Utilization Management Clinical Support RN

Utilization Management Clinical Support RN We are searching for a Utilization Management Clinical Support RN - someone who works well in a fast-paced setting. In this position you will support utilization management processes for the organization's health plan members. This role will oversee monitoring of service and productivity elements, educational...

Utilization Management Clinical Support RN We are searching for a Utilization Management Clinical Support RN - someone who works well in a fast-paced setting. In this position you will support utilization management processes for the organization's health plan members. This role will oversee monitoring of service and productivity elements, educational...

Job DescriptionJob DescriptionClinical Data Manager - eDiary ComplianceThe Clinical Data Manager - eDiary Compliance is responsible for overseeing the development, implementation, and maintenance of processes to ensure adherence to regulatory guidelines and protocol requirements for electronic diaries (eDiaries) utilized in clinical trials. This role...

Position Overview At Houston Methodist, the Clinical Utilization Physician plays a pivotal role in guiding, consulting, and advising the case management team, clinical documentation specialists, medical staff, and the hospital on issues related to medical necessity, compliance regulations, and collaboration with payers. This position is integral to the...

OverviewCatholic Health Initiatives is dedicated to fostering healthy communities through compassionate care. With a vast network of care facilities across the United States, we are committed to serving those in need, particularly the vulnerable populations. Our mission emphasizes innovation in healthcare delivery, ensuring that quality care is accessible to...

Position OverviewThe Clinical Utilization Consultant at Houston Methodist plays a pivotal role in guiding the case management team, clinical documentation experts, and medical personnel on issues related to medical necessity, compliance standards, and effective resource utilization.Key ResponsibilitiesAs a vital member of the hospital's utilization...

Position Overview: The Clinical Utilization Advisor at Houston Methodist plays a pivotal role in guiding the case management team, clinical documentation experts, and medical personnel on critical issues surrounding medical necessity and compliance regulations. This position fosters collaboration with payers and assesses physician practice patterns to...

Position OverviewThe Pharmacy Utilization Clinical Supervisor will manage the effective and efficient application of pharmaceuticals within the Pharmacy Division. The primary objective of this role is to enhance the quality of care, cost-efficiency, and clinical outcomes through the utilization of approved medications on the formulary, ensuring adherence to...

Clinical Support Sales Specialist-6 month Contact to HireLocation: Dallas, TX (50% Travel)Compensation: $80-$110K, DOE is the target.Type of employment: Must be able to work as w2 employee without sponsorship.Our client is seeking an experienced and dynamic Clinical Support Specialist to drive practice change through the implementation and utilization of our...

Clinical Support Sales Specialist-6 month Contact to HireLocation: Dallas, TX (50% Travel)Compensation: $80-$110K, DOE is the target.Type of employment: Must be able to work as w2 employee without sponsorship.Our client is seeking an experienced and dynamic Clinical Support Specialist to drive practice change through the implementation and utilization of our...

Clinical Manager, RN Location: Eagle's Trace by Erickson Senior Living Eagle's Trace is a beautiful 70-acre continuing care retirement community located just minutes from the metroplex in West Houston, Texas. We're part of a growing network of communities developed and managed by Erickson Senior Living, a national provider of senior living and...

Location:Eagle's Trace by Erickson Senior LivingEagle’s Trace is a beautiful 70-acre continuing care retirement community located just minutes from the metroplex in West Houston, Texas. We’re part of a growing network of communities developed and managed by Erickson Senior Living, a national provider of senior living and health care with campuses in 11...

Location:Eagle's Trace by Erickson Senior LivingEagle’s Trace is a beautiful 70-acre continuing care retirement community located just minutes from the metroplex in West Houston, Texas. We’re part of a growing network of communities developed and managed by Erickson Senior Living, a national provider of senior living and health care with campuses in 11...

Location:Eagle's Trace by Erickson Senior LivingEagle’s Trace is a beautiful 70-acre continuing care retirement community located just minutes from the metroplex in West Houston, Texas. We’re part of a growing network of communities developed and managed by Erickson Senior Living, a national provider of senior living and health care with campuses in 11...

Eagle's Trace by Erickson Senior Living Eagle's Trace is a beautiful 70-acre continuing care retirement community located just minutes from the metroplex in West Houston, Texas. We're part of a growing network of communities developed and managed by Erickson Senior Living, a national provider of senior living and health care with campuses in 11 states-and...

Position OverviewThe Clinical Trials Laboratory Specialist plays a pivotal role in executing specialized laboratory tasks for clinical research, utilizing advanced laboratory techniques. This includes, but is not limited to, the routine extraction of peripheral blood mononuclear cells (PBMC), conducting flow cytometry, and isolating DNA/RNA, while adhering...

The UM RN will perform utilization review of Community members requiring authorization for health services. The UM RN will help ensure proper data entry of authorization in the managed care platform and initiate the approval process for requested ser RN, Medical Director, Nurse, Healthcare, Clinical

About the RoleGulf Coast Center is a leading provider of mental health and substance use services, and we are seeking a highly skilled and compassionate RN Nurse Manager to oversee the delivery of nursing services in the Crisis Center, an Extended Observation Unit, and a Crisis Respite facility.Key ResponsibilitiesProvide clinical and direct supervision to...

Description IntroductionWant to join a team of daring managers who care without reservations or limits? Our HCA Houston Healthcare at Home team is looking for a(an) Home Health RN Clinical Manager. HCA Healthcare is an advanced healthcare network that has committed up to $300 million to our incredible team members over the course of three years.BenefitsHCA...

Job OverviewPosition Summary:A Study Manager plays a crucial role in ensuring that high-quality research is executed at designated investigative sites, adhering to sponsor protocols, FDA regulations, and ICH/GCP guidelines. The objective is to deliver the highest quality data to the sponsor while meeting or exceeding enrollment expectations and achieving...