Quality Review Specialist with ICD10 HCS-D certification which is Required. OASIS COS-C certification ... more
    Trinity Health (03/11/25)
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  • RN Case Manager

    Covenant Health (Nashua, NH)
    …attended /documented. + Annual goals are achieved. + Attends pertinent case management/ utilization review programs to maintain current knowledge of UR practices. ... more
    Covenant Health (03/25/25)
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  • Social Work Supervisor (MST-SA)

    Children's Aid (Manhattan, NY)
    …practice and outcomes by reviewing and providing feedback on the CQI Utilization Dashboard and Monthly Performance Reports. * monitor all ACS/OCFS database systems, ... more
    Children's Aid (03/21/25)
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  • Nurse Case Manager - Full Time, DAYS

    Albany Medical Center (Albany, NY)
    …Demonstrates experience in the referral process and use of community resources. 2. Utilization Review a. Reviews data from admission screening to clarify ... more
    Albany Medical Center (03/08/25)
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  • Social Worker - Inpatient Behavioral Health

    Garnet Health (Harris, NY)
    …Manager for the detox patient on the medical floor assuring discharge planning, utilization review , and insurance approval. At Garnet Health, we are committed ... more
    Garnet Health (02/25/25)
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  • Chief Medical Info. Officer

    Atlantic Health System (Morristown, NJ)
    …and departments. They are also accountable for driving activities to improve clinician EMR utilization , efficiency and burn-out concerns in conjunction with ... more
    Atlantic Health System (02/05/25)
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  • Advanced Medical Support Assistant

    Veterans Affairs, Veterans Health Administration (San Francisco, CA)
    …coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability ( utilization ) to ensure that clinic schedules ... more
    Veterans Affairs, Veterans Health Administration (03/18/25)
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  • Nuc Med/PET/CT Tech - Sharp Memorial Hospital -…

    Sharp HealthCare (San Diego, CA)
    …department + Must remain in original job title + Transfers to a non -bonus eligible department or position may result in forfeiting your remaining incentive bonus. ... more
    Sharp HealthCare (02/20/25)
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  • Manager of Case Management (5 yrs of experience…

    Prime Healthcare (Lynwood, CA)
    …leadership and supervision to case managers, case management coordinators/discharge planners, utilization review coordinators and utilization review ... more
    Prime Healthcare (03/05/25)
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  • Leadership Physician - Associate Chief of Staff…

    Veterans Affairs, Veterans Health Administration (Castle Point, NY)
    …end of life cycle, or missing equipment.- Oversight of Performance Improvement/Quality Assurance/ Utilization Review and evaluation to ensure that the four ... more
    Veterans Affairs, Veterans Health Administration (02/01/25)
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  • Psychologist 1/2 - Central

    New York State Civil Service (Lowville, NY)
    …research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or ... more
    New York State Civil Service (03/18/25)
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