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Elevance Health
Overview
Investigate and process medical necessity appeals and member grievances, specifically focusing on Quality of Care cases. Prepare clinical summaries for Medical Directors and ensure all resolutions meet regulatory timeframes.
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Compensation
Salary not listed
Posted
2 days ago
Ascension
The Family Medicine Physician will evaluate and treat patients with appropriate medical diagnostic and treatment skills. They will also participate in efforts to improve cost effectiveness and quality of care provided to patients.
11 days ago
Investigate and process medical necessity appeals requests from members and providers. Prepare recommendations for the Medical Director and ensure all grievances are resolved within regulatory timeframes.
$38 - $57 / HOUR
12 days ago
Corewell Health
Provide outpatient assessment, counseling, and psychological services for children, adolescents, adults, and couples. Coordinate care through referrals and collaboration with community professionals such as physicians and teachers.
Tenet Healthcare
Perform diagnostic radiological exams using appropriate imaging equipment while verifying patient identity and medical history. Document findings, communicate data to radiologists, and participate in process improvement and education for staff and students.
22 days ago
Perform diagnostic radiological exams using appropriate imaging equipment while verifying patient identity and medical history. Document findings, communicate data to radiologists, and provide post-care instructions to patients.
LCMC Health
The Physical Therapist will lead the prioritization, coordination, and delegation of all physical rehabilitation care touchpoints for patients, ensuring consistency with the medical plan of care and advocating for a safe environment. Responsibilities also include evaluating patient progress, documenting assessments, and contributing to department quality management activities.
23 days ago
The Medical Assistant facilitates efficient patient flow and assists providers with examinations, procedures, and treatments. They are also responsible for maintaining electronic health records and ensuring a clean, safe clinical environment.
25 days ago
1 month ago
Perform diagnostic radiological exams using appropriate imaging equipment while verifying patient identity and medical history. Collaborate with radiologists to document findings and provide post-care instructions to patients.
Perform diagnostic radiological exams using appropriate imaging equipment and verify patient medical records. Communicate findings to radiologists and provide post-care instructions to patients.
The Otolaryngologist will provide medical services to patients, evaluate and treat them with appropriate diagnostic and treatment skills. Responsibilities also include coordinating discharge planning and participating in academic programs as requested.
SouthEast Alaska Regional Health Consortium (SEARHC)
The Registered Nurse provides clinical services, works with providers and staff to ensure quality care, and directs clinic operations, including front desk and patient care aspects. Responsibilities also include maintaining medication inventory, performing quality control checks, and accurately documenting all provided care and services.
$34 - $48 / HOUR
Montage Health
The registered nurse is responsible for planning, directing, assessing, and providing nursing care in the Family Birth Center. This includes antepartum, labor, delivery, recovery, postpartum, and normal newborn care.
$71 - $95 / HOUR
Hospital Sisters Health System
The Registered Nurse establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients and families, while promoting and restoring health through the nursing process and collaboration with physicians. They promote patient independence by teaching self-care skills and ensuring quality of care by adhering to therapeutic standards and regulations.
$34 - $51 / HOUR
UF Health
The Case Manager assesses patient and family scenarios to establish effective plans for the continuum of care. They perform assessment, planning, intervention, and reassessment in a collaborative environment to optimize quality and utilization.
2 months ago
Huntsville Hospital Health System
Under direct supervision, the intern will perform tasks such as monitoring drug therapy to enhance patient outcomes and quality of care. Responsibilities also include recommending cost-effective pharmacotherapeutic alternatives and ensuring accurate and efficient medication distribution.
Frederick Health
The Certified Nursing Assistant assists the Registered Nurse and interdisciplinary team in the safe delivery of quality patient care, supporting unit operations by performing delegated tasks such as collecting routine health data and assisting with activities of daily living. This role involves performing delegated nursing interventions, recording data, and advocating for the patient by reporting status changes and concerns to the nurse.
$20 - $28 / HOUR
UAB St. Vincent's
The physician will primarily manage occupational injury care, focusing on complex injuries and workers' compensation claims, including fitness for duty evaluations and claims oversight. Responsibilities also involve collaboration with internal teams like Safety and ERGO, and occasionally filling in for APP coverage.
