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Clinical Reviewer - Irvine','26573-142198','United States-California-Santa Ana-Santa ... States-California-Santa Ana-Santa Ana (SAN) - RCPS','Full-time','Executive','!*!CLINICAL REVIEW SPECIALIST JOB DESCRIPTION MAJOR RESPONSIBILITIES Performs ... format and deadlinesPerforms Medi Cal clinical medical file review..
... of residents who present a clinical management problem.u003c/liu003enu003c/ulu003enu003cpu003eu0026nbsp;u003c/pu003enu003cpu003eQUALITY AND QUANTITY OF ... disabilities associated with mental illness.u003c/liu003enu003cliu003eProvides clinical services including:u003c/liu003enu003c/ulu003enu003colu003enu003cliu003eParticipates in the admissions ... prescribed treatments to clients.u003c/liu003enu003c/olu003enu003culu003enu003cliu003eCompletes assigned..
... the physician. The LVN/LPT provides documentation to the Medical Director and ... and notifies all parties of clinical changes of condition.u003c/pu003enu003cpu003eu003cstrongu003eQUALIFICATIONSu003c/strongu003eu003c/pu003enu003cpu003eOne (1) year ... and groups.u003c/liu003enu003cliu003eMonitors the activities and..
... Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... skills to support the coordination, documentation and communication of medical services ... Utilization Management Nurse 2 uses..
Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana, ..
... the physician.u0026nbsp; The LVN/LPT provides documentation to the Medical Director and ... and notifies all parties of clinical changes of condition.u0026nbsp;u003c/pu003enu003cpu003eu0026nbsp;u003c/pu003enu003cpu003eu003cstrongu003eQUALIFICATIONSu003c/strongu003eu003c/pu003enu003cpu003eOne (1) year ... and groups.u003c/liu003enu003cliu003eMonitors the activities and..
... the South Bay Community. The Clinical Risk Manager may be primarily ... with the other South Bay Clinical Risk Manager(s) and Risk Specialist(s) ensuring risk management functions are .....
... Nursing Academics (theory) or Manager Clinical Faculty (clinical), the Instructor I, Nursing (Undergraduate) ... one will be teaching, current clinical practice experience or distance education ... eligible for consideration..
Admin / Clerical (197) Advanced Practice Registered Nurses / Physician Assistants (340) Allied Health (3222) Executive (80) Operations (255) Physicians/Surgeons (1359) Quality/Risk Management (18) Type Contract (1) Fellowship (0) Full Time ..
PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
... Responsibilities Be part of our Clinical Support Team - Humana is ... - Humana is seeking a Clinical Consultant who will be accountable ... results. Humana is seeking a..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Torrance California Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
... Twitter, or Instagram. The RN Clinical Documentation Improvement Specialist (CDS) will be responsible for ... responsible for facilitating clinically appropriate documentation of all patient conditions, treatments, ... physicians, to..
Overviewn****FULL TIME / DAY SHIFT****nResponsibilitiesnThe Registered Nurse provides direct care in the medical u2013 surgical setting. Under the direction of the Nursing Department Leadership Team, formulates a plan of care to ..
