Anticipated End Date: 2025-06-30 Position Title: LTSS Service Coordinator- RN Clinician Job Description: Location...: This is a field position and the candidate should reside in Arlington or Alexandria, VA. The LTSS Service Coordinator RN Clinician...
, Utilization Management, Level 1 Service Coordination, Experience in clinical program development. Software Proficiencies... for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the...
Anticipated End Date: 2025-05-31 Position Title: LTSS Service Coordinator-RN Clinician Job Description: Location...: This is a field position and the candidate should reside in Roanoke City/ County or Salem. The LTSS Service Coordinator RN Clinician...
Facility: Cobb Hospital Job Summary: The RN Oncology Infusion Therapy Clinician functions under the direction of the... Manager Infusion Therapy or other designated leader. The RN Oncology Infusion Therapy Clinician demonstrates knowledge...
, valid RN/LPN/LVN licensure Certified Professional in Utilization Review/Utilization Management/Healthcare Management (CPUR... Management Clinician for the Pre-Authorization Solution is responsible for: All clinical pre-authorization activities associated...
LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure...Anticipated End Date: 2025-04-30 Position Title: LTSS Service Coordinator-RN Clinician Job Description: Location...
to learn and join a talented team where patient care is more than a job. It’s our passion. PRIMARY PURPOSE The RN..., the RN assesses the patient, identifies nursing diagnoses based on responses to health problems, develops and implements...
, and in conjunction with the RN, member and the health care team, to ensure cost effective and efficient utilization of health benefits...Anticipated End Date: 2025-05-31 Position Title: LTSS Service Coordinator - Clinician (Southeast Texas...
efficiency and effectiveness of the utilization reviews within the medical management processes. Assesses and applies medical... years of clinical experience and/or utilization review experience. Current active, valid and unrestricted RN license...
, and in conjunction with the RN, member and the health care team, to ensure cost effective and efficient utilization of health benefits...Anticipated End Date: 2025-05-12 Position Title: LTSS Service Coordinator - Clinician Job Description: LTSS...
Job Description: Responsibilities Assessment Clinician Opportunity: Full-Time (40 hours a week). 9am-7:30pm... Outpatient Programs, Individual Counseling, as well as Medication Management for all ages. We have provided behavioral health...
Job Description: Responsibilities Assessment Clinician Opportunity: Full-Time (40 hours a week). 9am-7:30pm... Outpatient Programs, Individual Counseling, as well as Medication Management for all ages. We have provided behavioral health...
in utilization review or case management is a plus. Education/Licensure: Licensed Vocational Nurse (LVN) or Registered Nurse (RN... and providers, while adhering to Utilization Management (UM) processes. Key Responsibilities: Serve as a clinical reviewer...
. The LTSS Clinician works under the direction/supervision of an RN, with overall responsibility for the member's case...Anticipated End Date: 2025-02-15 Position Title: LTSS Service Coordinator - Clinician Job Description: LTSS...
Job Description: JOB SUMMARY The Revenue Cycle Management Clinician for the Retro-Authorization Solution...'s quality management system. A minimum of 2.5 % of time is spent carrying out the following responsibilities: Participation...
with the RN, member and the health care team, to ensure cost effective and efficient utilization of health benefits. Decision.... Preferred Skills, Knowledge, and Experience: Previous experience with Utilization Management preferred. Computer experience...
in utilization review or case management is a plus. Education/Licensure: Licensed Vocational Nurse (LVN) or Registered Nurse (RN... and providers, while adhering to Utilization Management (UM) processes. Key Responsibilities: Serve as a clinical reviewer...
LICENSES/CERTIFICATIONS: RN BLS MINIMUM QUALIFICATIONS: 2 years of clinical RN experience... JOB DESCRIPTION: Competent Clinician. Possesses knowledge and skill to meet standards for competent professional nursing practice as specified...
LICENSES/CERTIFICATIONS: RN BLS MINIMUM QUALIFICATIONS: 2 years of clinical RN experience... JOB DESCRIPTION: Competent Clinician. Possesses knowledge and skill to meet standards for competent professional nursing practice as specified...
and Readmission reviews. We are seeking an experienced clinician with utilization management, inpatient coding, and/or clinical... in some type of clinical review such as inpatient coding, utilization management, or clinical validation Knowledge of health insurance...