Clinical Nurse Specialist Utilization Management

Job Summary:We are seeking a highly skilled Clinical Specialist to drive the utilization of Lumivascular therapy in the treatment of peripheral artery disease (PAD). The ideal candidate will have a strong background in a clinical role, preferably in a catheter lab or operating room environment, and possess excellent communication and interpersonal skills.Key...

Clinical Care Manager Job DescriptionCommunity Behavioral Health is seeking a highly skilled Clinical Care Manager to join our team. As a Clinical Care Manager, you will be responsible for conducting utilization review activities, population management, cross-system consultation, provider management, and treatment quality monitoring. You will utilize your...

Job SummaryWe are seeking a highly skilled Clinical Care Manager to join our team at Community Behavioral Health. The successful candidate will be responsible for conducting utilization review activities, population management, cross-system consultation, provider management, and treatment quality monitoring. This role requires a strong clinical background,...

Job Title: Clinical Care ManagerThe Clinical Care Manager is a critical role within our organization, responsible for ensuring that our members receive timely access to quality, medically necessary behavioral health services. As a Clinical Care Manager, you will be responsible for conducting utilization review activities, population management, cross-system...

Utilization Management NurseAbout the Role:We are seeking a skilled and detail-oriented Utilization Management Nurse to join our team at Health Partners Plans. As a Utilization Management Nurse, you will play a critical role in ensuring cost-effective and quality utilization management in the acute level of care setting for the pediatric and adult population...

Job SummaryCommunity Behavioral Health (CBH) is seeking a highly skilled Clinical Care Management Specialist to join our team. As a Clinical Care Management Specialist, you will play a critical role in providing high-intensity care management to children and families in need. This is a unique opportunity to make a meaningful difference in the lives of our...

Job SummaryWe are seeking a highly skilled Clinical Care Manager to join our team at Community Behavioral Health. As a Clinical Care Manager, you will play a critical role in ensuring that our members receive timely access to quality, medically necessary behavioral health services.Key Responsibilities:Conduct utilization review activities, including...

Clinical Nurse SpecialistAt Drexel University, we are seeking a highly skilled Clinical Nurse Specialist to join our team. As a key member of our Ambulatory Internal Medicine Practice, you will be responsible for ensuring the overall clinical success of our patients. Your primary focus will be on supporting and participating in the Patient-Centered Medical...

Job SummaryWe are seeking a highly skilled and dedicated Clinical Nurse Specialist Fellow to join our team at Children's Hospital of Philadelphia. As a CNS Fellow, you will provide expert population-based, family-centered clinical care and consultation to improve outcomes and promote integrated healthcare.Key ResponsibilitiesManage the care of complex and/or...

Job DescriptionWe are seeking a skilled Clinical Nurse Specialist to join our team at Temple Health, where you will play a vital role in providing high-quality patient care in our outpatient setting.About the RoleThe Clinical Nurse Specialist will be responsible for assessing, implementing, and evaluating patient care under the direction of licensed...

Job Title: Clinical Care Management Specialist FOCUSCommunity Behavioral Health (CBH) is seeking a highly skilled Clinical Care Management Specialist to join our team. As a Clinical Care Management Specialist, you will play a critical role in providing intermediate or high-intensity care management to our members.Key Responsibilities:Work directly with...

Job DescriptionThe Clinical Care Manager (CCM) Specialist is a key member of the Community Behavioral Health (CBH) team, responsible for providing high-intensity care management to children and adolescents with complex behavioral health needs. The CCM Specialist will work collaboratively with members, their caregivers, and providers to ensure effective,...

Job Title: Clinical SpecialistHorizon House is seeking a Clinical Specialist to join our Behavioral Health Services Division. As a key member of our team, you will provide individual and group therapy to program residents utilizing evidence-based practices such as Dialectical Behavioral Therapy (DBT) and Cognitive Therapy for Psychosis (CT-R).Key...

Job Title: Clinical Operations SpecialistJob Summary:The Clinical Operations Specialist will provide day-to-day operational oversight of our skilled clinical programs, ensuring compliance with home health regulations and Agency policies and procedures.Responsibilities:* Conduct comprehensive assessments of client needs and develop plans of care to ensure...

Authorization and Pre-Certification ExpertiseTemple University Hospital is seeking a skilled Clinical Authorization Specialist to join our Pre-Certification Department. As a key member of our team, you will serve as the primary clinical resource for handling complex authorization issues, ensuring that precertification/authorization issues are investigated...

Job Title: Clinical Sales SpecialistJob Summary:Intuitive is seeking a Clinical Sales Specialist to join our team. As a Clinical Sales Specialist, you will be responsible for clinically selling our robotic surgical device to maximize its utilization in the Philadelphia, PA territory.Key Responsibilities:* Partner with the Clinical Sales Manager to develop a...

Clinical Care Management SpecialistWe are seeking a highly skilled Clinical Care Management Specialist to join our Complex Care team at Community Behavioral Health. As a key member of our team, you will be responsible for providing intermediate or high-intensity care management to individuals and families in need of support.Key Responsibilities:Conduct...

Clinical Care Manager Job DescriptionThe Clinical Care Manager is a critical role within Community Behavioral Health, responsible for ensuring that members receive timely access to quality, medically necessary behavioral health services. This position requires a strong understanding of best practices and evidence-based treatments, as well as excellent...

Job DescriptionThe Clinical Care Manager (CCM) Specialist is a critical member of our team, responsible for providing high-intensity care management to our members. This role requires a strong understanding of behavioral health care services, system partners, and established medical necessity criteria.Key Responsibilities:Work directly with members, natural...

Precertification and Clinical Resource SpecialistTemple Health is seeking a highly skilled Precertification and Clinical Resource Specialist to join our team. As a key member of our PreCertification Department, you will serve as the primary clinical resource for handling complex authorization issues.Key Responsibilities: Clinically assess all adverse...