Clinical Evaluation Manager, Bilingual Mandarin/Cantonese preferred
New York, New York
Overview Assesses member needs and identifies solutions that promote high quality and cost-effective health care services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical determ...
1d
| Job Type | Full Time |
Boston, Massachusetts
Massachusetts General Hospital
Summary Responsible for developing educational programs, clinical decision-making, management of quality outcomes, and participation in research activities. Provide patient care in the clinical environment, health promotion, disease prevent...
1d
| Job Type | Full Time |
Nurse Manager - General Pediatric/Adolescent Unit
King of Prussia, Pennsylvania
Children's Hospital of Philadelphia
SHIFT:Any (United States of America) The 6th Floor Adolescent and Behavioral Health team at King of Prussia is seeking a strong, experienced leader to guide and support a growing team in a dynamic and rewarding environment. Following a peri...
1d
| Job Type | Full Time |
Nursing Professional Development Specialist
Richmond, Virginia
Virginia Commonwealth University Health Systems
A Nursing Professional Development Specialist influences professional role competence and professional growth of learners in a variety of settings: supports lifelong learners in an interprofessional environment that facilitates continuous d...
1d
| Job Type | Full Time |
RN Clinical Review Prior Authorization UM Specialist
Bloomington, Minnesota
HealthPartners is hiring a RN Clinical Review Prior Authorization UM Specialist. POSITION PURPOSE: Accurate application of HealthPartners evidence-based coverage criteria in alignment with member benefit plan Appropriate management of Healt...
1d
| Job Type | Full Time |
Assistant Clinical Manager-I1 Observation-Full Time-Days-Detroit
Detroit, Michigan
Would you like to speak with a Nurse Recruiter? At Henry Ford Hospital, all nurses strive to provide exceptional patient care every day. They are encouraged to participate in quality assurance activities, research and shared governance to m...
1d
| Job Type | Full Time |
Clinical Reviewer - On-Call - PRN Company: Comagine Health Employment Type: PRNRole Overview Comagine Health is seeking a Clinical Reviewer - On-Call - PRN (less than 20 hours per week) to assess the medical necessity, quality, and appropri...
1d
| Job Type | Full Time |
Nurse Manager, Prior Authorization
San Francisco, California
Reporting to the Director of Clinical Operations, the Nurse Manager, Prior Authorizations, provides clinical and operational leadership to the Prior Authorizations (PA) team within the Utilization Management (UM) function. You will manage a...
2d
| Job Type | Full Time |
Las Vegas, Nevada
Optum Care Community Center of Nevada is seeking an Advanced Practice Clinician to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care D...
2d
| Job Type | Full Time |
Washington, D.C.
Aya Healthcare has an immediate opening for the following position: Clinical Education Specialist Registered Nurse in Washington, DC. We'll work with you to build the healthcare career of your dreams. Whether you want a job close to home or...
2d
| Job Type | Full Time |