- Careers Integrated Resources Inc (Atlanta, GA)
- …& procedures and work flow Work closely with inter-departmental team management to support coding initiatives related to risk adjustment programs As a Subject Matter ... Expert, this person will support risk adjustment coding initiatives to identify opportunities to...and quality documentation and reporting Interface with operations and clinical leadership to assist in identification of coding &… more
- Randstad US (Boston, MA)
- clinical support specialist - utilization mngmt. + boston , massachusetts (remote) + posted 10 days ago **job details** summary + $23 - $25 per hour + ... temp to perm + high school + category healthcare support occupations + referenceAB_4603210 job details Qualifications: + Associate or High School Diploma degree… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …contact for add on procedures performed at the KS Ambulatory surgery center (ASC). The Utilization Review Specialist (LVN) will support the Utilization ... **Responsibilities** The Utilization Review Specialist (LVN) is responsible...plan, ACO, IPA, or provider group or 3 years clinical nursing experience Preferred: N/A **License(s)** Required: TX LVN… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Provides direction and support regarding CMS & NJDOH regulations governing Utilization Management & Clinical documentation. b. Oversight for accurate patient ... **Overview** The Senior Utilization Review Specialist collaborates with the... support in overall medical management effectiveness, benchmarked utilization and cost management (UM) goals and clinical… more
- Veterans Affairs, Veterans Health Administration (Johnson City, TN)
- Summary The Supervisory Acquisition Utilization Specialist serves as a liaison and advisor on contract related services focusing on critical clinical and ... of items to include specialized services. Responsibilities The Supervisory Acquisition Utilization Specialist renders expert contract pre-award and post award… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- Summary As the Acquisition Utilization Specialist you will serve as the medical center liaison and advisor on contract related services focusing on critical ... clinical and healthcare services, product acquisition and ...items to include specialized services. Responsibilities As the Acquisition Utilization Specialist you will serve as the… more
- Veterans Affairs, Veterans Health Administration (Durham, NC)
- …wide variety of items to include specialized services. Responsibilities As the Acquisition Utilization Specialist you will serve as the medical center liaison ... and advisor on contract related services focusing on critical clinical and healthcare services, product acquisition and support...expectations and needs of the facility. As the Acquisition Utilization Specialist you will serve as the… more
- BayCare Health System (Cotton Plant, AR)
- …more Equal Opportunity Employer Veterans/Disabled **Position** Utilization Review Specialist Senior **Location** Clearwater:Morton Plant | Clinical | Part ... services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote... excellence. **BayCare Health System** is currently seeking a ** Utilization Review Specialist Senior** to join our… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose....net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will… more
- Veterans Affairs, Veterans Health Administration (Tulsa, OK)
- …the VA Healthcare System and supported catchment area. Responsibilities As the Acquisition Utilization Specialist you will serve as the medical center liaison ... Virtual: This is not a virtual position. Position Description/PD#: Acquisition Utilization Specialist Financial Disclosure: Yes. Financial Statements Required.… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose....net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will… more
- LifePoint Health (Athens, TN)
- …quality and satisfaction andmonitorover and under- utilization . * Provideseducation and support to Clinical Staff by attending staff meetings, small groups, ... seeking talent to fill the position of Intake Nurse and Utilization Specialist for ourGeroPsychDepartment.This job is permanent,full-time. Core competencies… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- The UR Specialist reviews and monitors patients' utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties ... Officer/Medical Director as appropriate. + Coordinates an interdisciplinary approach to support continuity of care. + Provides utilization management, transfer… more
- Veterans Affairs, Veterans Health Administration (Walla Walla, WA)
- Summary Acquisition & Utilization Specialist serves as the Medical Center liaison and advisor on contract related services focusing on critical clinical and ... is not a virtual position. Position Description/PD#: Acquisition & Utilization Specialist /PD99810S and PD99492S Relocation/Recruitment Incentives: Not Authorized… more
- FLACRA (Clifton Springs, NY)
- PER DIEM UTILIZATION MANAGEMENT SPECIALIST Finger Lakes Area Counseling & Recovery Agency Clifton Springs, NY (Onsite) Per Diem Apply Now ... coordinating the delivery of Care Management services, as well as administrative support when needed. Strong skills and focus on engagement and motivational… more
- The Mount Sinai Health System (New York, NY)
- …or Stuyvesant Square Admitting and Inpatient clinicians to insure ongoing, comprehensive clinical information if both documented and available in timely fashion to ... facilitate initial clinical reviews, pre-certifications and authorizations to admit to inpatient...providers as well as regulatory agencies, as needed for Utilization Management activities Demonstrates the knowledge and skills necessary… more
- Kepro (AR)
- …Reviewer to join our growing team. Summary Description The Dental Clinical Specialist is responsible for the Utilization Management and Utilization ... request evaluations of dental health policy and preventative treatment plans. The Dental Clinical Specialist will complete their work with a limited degree of… more
- ProMedica Health System (Toledo, OH)
- The Payor Specialist is responsible for payor notification, and securing authorizations for all admissions systemwide. They receive and answer voicemail and process ... *All duties listed below are essential unless noted otherwise* Performs clerical support functions for the UM department. Completes timely initial notification of… more
- Oak Orchard Health (Brockport, NY)
- EMR Clinical Support Specialist Brockport, NY (http://maps.google.com/maps?q=300+West+Avenue+Brockport+NY+USA+14420) * IT Job Type Full-time Description Do ... Days, Floating Holidays, and Company paid holidays! The EMR Clinical Support Specialist is responsible...Works with other facilities and organizations to find optimal utilization of the system. + Participate in EHR related… more
- Fairview Health Services (Minneapolis, MN)
- …has an immediate opening for an RN Clinical Informaticist - Learning & Support Specialist . This is a full time benefit eligible position. M Health Fairview ... Description** The Clinical Informaticist - Learning and Support Specialist - RN (LSS) combines their...Completes 30-60-90-day post go live rounding to assess staff utilization and adoption of clinical technology. +… more
