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L.A. Care Health Plan
Overview
The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals, ensuring timely determination and notification of referral statuses, and generates necessary approval or denial communications. This role also involves performing telephonic and/or onsite admission and concurrent review, collaborating on discharge plans, and monitoring inpatient admissions.
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Compensation
$88,854 - $142,166 / YEAR
Posted
7 days ago
Jordan Valley Health
The PACE Clinic RN primarily oversees clinical acuity within the day center, spearheading real-time clinic-based triage based on participant symptoms. This role acts as a crucial communication link between participants, caregivers, and providers to ensure timely and appropriate care management.
Salary not listed
27 days ago
Cleveland Clinic
The caregiver serves as a PRN inpatient clinical pharmacist, collaborating with various healthcare professionals to ensure safe and effective medication use in a fast-paced hospital setting. Responsibilities include chart review, order verification, drug therapy optimization, and operational pharmacy coverage as needed.
1 month ago
Healthcare Outcomes Performance Co. (HOPCo)
The Medical Assistant facilitates communication between the patient and provider by collecting pertinent information, preparing the patient for the visit through rooming and vital documentation, and assisting with procedures and form completion. Key duties also involve maintaining exam room standards, managing biohazard waste, and ensuring timely response to voicemails and chart preparation.
2 months ago
Best Care
The Triage Nurse will provide telephone triage services to assess and prioritize patient needs, relaying critical information to providers and advising patients based on instructions, while ensuring prompt identification of high-risk conditions. Responsibilities also include patient and family education, coordinating care continuation, preparing exam rooms, assisting with examinations, and performing tasks like phlebotomy under provider direction.
The Medical Assistant facilitates communication between the patient and provider, handles patient preparation duties including rooming and documenting vitals, and manages administrative tasks like data entry into the EMR. Responsibilities also include maintaining exam room standards, monitoring biohazard waste, and assisting with prescription and form completion.
Molina Healthcare
The role involves providing support for pharmacy technician activities, including performing initial review and processing of non-formulary or prior authorization requests against plan criteria. This includes accurately entering approvals or denials and assisting members, providers, and pharmacies with resolving prescription claims and service access issues.
3 months ago
Orlando Health
The Clinical Documentation Excellence I Registered Nurse conducts initial and follow-up concurrent reviews across hospitals to clarify documentation for accurate reflection of patient acuity and level of care. This involves coordinating with other departments, identifying missing documentation supported by clinical indicators, and submitting clarifications to medical staff when necessary.
Bayfront Health
The role involves conducting initial and follow-up concurrent reviews of clinical documentation in the medical record to ensure accurate reflection of patient acuity and level of care provided. This includes coordinating with various departments and using strong communication skills to clarify documentation with providers and educate them on documentation importance.
The Medical Assistant facilitates communication between the patient and provider, prepares patients for visits by rooming them, obtaining vitals, and setting up procedures. They are also responsible for maintaining exam room standards, managing biohazard waste, and assisting with documentation and administrative tasks like prescription preparation.
Mercy Medical Center Redding
The Coder will accurately translate patients’ medical records into standardized codes for diagnoses and treatments to ensure precise communication with insurance companies for efficient payment processing. This involves accurately abstracting information, assigning appropriate CPT, ICD-9/10, and HCPCS codes while meeting production and quality standards.
Revo Health
The Registered Nurse - Triage is responsible for providing healthcare information, education, recommendations, and general nursing care to obstetric, infertility, and gynecologic patients primarily by triaging incoming calls and communicating provider responses. Essential functions include managing patient communications, routing results, handling prescription refills, following up on abnormal tests, and documenting all patient interactions.
$77,472 - $116,197 / YEAR
4 months ago
Southeast Orthopedic Specialists
The Certified Medical Assistant will facilitate communication between the patient and provider by collecting information, preparing patients for visits by taking vitals and setting up procedures, and assisting with prescription preparation and form completion. Responsibilities also include maintaining exam room standards, monitoring biohazard containers, and managing provider electronic charts.
The Medical Assistant facilitates communication between the patient and provider by collecting information, preparing the patient for visits, and performing essential clinical tasks like obtaining vitals and setting up procedures. They are also responsible for maintaining exam room standards, managing electronic charts, and ensuring patient education is delivered as directed.
UAB St. Vincent's
The Telephone Triage Registered Nurse provides nursing care and clinical assessment via phone and electronic communication. Responsibilities include evaluating patient symptoms, determining appropriate levels of care, and ensuring timely communication with providers and patients.
5 months ago
