UNKNOWN

FEED

The CMD will have mission-critical leadership responsibilities, which include setting an example for how thoughtful primary care is practiced, serving as a formal mentor, coach, and advisor to providers in Oak Street clinics, and participating in critical organizational-wide strategic initiatives. Support consistent and robust OSH care model implementation by ensuring care teams are effectively preparing for and executing daily huddles, patient care planning and management, admission prevention work, and clinical documentation workflows.

YEAR

<p>CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all. </p>

CVS Health Corp

Center Medical Director

REQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.

HOUR

Molina Healthcare Inc.

Medical Review Nurse (Rn)- Post Appeals (Must Be Licensed In Illinois)

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MercyOne Genesis Aledo Medical Center is a 22-bed critical access hospital in western Illinois and Mercy County's sole healthcare provider, delivering emergency care, cardiac rehab infusion, lab, imaging (3D mammography), skilled care, pulmonary and sleep services, therapy and surgery. Focuses ongoing reassessment on actual and potential problems/needs of the patient including education and discharge needs.

Trinity Health Corporation

Acute Care Rn-Medical Surgical Registered Nurse

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. It is a family of 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, the Trinity Health system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations and many other health and well-being services. In fiscal year 2023, the Livonia, Michigan-based health system invested $1.5 billion in its communities in the form of charity care and other community benefit programs.

Trinity Health

Acute Care RN-Medical Surgical Registered Nurse

Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients.

Clinical Manager Jobs in Davenport, IA

Center Medical Director CVS Health Corp

Medical Review Nurse (Rn)- Post Appeals (Must Be Licensed In Illinois) Molina Healthcare Inc.

Acute Care Rn-Medical Surgical Registered Nurse Trinity Health Corporation

Acute Care RN-Medical Surgical Registered Nurse Trinity Health

Utilization Management Registered Nurse (RN) - Remote Guidehealth

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