- MRG Exams (Gillette, WY)
- Work can be performed by a Nurse Practitioner or Physician Assistant We are looking for the right Nurse Practitioner or Physician Assistant to perform medical ... the VA's disability benefits process. In performing Disability Assessments, you will review medical records electronically through a web portal and perform a… more
- Evolent (Cheyenne, WY)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care… more
- Dialysis Clinic, Inc. (Cody, WY)
- …of new staff members as directed and supervised by the education coordinator, the clinical supervisor and/or the nurse manager + Provide feedback and assist the ... with a lower caregiver-to-patient ratio than other providers. The **Dialysis Charge Nurse ** supervises nursing personnel to ensure every patient receives the safest… more
- Cardinal Health (Cheyenne, WY)
- …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
- Oracle (Cheyenne, WY)
- …+ 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
- Humana (Cheyenne, WY)
- …a part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record ... complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently... clinical and coding experience to conduct a clinical validation review of the inpatient medical… more
- Veterans Affairs, Veterans Health Administration (Sheridan, WY)
- …Night Shifts. Duties and Responsibilities include but ARE NOT limited to: The Nurse Inpatient Staff Registered Nurse (RN) is responsible for providing competent, ... of licensed vocational nurses/nursing assistants as appropriate to the setting The nurse will assist in directing the provision of nursing education, orientation,… more
- STG International (Yellowstone National Park, WY)
- …of Quality Performance Improvement Team (QPIT) strategic initiatives. * Participate in review and improvement of clinical success in areas of responsibility. ... safety. * Participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement… more
- Banner Health (Worland, WY)
- …Wyoming **Department Name:** C/P-Worland Oncology-Clinic **Work Shift:** Day **Job Category:** Clinical Care **$2,000 Sign on Bonus Available** Find your path in ... treatments. This role is best suited for an experienced nurse or an eager nurse wanting to...results and presents summary information for management utilization and review . 7. May coordinate the admission process including new… more
- STG International (Yellowstone National Park, WY)
- …in America - Yellowstone National Park? STGi is currently seeking a Registered Nurse to provide services at our seasonal facilities at Yellowstone National Park. JOB ... SUMMARY: The seasonal Registered Nurse (RN) will work in one of the three...available at all three facilities. ESSENTIAL DUTIES AND RESPONSIBILITIES: Clinical Duties and Responsibilities: * Completes triage and initial… more
- Highmark Health (Cheyenne, WY)
- …:** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs clinical review and data abstraction of patient records to support ... compliance with nationally recognized quality initiatives and the network's clinical process improvement and patient safety initiatives. The incumbent requires… more
- Amergis (Rock Springs, WY)
- We are seeking a compassionate anddetail-oriented Nurse Practitioner (NP) to join our team insupporting disabled veterans through the Veterans BenefitsAdministration ... disability examinations for veterans in accordance with VBA guidelines. + Review medical records and document findings using standardized templates. + Conduct… more
- Datavant (Cheyenne, WY)
- …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 ... Collaborate with physicians and caregivers to ensure appropriate reimbursement and clinical severity for DRG-based payer patients. + Demonstrate understanding of… more
- CenterWell (Cheyenne, WY)
- …actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that ... Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience,...three years clinical RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience… more
- Humana (Cheyenne, WY)
- …our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent… more
- Datavant (Cheyenne, WY)
- …Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical necessity and necessity of continued stay ... recognized medical necessity criteria and standards of care, along with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed… more
- Oracle (Cheyenne, WY)
- …(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
- BioLife Plasma Services (Laramie, WY)
- …Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. BioLife Plasma Services is a subsidiary of ... determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test… more
- CenterWell (Cheyenne, WY)
- …in care, ensuring timeless access to important medications and solving urgent clinical needs. This Virtual Physician Collaborator shares in our vision to innovate ... in care, ensuring timeless access to important medications and solving urgent clinical needs. This Virtual Physician Collaborator shares in our vision to innovate… more
- STG International (Yellowstone National Park, WY)
- …of Quality Performance Improvement Team (QPIT) strategic initiatives. * Participate in review and improvement of clinical success in areas of responsibility. ... safety. * Participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement… more
