Assesses the appropriateness of clinical appeal requests by using payer policies and Federal and State regulations. Works with Physician Advisors to obtain clinical support for appeals if needed. Uses...

Uses nationally recognized, evidence-based utilization criteria to review medical records and perform clinical assessments for patient accounts to be appropriately appealed. Uses nationally recognized...

Through the use of Oracle's implementation approach and methodology, the Consultant will assist in change management, help identify opportunities for improvement, and is accountable for achieving the ...

Responsible for driving the client through the design of clinical and business processes, solution and technology workflow, and successful adoption that will lead to achieved value. Manage ongoing rel...

To maintain this position, Clinical Consultant, MI - I must: Comply with all MI Clinical Consultant job duties as outlined. The Clinical Consultant, MI - I shall be responsible for providing clinical ...

To maintain this position, Clinical Consultant, MI - I must: Comply with all MI Clinical Consultant job duties as outlined. The Clinical Consultant, MI - I shall be responsible for providing clinical ...

TravelNurseSource is working with AHS NurseStat to find a qualified Med/Surg RN in Red Bank, New Jersey, 07704!.NurseStat is looking for a Long Term (Travel) Med - Surg/Tele RN in.You must be licensed...

It's an opportunity to build your clinical expertise while shaping the lives of your client and their loved ones every single day. Taking direction from clinical team and being overseen by a registere...

We value your clinical knowledge and respect the deep one-on-one bond you establish with the families you care for. Of course, if you need anything, your Director of Nursing is only a phone call away ...

Developing and coordinating a comprehensive Holistic plan of care to meet the resident’s clinical and care needs in collaboration with the interdisciplinary and neighborhood team. Participating in car...

This role focuses on the dynamic and high-stakes nature of clinical supply chains, particularly in the context of clinical trials. Manage the end-to-end clinical supply chain process, ensuring timely ...

We are seeking a proactive Clinical Supply Chain Associate Consultant with 3-6 years of experience to join our growing team. Manage the end-to-end clinical supply chain process, ensuring timely availa...

IR/CV Clinical Solutions Delivery Consultant (travel: Eastern Zone). Prior clinical preceptor, clinical training, and/or adult education delivery experience is highly preferred. Bring your passion for...

IR/CV Clinical Solutions Delivery Consultant (travel: Eastern Zone). Prior clinical preceptor, clinical training, and/or adult education delivery experience is highly preferred. Bring your passion for...

Maintains clinical skills specifically required on unit. Serves as a preceptor for new employees, coworkers and students and evaluates their performance by validating clinical and technical skills and...

Registered Supervisory Nurse Home Care.NY, has an opportunity for full-time Registered Supervisory Nurse.We are looking for qualified RNs with the ability to perform home care field visits to our pati...

Registered Supervisory Nurse Home Care.NY, has an opportunity for full-time Registered Supervisory Nurse.We are looking for qualified RNs with the ability to perform home care field visits to our pati...

Certification(s) Preferred: EpicCare Inpatient, Clinical Documentation, Orders, Order Transmittal, OpTime, ASAP, and Healthy Planet. Clinical experience with Care Coordination and Population Health. C...

Certification(s) Preferred: EpicCare Inpatient, Clinical Documentation, Orders, Order Transmittal, OpTime, ASAP, and Healthy Planet. Clinical experience with Care Coordination and Population Health. C...

Certification(s) Preferred: EpicCare Inpatient, Clinical Documentation, Orders, Order Transmittal, OpTime, ASAP, and Healthy Planet. Clinical experience with Care Coordination and Population Health. C...

Certification(s) Preferred: EpicCare Inpatient, Clinical Documentation, Orders, Order Transmittal, OpTime, ASAP, and Healthy Planet. Certification(s) Preferred: EpicCare Inpatient, Clinical Documentat...

Certification(s) Preferred: EpicCare Inpatient, Clinical Documentation, Orders, Order Transmittal, OpTime, ASAP, and Healthy Planet. Certification(s) Preferred: EpicCare Inpatient, Clinical Documentat...

Certification(s) Preferred: EpicCare Inpatient, Clinical Documentation, Orders, Order Transmittal, OpTime, ASAP, and Healthy Planet. Clinical experience with Care Coordination and Population Health. C...

Certification(s) Preferred: EpicCare Inpatient, Clinical Documentation, Orders, Order Transmittal, OpTime, ASAP, and Healthy Planet. Clinical experience with Care Coordination and Population Health. C...

Certification(s) Preferred: EpicCare Inpatient, Clinical Documentation, Orders, Order Transmittal, OpTime, ASAP, and Healthy Planet. Clinical experience with Care Coordination and Population Health. C...

Certifications preferred: EpicCare Inpatient, Clinical Documentation, Orders, Order Transmittal, OpTime, ASAP, and Healthy Planet. Designing clinical and quality aspects of health models.

Designing clinical and quality aspects of health models. Certifications preferred: EpicCare Inpatient, Clinical Documentation, Orders, Order Transmittal, OpTime, ASAP, and Healthy Planet.

Creekside Blvd East, Naples, FL, 34109.At Hospital for Special Surgery (HSS) at Naples Comprehensive Health (NCH), we don’t settle for ordinary—we redefine what’s possible in healthcare.HSS has partne...

Maintains clinical skills specifically required on unit.

Life Sciences industry experience, with significant experience in the Clinical domain to include:. Techno-functional knowledge of clinical data flow, data architecture, and data mapping. Experience in...

Knowledge of clinical data mapping, processing, use cases. Knowledge of the clinical content supply chain management. Techno-functional knowledge of clinical data flow, data architecture, and data map...

Experience with clinical operating model transformations. Experience analyzing clinical processes to identify inefficiencies, bottlenecks, and areas where improvements can be made and redesign process...

Life Sciences industry experience, with significant experience in the Clinical domain to include:. Experience with clinical operating model transformations. Techno-functional knowledge of clinical dat...

This position will be responsible for day-to-day work tasks for clinical revenue management and charge capture projects and utilize both technical and interpersonal skills to assist clients. Minimum o...

This position will be responsible for day-to-day work tasks for clinical revenue management and charge capture projects and utilize both technical and interpersonal skills to assist clients. Minimum o...

Must have at least 3-5 years of clinical research and clinical medical writing experience. Thoroughly researching, reviewing, and analyzing current medical literature, clinical practice guidelines, go...

Must have at least 3-5 years of clinical research and clinical medical writing experience. Thoroughly researching, reviewing, and analyzing current medical literature, clinical practice guidelines, go...

Responsible for customer clinical & technical support and education. Instructs customer on proper operation and clinical utilization of Werfen products. May assist Sales Consultant with lead generatio...

Instructs customer on proper operation and clinical utilization of Werfen products. May assist Sales Consultant with lead generation through pre and post-sales support. Minimum of 2-3 years’ work expe...