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Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ..
... Evaluation of clinical criteria or research of available literature available to ... recommendation on services based on research/analysis Review/recommend categorization of codes for ... experience Behavioral health Medicaid experience..
Description The Process Improvement Professional 2 analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Professional 2 work assignments ..
Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, ..
... professionals, every day. The Physician Assistant is a licensed professional provider ... Clinical Care * The Physician Assistant (PA) provides assessment, triage, and ... function as first or second..
... every day. The Nurse Practitioner/Physician Assistant is a licensed professional provider ... function as first or second assistant on operative cases (as long ... Ensures compliance with patient related..
Description The Care Management Support Assistant 2 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..
Description This role has responsibility for the oversight and monitoring of the Autism Care Demonstration (ACD) team performance to ensure compliance with contract and complex ACD policy requirements as defined by ..
Overview ADVANCED PRACTICE NURSE OR PHYSICIAN ASSISTANT OUTPATIENT GENERAL CARDIOLGY AND ELECTROPHYSIOLOGY TRUMBULL AND SHELTON LOCATIONS MONDAY - FRIDAY 40 Hours Per Week To be part of our organization, every employee ..
Description The Pre-Authorization Nurse 2 reviews Genetic testing prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The ..
Description The Senior Nursing Educator plans, directs, coordinates, evaluates, develops, and/or delivers training and education programs for professional nursing personnel. The Senior Nursing Educator work assignments involve moderately complex to complex ..
Description Responsibilities The SIU and PPI Lab review team is seeking a Medical Coding Auditor with a special set of skills. This person will focus on coding and clinical review of ..
... their patients. Manage the Human Research Protection Program and serves as ... educator and manager for all research related activities involving Bridgeport Hospital, ... Ensure that all human subject..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
... physicians, physician groups, and integrated healthcare delivery systems throughout the country. ... delivery systems throughout the country. Healthcare isn't just about health anymore. ... of our members, and the..
