• 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 ... largest non -profit healthcare networks, is seeking a Full-Time Lead Advanced Practice Clinician (APC) to join the Trauma and Acute Care Center. Morristown… 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 ... **Medical Management Clinician Associate** **Office Location:** Tampa, FL **This is...made by a Medical Director. + Refers complex or non -routine reviews to more senior nurses and/or Medical Directors.… 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 ... degree with 4+ years of experience as Behavioral Health Clinician . 2. Previous clinical or counseling experience. 3. LSW/LAC...Morristown, New Jersey, we are one of the leading non -profit health care systems in the nation. Our facilities… 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 ... LMFT, LCADC* (*must also have LAC, LPC, LSW, LCSW or LMFT for any non -substance use program).3. 1-2 years mental health experience with population to be served is… 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 ... Morristown, New Jersey, we are one of the leading non -profit health care systems in the nation. Our facilities...100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -… 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 ... Morristown, New Jersey, we are one of the leading non -profit health care systems in the nation. Our facilities...100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -… 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 ... and CMS guidelines. + Review and communicate OASIS edit recommendations to each clinician to promote OASIS accuracy. + Perform final review and lock OASIS. +… 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 ... 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 (03/22/25)
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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, ... while this is a clinical opening, BAYADA does have non -clinical openings available). BAYADA believes that our clients and...Review and communicate OASIS edit recommendations to each clinician to promote OASIS accuracy. + Perform final … more
    BAYADA Home Health Care (03/04/25)
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  • Social Worker - Adult Behavioral Health Unit - St.…

    Bon Secours Mercy Health (Lima, OH)
    …psychosocial assessments as needed on inpatient units. He or she will perform utilization review pre-certifications from the Emergency Department as needed and ... for clinical and operational excellence. **Summary:** The Behavioral Access Center Clinician is responsible for performing level of care assessments with patients… more
    Bon Secours Mercy Health (01/21/25)
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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 ... hire **Trinity Health at Home is seeking an experienced RN Clinical Quality Review Specialist for a remote position** **ICD10 HCS-D certification which is Required… 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. ... with, and delegates care to, the High-Risk Social Worker/Behavioral Health Clinician because of assessment and determination of social needs. Essential Duties… more
    Covenant Health (03/08/25)
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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, ... CONNX, to ensure compliance with key performance indicators. * ensure timely completion, review and approval of FASPs, Plan Amendments and Progress notes. * ensure… more
    Children's Aid (03/21/25)
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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 ... Department. Additionally will provide case management, and discharge planning for non -psychiatric patients. The Clinician is also responsible for obtaining… more
    Garnet Health (02/25/25)
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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 ... changing environment. 8. Basic knowledge of computer systems with skills applicable to utilization review process. Mission, Core Values and Service Excellence 1.… more
    Albany Medical Center (03/08/25)
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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 ... opportunity to support AHS's vision to be the leading non -profit healthcare system and the best place to work...strong foundation of advanced clinical care. The CMIO will review proposed IT initiatives in terms of their impact… 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 ... Ensures appointments are timely and in accordance with physicians and clinician 's requests. Ensures preappointment letters and three follow reminder appointment… 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. ... correct billing codes and modifiers as appropriate.Demonstrate competency in utilization of computer applications including RIS, PACS, voice recognition,… more
    Sharp HealthCare (02/20/25)
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  • CDOC Social Work/Counselor III - Parole Behavior…

    State of Colorado (Denver, CO)
    …successful completion of 12 months of service. Description of Job Mental Health Clinician : This position exists to provide clinical mental health skills as the ... mental health consultant and clinician in a designated parole region. This position is...unit standards; + Promote collaborative multi-disciplinary services and resource utilization to increase offender success in geographically diverse parole… more
    State of Colorado (03/14/25)
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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 ... effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service… more
    Prime Healthcare (03/05/25)
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