Clinical Utilization Management Specialist

Job SummaryAs a Clinical Review Nurse - Utilization Management, you will play a crucial role in ensuring the medical necessity of care provided to claimants. This involves reviewing clinical information, utilizing evidence-based guidelines, and coordinating care across the continuum. You will interact with physicians, providers, claimants, and peer reviewers...

Job SummaryAs a Clinical Review Nurse - Utilization Management, you will play a critical role in ensuring the medical necessity of care at all levels. You will utilize evidence-based guidelines to coordinate care across the continuum, interacting with physicians, providers, claimants, and peer reviewers. This position requires a current and unrestricted RN...

Job SummaryUnavailable is seeking a skilled Nursing Clinical Specialist to join our team. As a Staff Nurse in a leadership role, you will be responsible for implementing and maintaining programs, adhering to policies, and patient care delivery standards of care in assigned departments.Key ResponsibilitiesLeads the delivery of patient care services on the...

Job Title: Clinical Pharmacology SpecialistJob Summary: We are seeking a skilled Clinical Pharmacology Specialist to join our team at AdaptHealth LLC. As a Clinical Pharmacology Specialist, you will be responsible for assisting customers with remote processing of orders through the Pharmacy channel.Key Responsibilities:Coordinate order processing with...

The Clinical Specialist plays a crucial role in executing the Medication Delivery Solutions value-added clinical business strategy. This position implements clinical programs and initiatives that differentiate the MDS product portfolio based on improved clinical outcomes and process enhancements, resulting in a lower cost-in-use.The Clinical Specialist...

About the Role:Catholic Health Initiatives is seeking a skilled Clinical Healthcare Specialist to join our General Surgery Clinic team. As a key member of our healthcare team, you will provide exceptional patient care and support our healthcare professionals in delivering high-quality services.Responsibilities:Perform general nursing care to patients by...

OverviewAt CHI Health, we're committed to delivering high-quality patient care and improving health outcomes. As a Clinical Nurse Specialist, you'll play a vital role in achieving this mission.We're excited to introduce our newly created Regional Float position, which allows us to expedite our responsiveness to facilities with the greatest staffing needs....

Reduce chronic pain and make a difference in patients\u2019 lives with our innovative technology. We are seeking a Sales and Clinical Support Specialist to sell our technology and provide clinical support to healthcare professionals in a hospital or ambulatory surgery center setting.Key Responsibilities:Sell our disruptive technology to healthcare...

We are seeking a skilled Clinical Care Specialist to join our team at Maple Crest Health Center. As a dedicated healthcare professional, you will play a critical role in providing high-quality clinical care and services to our residents.Key Responsibilities:Coordinate the delivery of resident care via assessments, planning, intervention, and...

Job DescriptionQuipt Home Medical is a rapidly growing leader in the provision of clinical respiratory equipment and service in the durable medical equipment industry.We are seeking a skilled Respiratory Clinical Sales Specialist to implement all Respiratory/Ventilation sales activities and achieve revenue objectives.The ideal candidate will provide clinical...

Job SummaryIn this role, you will provide high-quality patient care and education in a dynamic and supportive environment. As a Registered Nurse - Clinical Specialist, you will work collaboratively with a multidisciplinary team to deliver exceptional care to patients with complex needs.Key ResponsibilitiesProvide direct patient care and education to patients...

Transforming Diabetes Care, One Patient at a TimeAt OneWorld Community Health Centers, we are dedicated to delivering exceptional diabetes care and education services that make a meaningful difference in the lives of our patients. We are seeking a highly skilled and compassionate Diabetes Care and Education Specialist to join our team.Key...

About the Role:Suncrest Home Health & Hospice is seeking a dedicated Registered Nurse to join our team. As a Nurse Care Specialist, you will provide exceptional care and services to patients in their homes, Skilled Nursing Facilities, and assisted living facilities.Key Responsibilities:Provide psych-social assessments, interventions, and knowledge of...

Care Coordination Specialist - RNJob Summary:The RN Care Coordinator - Patient Progression Specialist is responsible for overseeing the progression of care and discharge planning for identified patients requiring these services. This role involves collaborating with the multidisciplinary team to ensure progression of care and appropriate utilization of...

Job Title: Chemist | Environmental Management SpecialistProSidian Consulting, LLC is seeking a highly skilled Chemist | Environmental Management Specialist to join our team. As a key member of our Environmental Remediation Services team, you will be responsible for providing expert chemical analysis and environmental management services to our clients.Job...

Job DescriptionOneWorld Community Health Centers Inc. is seeking a highly skilled Diabetes Care and Education Specialist to deliver comprehensive and seamless services that bridge the gap and integrate clinical and self-management aspects of diabetes care.The ideal candidate will be an integral part of the inter-professional team, providing collaborative,...

Job Summary:The Clinic RN Supervisor is responsible for assisting the Clinic Administrator/Practice Manager with the general supervision, direction, and support of the daily operations of the clinic in accordance with established policies, procedures, and standards.Key Responsibilities:Interview, hire, orient, terminate, promote, train, and conduct...

We are seeking a skilled and compassionate Clinical Nurse Specialist to join our Neurology Clinic team. As a key member of our healthcare team, you will play a vital role in delivering high-quality patient care and enhancing the overall patient experience.Responsibilities:Provide general nursing care to patients by following established clinic...

We are seeking a skilled LPN to join our team as a Regional Float LPN. This role will provide general nursing care to patients by following established clinic workflows and may perform specific nursing care as it relates to specialty of the practice.Responsibilities:Performs general nursing care to patients by following established clinic workflows.May...

Travel Nurse ICU Specialist OpportunityWe are seeking a skilled Registered Nurse with ICU experience to join our team as a Travel Nurse ICU Specialist. This is a unique opportunity to work in a dynamic and challenging environment, providing high-quality patient care and contributing to the success of our healthcare team.Key Responsibilities:Provide direct...