- Evolent (Little Rock, AR)
- …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
- Veterans Affairs, Veterans Health Administration (North Little Rock, AR)
- …of more complex practices or procedures may be subject to closer higher-level review . GS-6, Licensed Practical Nurse Experience: Completion of at least one ... privacy and confidentiality. Documents pertinent information in the electronic medical record. Assists with coordination of all services for...patient information. Completed work should need only a general review by a registered nurse (RN) or… more
- State of Arkansas (Conway, AR)
- … clinical practice. Knowledge and Skills Advanced knowledge of medical and nursing practices, including pharmacology, pathophysiology, and patient care protocols. ... NURSE PRACTITIONER Date: Dec 2, 2025 Req ID:...healthcare professionals. This role requires a high level of clinical expertise, patient management, and knowledge of state-specific regulations… more
- State of Arkansas (Little Rock, AR)
- REGISTERED NURSE SUPERVISOR/EXPERT Date: Dec 9, 2025 Req ID: 53203 Location: Little Rock, AR, US, 72201 Category: AR DEPT OF HUMAN SERVICES Anticipated Starting ... unit operations and procedures. Knowledge of infection control measures necessary in a medical treatment facility. Ability to plan, organize, and direct the work of… more
- CenterWell (Little Rock, AR)
- …complaints. + Makes clinical level of care determination based on discussion, medical records, and any other pertinent clinical data. Matches these needs to ... to work every other holiday.** The **Care Manager, Telephonic Nurse ** helps to ensure optimal continuity of care for...Health, Hospice, and Palliative Care Services. + Assist with clinical eligibility review for alternate services +… more
- State of Arkansas (Lonoke, AR)
- … clinical practice. Knowledge and Skills Advanced knowledge of medical and nursing practices, including pharmacology, pathophysiology, and patient care protocols. ... NURSE PRACTITIONER Date: Dec 12, 2025 Req ID:...healthcare professionals. This role requires a high level of clinical expertise, patient management, and knowledge of state-specific regulations… more
- Catholic Health Initiatives (Little Rock, AR)
- …nursing assessments, including allergy history, vital signs, physical assessment, and review of medical history, prior to infusion administration. + ... **Job Summary and Responsibilities** The **Outpatient Infusion Nurse ** is a highly skilled and compassionate ...We also offer additional pay for participation in our clinical ladder program as well as referral bonuses, excellent… more
- Datavant (Little Rock, AR)
- …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 (Little Rock, AR)
- …:** 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
- Insight Global (Little Rock, AR)
- Job Description The Independently licensed Nurse Practitioner will work collaboratively with our chiropractors and medical staff to deliver high-quality patient ... plans, injury recovery, and wellness strategies. * Ensure compliance with all clinical , legal, and regulatory standards. Davis Series X-rays We are a company… more
- CenterWell (Little Rock, AR)
- …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
- Gentiva (Little Rock, AR)
- …quality improvement activities + Collaborate with Area and Regional leadership, Clinical Managers, Executive Directors, Administrators, and Medical Directors + ... workplace Related Job Titles Hospice Executive, Home Health Executive, VP of Clinical Operations, Registered Nurse Leadership, Home Health RN, Hospice RN,… more
- Oracle (Little Rock, AR)
- …+ 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
- Ascension Health (Alexander, AR)
- …**Responsibilities** Facilitate improvement in overall quality, completeness and accuracy of medical record documentation. + Complete admission reviews and assign a ... Ensure the working DRG and other information are entered in the Clinical Documentation Improvement database. + Initiate and maintain extensive interactions with… more
- Zurich NA (Little Rock, AR)
- Sr Supplier Medical Process Specialist 128416 Zurich North America is seeking am experienced Sr. Supplier Medical Process Specialist to join our team in one of ... commitment to work/life balance, and outstanding culture. As a Sr. Supplier Medical Process Specialist, you will manage supplier performance and work product in… more
- Humana (Little Rock, AR)
- …our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... documentation and communication of medical services and/or benefit administration...of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills,… more
- Oracle (Little Rock, AR)
- …(ECD) alignments, Critical Care workflow implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal ... of analysts providing support for operationally required changes and enhancements to clinical applications, and aa group of analysts leading projects that will… more
- Sedgwick (Little Rock, AR)
- …**PRIMARY PURPOSE** **:** To manage complex high-exposure general liability claims; to review medical treatment records associated with general liability, bodily ... related clinical nursing experience to include two (2) years nurse consultant experience or equivalent combination of education and experience required.… more
- CenterWell (Little Rock, AR)
- …are excited to offer the role of Virtual Physician Collaborator for CenterWell Medical Group, a new virtual care delivery group within CenterWell Senior Primary ... in care, ensuring timeless access to important medications and solving urgent clinical needs. This Virtual Physician Collaborator shares in our vision to innovate… more
- Highmark Health (Little Rock, AR)
- …and retrospective claims review basis. Review process includes a review of medical documentation, itemized bills, and claims data to assure appropriate ... and the proper action to complete the retrospective claim review with the goal of proper and timely payment...in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or… more