Clinical Utilization Review Specialist

Job Summary:The Utilization Review (UR) Nurse plays a critical role in ensuring the efficient and effective management of patient care. As a Clinical Utilization Review Specialist, you will utilize your strong clinical background and knowledge of Utilization Management (UM) principles to develop and maintain processes for determining patient admission...

Job SummaryCVS Health is seeking a skilled Utilization Management Nurse Consultant to join our team. As a Utilization Management Nurse Consultant, you will play a critical role in ensuring that our members receive the most appropriate care at the right time and in the right setting.Key ResponsibilitiesReview services to ensure medical necessity and apply...

Job Summary:We are seeking a highly skilled Research Nurse Interventionist to join our team at Kaiser Permanente. This is a unique opportunity to work on a CDC research study to evaluate the effectiveness of the flu vaccine.The ideal candidate will have a strong clinical background, excellent communication skills, and the ability to work independently and as...

About the RoleThe Clinical Data Reviewer will work under the supervision of the Quality Integrity Program Manager to improve data quality and risk stratify populations in value-based contracts. This role will review medical records to identify gaps in documentation and provide feedback to providers.Key ResponsibilitiesReview medical records to identify gaps...

Job SummaryThe RN Clinical Data Reviewer will work under the supervision of the Quality Integrity Program Manager to improve data quality and risk stratify populations in value-based contracts. This role will review medical records to identify gaps in documentation and provide feedback to providers on ICD-10 coding and clinical documentation integrity.Key...

About the RoleThe RN – Clinical Data Reviewer (HCC) plays a crucial role in improving data quality and risk stratifying populations in value-based contracts. This position involves reviewing medical records to identify gaps in documentation and ensuring compliance with ICD-10 coding and clinical documentation integrity policies.Key ResponsibilitiesReview...

Job SummaryCVS Health is seeking a skilled Utilization Management Nurse Consultant to join our team. As a Utilization Management Nurse Consultant, you will play a critical role in ensuring that our members receive the most appropriate care at the right time and in the right setting.Key Responsibilities:Review services to ensure medical necessity and apply...

Kaiser Permanente is seeking a skilled Clinical Research Specialist to fill a nursing position in Olympia, Washington.Job Description & RequirementsSpecialty: Interventional RadiologyDiscipline: RNDuration: Ongoing20 hours per weekShift: 8 hours, daysEmployment Type: StaffPHLEBOTOMY EXPERIENCE A PLUSJob Summary:This position is ideal for a self-motivated...

Flu Vaccine Research StudyWe are seeking a skilled Research Nurse to join our team at Kaiser Permanente Washington clinics. The ideal candidate will have a strong background in clinical research and experience working with patients in a fast-paced environment.The Research Nurse will be responsible for reviewing EPIC schedules, screening and consenting...

Kaiser Permanente is seeking a highly skilled Clinical Research Specialist to join their team in Olympia, Washington. This is a unique opportunity to work in a fast-paced environment and contribute to the success of the organization.Job Description & RequirementsSpecialty: Interventional RadiologyDiscipline: Clinical ResearchDuration: Ongoing40 hours per...

Job SummaryA Clinical Nutrition Specialist is a cornerstone of support within a skilled nursing care facility, offering expertise and empathy in developing individualized nutrition plans for residents.Their deep understanding of dietary requirements guarantees that residents receive nourishment tailored to their specific health needs, promoting overall...

As a RN Pre-Admit Clinic Specialist at Providence, you will play a vital role in ensuring seamless transitions for patients from admission to discharge. Your expertise in pre-admission assessments, medical history reviews, and coordination with healthcare teams will make a significant impact on patient care.With a focus on whole-person care, you will work...

Job Summary:Family Behavioral Health Services LLC is seeking a skilled Clinical Care Specialist to provide intensive and strength-based therapeutic mental health services and supports to children, youth, and families in the community. The ideal candidate will have excellent communication and interpersonal skills, with the ability to assess for immediate...

Job Title: Clinical Nurse SpecialistProvidence Health & Services is seeking a highly skilled Clinical Nurse Specialist to join our team. As a CNS, you will be an expert clinician who practices in a specialty area while functioning as a resource to other staff and departments.About the Role:The Clinical Nurse Specialist (CNS) is a key member of our healthcare...

Job SummaryThe Clinical Nurse Specialist (CNS) is a highly skilled clinician who provides expert care to patients. As a CNS, you will be responsible for assessing patient needs, developing and implementing individualized care plans, and evaluating patient outcomes.Key ResponsibilitiesAssess patient needs and develop individualized care plansProvide expert...

The Clinical Nurse Specialist (CNS) is a highly skilled clinician who serves as a resource to other staff and departments in a specialty area.As a CNS, you will demonstrate expertise in education, mentoring, consulting, research, evidence-based practice, management, and systems improvement.You will influence outcomes by providing expert consultation to all...

About the RoleThe Clinical Nurse Specialist (CNS) is a highly skilled clinician who serves as a resource to other staff and departments. This expert clinician demonstrates expertise in education, mentoring, consulting, research, evidence-based practice, management, and systems improvement.Key ResponsibilitiesProvide expert consultation to all care...

Job SummaryThe Clinical Nurse Specialist (CNS) is a highly skilled clinician who serves as a resource to other staff and departments. This expert clinician demonstrates expertise in education, mentoring, consulting, research, evidence-based practice, management, and systems improvement. The CNS influences outcomes by providing expert consultation to all care...

Job SummaryThe Clinical Nurse Specialist (CNS) is a highly skilled clinician who serves as a resource to other staff and departments. This role requires expertise in education, mentoring, consulting, research, evidence-based practice, management, and systems improvement.Key ResponsibilitiesProvide expert consultation to all care providersImplement...

Job SummaryThe Clinical Nurse Specialist (CNS) is a key member of our healthcare team, providing expert care and guidance to patients and staff alike. As a CNS, you will be responsible for developing and implementing evidence-based practices, educating patients and families, and collaborating with interdisciplinary teams to improve patient...