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" The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal...

Overview: This position will work in our School Based Health Centers in Franklin County. Hours are between 7-4 depending on the site. Days are M-F depending on the site. More details will be discussed during the interview.

Immediate Hiring for "Remote Clinical Review Nurses" Job Description: Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary hospital...

Review and abstract medical record data into appropriate application(s)Support chart chase processes by requesting/obtaining records as needed. Primary source verify abstracted medical record data. Analyze chart data, evaluate for possible data...

Overview The Quality Outcomes Coordinator (QOC) works at the unit-level, in collaboration with bedside staff and unit leaders to deliver effective, efficient, high-quality care. The QOC continuously evaluates care at the bedside, identifies gaps...

CareHarmony's Care Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN)...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah Position Overview: Aids patients in obtaining the correct level of care with...

The range for this role is $73,000 to $99,500 Actual base pay will be determined based on a successful candidate's work location, skills/abilities, experience, and education. Interested applicants must be willing and...

Job Description Summary The Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet evidence-based guidelines and member benefit plans. This includes...

Southwest Care Center employees can answer yes to these 3 questions: 1. Do you want to make a difference? 2. Do you believe everyone is entitled to quality healthcare? 3. Do you desire to serve the underserved...

Job Summary: The Intake Nurse - RN is responsible for assessing potential new members for eligibility for the program and for explaining the program to them and their families. Responsible for knowing required outreach activities...

Shift and Status RN Case Manager Hospice Care Full time, 8:00 a.m. to 4:30 p.m., variable days and with 4 shifts backup on-call per quarter (weekday or weekend). Hybrid: visiting patients in Saint Joseph,...

CommuniCare - - Responsibilities: Provide personal and nursing care according to resident care plan; Monitor and respond to resident requests and needs; Maintain a clean and pleasant environment for residents; Assist in preparing residents for...

Job Type Full-time Description Our people are the difference. Transitions Care is a leading hospice organization that has changed the hospice experience for patients, families, and...

Job Description: I. Position Summary: The primary role of the Patient Care Associate (PCA), is to protect, sustain, and nurture the patients that live at the Center. They provide assistance with activities of daily living, care of the patient's...

Shift and Status Full time, 8:00 a.m. to 4:30 p.m. Hybrid: Out in the field visiting patients in Stevensville and Saint Joseph surrounding areas Job Summary As a member of the nursing...

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people...

SYNERGY HomeCare - - Responsibilities: Provide attention to clients' non-medical needs, including companionship and social engagement; Provide personal care to clients as needed; Assist client with light housekeeping, meal preparation, and...

Mercy Plus is currently seeking to hire day shift RNs (Registered Nurses) and LPNs (Licensed Practical Nurses) to provide direct patient care in pediatric client homes who are wanting to work in pediatrics and are comfortable with trach and vent...

Medical Case Manager - CT08GE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help...

Join a meaningful mission Maximus is a global organization dedicated to providing vital health and employment services that significantly impact the lives of millions. With a workforce of approximately 5,000 professionals, we deliver...

Explore opportunities with Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best,...

Acadia Healthcare - - Responsibilities: Provide personal care services to patients under supervision; Conduct safety checks and ensure periodic supervision; Document timely, accurate clinical information in patient records; Assist with...

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