Team Lead, Clinical Care Review - R11259 - Indiana

Clinical Care Reviewer II processes medical necessity reviews for authorization of health care services and assists with discharge planning activities. · ,ul style="list-style-type:none">Complete prospective and retrospective review · Identify and document care issues · ...

The Team Lead Clinical Care Review is responsible for providing direct oversight of Clinical Care Review (CCR) employees and overseeing day-to-day workflow within the CCR team. · Graduate level degree as a mental health professional or Bachelor of Science degree in Nursing or equ ...

The Interim Director of Nursing has the authority and responsibility for the functions and training of the nursing services staff. · Has knowledge of age-specific developmental factors specific to adult and geriatric residents. · Demonstrates ability to adjust to changes in shift ...

The Regional Director of Resident Care is responsible for activities related to the development, implementation and ongoing support of quality management and educational initiatives throughout assigned communities. · This position assumes a primary role in ensuring that the commu ...

We're looking for a Clinical Intake Clinician who can combine clinical expertise with strong communication skills to connect members with the right level of care. · Master's degree in social work, counseling, or a related behavioral health field or a degree in nursing. · At least ...

Coordinates and facilitates the care of the patient population through effective collaboration and communication with the Interdisciplinary Care Transitions (ICT) team members. · ...

EMG is affiliated with Eskenazi Health and employs physician and advanced practice providers who support the Eskenazi Health system. · A multi-specialty provider group, it strives to be a leading primary care provider serving all patients regardless of ability to pay or condition ...

We are proud to be a Community Health Accreditation Partner (CHAP) certified hospice. If you have a commitment to providing the highest quality of care to patients and their families, we would like to hear from you. · The hospice Medical Director will have overall responsibility ...

A physician psychiatrist directs clinical service activities and works with patients to diagnose mental illness or addiction. They initiate and review treatment plans, provide medical documentation, consult with other healthcare professionals and perform medical screenings. · ...

BKG Enterprises is seeking Medical Management Specialist to join our team This is a work-from home opportunity providing non-clinical support to medical management operations calls. · ...

The Prepayment Review Team Lead manages proactive review of high-risk claims before payment is issued. · Oversee prepayment review operations and staffDevelop refine prepayment review criteria and triggersReview high risk claims etc... ...

We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care. · Clinical Audit & Integrity Specialists provide essential medical expertise to support audi ...

Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day. · ...

We're Hiring Are you an experienced RN or LPN with expertise in the Minimum Data Set (MDS) process Join our team as an MDS Coordinator in a dynamic collaborative environment where you'll play a key role in ensuring timely and accurate completion of the RAI process and care manage ...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. · You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. · ...

The RN MDS Coordinator coordinates and assists with completion and submission of accurate and timely interdisciplinary MDS Assessments. · ...

We are looking for a PRN Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams. · ...

The Clinical Pharmacy Specialist provides comprehensive pharmacotherapy services for patient populations and leads education efforts for Clinical Staff Pharmacists. · The Specialist collaborates with other Franciscan Alliance medical staff and facilities to achieve best practices ...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. · ...

This Registered Nurse position at Independent Home Health Care involves evaluating patients referred to home care, consulting with family and physicians, and completing OASIS nursing assessments. · ...

Optum is a global organization that delivers care aided by technology to help millions of people live healthier lives. · ...