- Evolent (Providence, RI)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… more
- Fallon Health (Brockton, MA)
- …Record Information (CORI) results and reliable transportation **Experience:** *1+ years of clinical experience as a Registered Nurse managing chronically ill ... the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life experiences, knowledge,… more
- Humana (Providence, RI)
- …and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis ... independent determination of the appropriate courses of action. The Nurse Auditor 2 validates and interprets medical ...coding experience to conduct a clinical validation review of the inpatient medical record to… more
- Brown University (Providence, RI)
- …and conduct support activities related to these duties. The Research NP will review medical histories with research participants, perform a physical examination ... Job Description: Position Purpose: The Research Nurse Practitioner (NP) will provide medical ...research participation, and administer questionnaires. The Research NP will review health updates and adverse event reports from study… more
- Cardinal Health (Providence, RI)
- …both scheduled outbound calls and inbound call queue. + Meets regularly with Clinical Supervisor and/or Senior Nurse , Individualized Care to discuss feedback ... who need them-faster.** **_What Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties… more
- BioLife Plasma Services (Attleboro, MA)
- …You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. BioLife ... of laboratory test results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse ) works under the guidance of… more
- Datavant (Providence, RI)
- …years of CDI experience + 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS or ... realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role… more
- Highmark Health (Providence, RI)
- …:** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs clinical review and data abstraction of patient records to support ... Preferred + Associate's or Bachelor's Degree in Nursing + 1 year performing medical record review and data abstraction for cardiovascular registries + Proficient… more
- Prime Healthcare (Woonsocket, RI)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236668/case-manager-registered- nurse /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityLandmark … more
- Prime Healthcare (Woonsocket, RI)
- …cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/235322/case-manager-registered- nurse /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityLandmark … more
- Edward M. Kennedy Community Health Center, Inc. (Milford, MA)
- …team is expanding across sites to support this growth. We're hiring a Registered Nurse for our Primary Care Clinic in Milford, MA who collaborates with the ... healthcare team to deliver quality primary medical care for patients of all ages, races, and...support to patients' families, and working collaboratively with the clinical practice team. They also participate in coordinating care,… more
- University Medicine (East Providence, RI)
- …and chief complaint. + Obtains lab specimens, gives injections, and performs routine medical tests. + Implements clinical and technical aspects of nursing care ... as they pertain to office nursing, which includes routine medical exams and/or procedures and tests in conjunction with...with prescribed policies, procedures, and techniques. + Assisting with review of test results under guidance of a physician… more
- CenterWell (Providence, RI)
- …will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review ... Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience,...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Dana-Farber Cancer Institute (Milford, MA)
- …assist with research specific patient data entry, as applicable. + Assures that all clinical areas have an adequate stock of medical supplies, equipment, and ... + High School Diploma or GED required; college coursework preferred. + Clinical Qualification: + Completion of an accredited Medical Assistant Program;… more
- University Medicine (East Providence, RI)
- …Inc., a clinical , research and teaching affiliate of the Warren Alpert Medical School of Brown University. Clinical Psychologist + Seeking a psychologist to ... General Internal Medicine and Primary Care is seeking a Clinical Psychologist with an interest in Integrated Behavioral Health...based in Rhode Island. Brown Medicine is a nonprofit medical group with over 200 physicians and multiple patient… more
- Oracle (Providence, RI)
- …+ Excellent communication, stakeholder engagement, and leadership skills. **Preferred Qualifications:** + Clinical experience as a nurse or physician with a deep ... **Job Description** The Clinical Note AI Agent Product Management Leader will...Gather and analyze information to define product specifications and review design specifications. Envision and communicate product strategy and… more
- Prime Healthcare (Woonsocket, RI)
- …With Us! (https://careers-primehealthcare.icims.com/jobs/236859/ clinical -coordinator emergency-department/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... Overview At Landmark Medical Center, our dedicated team of professionals is...Massachusetts since 1873. Learn more at www.landmarkmedical.org. Responsibilities The Clinical Coordinator supports clinical and administrative responsibilities… more
- Fresenius Medical Center (Attleboro, MA)
- …direct patient care staff on appropriate programs under the supervision of a nurse . + Provides developmental support to applicable clinical and facility staff. ... for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training...Related** + Participates in the recruitment process for new clinical staff + Assists with clinical orientation… more
- Datavant (Providence, RI)
- …Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical necessity and necessity of continued ... necessity criteria and standards of care, along with clinical knowledge and expertise successfully. Ideal candidate should be...to author appeal letter Identification of referrals to the medical director for review + Select appropriate… more
- Dana-Farber Cancer Institute (Attleboro, MA)
- In collaboration with the Senior Director of Network Operations, site Medical Director and Nurse Director, the Operations Director will oversee daily operations ... Development:** Collaborate with the VP Network Operations, Senior Director, Network Operations, site Medical Director, and Nurse Director to create and manage a… more