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Primary duties may include but are not limited to: Utilizes nursing judgment and reasoning to analyze members' clinical information, interface with healthcare providers, make assessments based on clinical presentation, and apply clinical guidelines and/or policies to evaluate medical necessity. The Medical Management Nurse - AmeriBen is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member's clinical presentation to determine whether to approve requested service(s) as medically necessary.

Elevance Health Inc

Medical Management Nurse - AmeriBen

Primary duties may include but are not limited to: Utilizes nursing judgment and reasoning to analyze members' clinical information, interface with healthcare providers, make assessments based on clinical presentation, and apply clinical guidelines and/or policies to evaluate medical necessity. The Medical Management Nurse- AmeriBen is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member's clinical presentation to determine whether to approve requested service(s) as medically necessary.

Elevance Health

Medical Management Nurse - Ameriben

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Primary duties may include but are not limited to: Utilizes nursing judgment and reasoning to analyze members’ clinical information, interface with healthcare providers, make assessments based on clinical presentation, and apply clinical guidelines and/or policies to evaluate medical necessity. The Medical Management Nurse - AmeriBen is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member’s clinical presentation to determine whether to approve requested service(s) as medically necessary.

Working closely with the Chief Procurement Officer (CPO) and senior business leaders, this role leads procurement transformation, process optimization, digital enablement, analytics, capability development, supplier risk management, and continuous improvement initiatives across the enterprise. Build and manage a multi-year procurement transformation portfolio that includes technology modernization, process redesign, capability-building initiatives, operating model enhancements, and organizational effectiveness programs approved through procurement leadership governance.

YEAR

Accendra Health Inc

Director, Procurement Excellence & Transformation

We're looking for a Director, Product (Pharmacy Claims Platform) who brings deep experience developing pharmacy claims adjudication technology, understands how it works in a real-world PBM environment, and wants to help advance sophisticated pharmacy transaction capabilities. At least 8 years in product management or related platform roles, including at least 3 years directly accountable for the product requirements, priorities, and production delivery of a pharmacy claims adjudication engine or substantial core adjudication platform capabilities.

Prescryptive Health Inc

Director Product Pharmacy Claims Platform

Provide strategic leadership of short- and long-term goals through the use of thoughtful techniques in the communication of the company's mission and core values as a means to implement positive change and/or create organizational structure within IPS: Lead operational efforts through subordinates to complete the administration of business processes and services to ensure the operations effective achievement of goals within the assigned business unit(s). Serve as primary resource to hospital C-Suite, FMC Program Managers and personnel regarding clinical questions; survey preparedness; Acute Care Electronic System (ACES); and all Inpatient Services processes implementation and maintenance.

Fresenius Medical Care North America is a wholly owned subsidiary of Fresenius Medical Care AG & Co. KGaA, located in Bad Homburg, Germany. Through our dialysis services entity, Fresenius Medical Services, we operate more than 2,100 outpatient dialysis clinics in the U.S. Our Renal Therapies Group is responsible for the manufacture and distribution of a variety of dialysis products and equipment, including dialysis machines, dialyzers and other dialysis-related supplies. 

Fresenius Medical Care

Director of Operations - Inpatient Services

ADAPTED_NOW

The Director of Nursing / Clinical Administrator is responsible for planning, organizing, developing, evaluating and effectively directing the clinical staff and program in order to ensure the delivery of high quality resident care and services consistent with regulations and established clinical best practices. specifically: • As a member of the site leadership team, participate in the planning and implementation of strategies and programming that assure high quality resident care while achieving short and long-term operational goals for the site.•

Presbyterian Homes & Services

Director of Nursing /Clinical Administrator - Assisted Living (AL)

Presbyterian Homes and Services Jobs

The Director of Nursing / Clinical Administrator is responsible for planning, organizing, developing, evaluating and effectively directing the clinical staff and program in order to ensure the delivery of high quality resident care and services consistent with regulations and established clinical best practices. specifically: As a member of the site leadership team, participate in the planning and implementation of strategies and programming that assure high quality resident care while achieving short and long-term operational goals for the site.•

Director of Nursing /Clinical Administrator Assisted Living (AL)

Utilizes data to identify opportunities for clinical variation, understands graphical representations of data, and applies project-oriented expertise in identifying leading and lagging metrics for implementation effectiveness, and data plans. As a MercyOne Trinity Health Leader, the incumbent is expected to demonstrate leadership traits which support our Mission Statement and Core Values as identified below: Mission Statement: We, MercyOne Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

Trinity Health Corporation

Acute Care Nursing Director

The Assistant Director of Nursing (ADON) assists the Director of Nursing (DON) in planning, organizing, and directing the overall operation of the nursing department within the Skilled Nursing Facility (SNF). This role helps ensure high-quality resident care, regulatory compliance, staff development, and efficient clinical operations.

Nava Healthcare Recruitment

Assistant Director of Nursing (ADON)

DUTIES: Assist the DNS with management responsibilities and in maintaining the quality of care. Assist with compliance and ensure effective communication with all levels of nursing staff.

<h4>Overview</h4>
<p>We specialize in providing the healthcare community with contract, temp-to-perm and direct hire staffing solutions. We invite you to discover what makes Cure Healthcare Staffing different – our consultative approach! Our team has a strong background in healthcare with over 25 years of experience. We have a passion for people and developing strong, long lasting relationship with both clients and employees. We look forward to partnering with you to earn your business and help CURE your healthcare staffing needs.</p>

Dart Healthcare Staffing

ADON Assistant Director of Nursing

Assistant Director of Nursing ADON

Physical activities: Reaching, Standing, Walking, Pushing, Pulling, Lifting, Talking, Fingering (picking, pinching, typing, etc.) Hearing, Grasping (applying pressure with fingers and palm), Repetitive motions, Feeling (perceiving size, shape, texture, temperature by touching), Visual acuity (field of vision for analyzing data, viewing computer, using measurement devices, operating machines, determining accuracy or neatness, and/or making general observations). Responsibilities: Provides leadership, resources and support services for quality department functions including compliance, continuous quality improvement, emergency preparedness program administration, forms management, credentialing, contract management, policy management, and facilitation of the ethics consultation service.

Everystep

Quality Management Director

Position Purpose: Provides and directs safe, effective and culturally competent care for high risk, critically acute patients with actual or potential life-threatening conditions. ECMO Management (if applicable): Provides advanced care to ECMO patients, including circuit management, data documentation, and technical education.

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

CMICU RN - Cardiac Medical Intensive Care Registered Nurse

As the Lead Director of Digital Product for Chronic Condition Management you will lead the technology product strategy and end-to-end execution for chronic condition programs, including primary responsibility for Compass Rose programs, and coordination with other business technology domains across HCD business, including Clinical Documentation, Clinic Operations, Quality & Stars, and Digital to ensure thoughtful, coordinated, and clinically meaningful technology products that support seamless care delivery pathways for chronic condition management. You will lead a multidisciplinary team of product managers, Epic analysts, software engineers, data scientists, and UI/UX designers to translate clinical vision into scalable technology roadmaps that optimize patient outcomes, with an emphasis on safety, a delightful patient and care team experience, and lowering the total cost of care.

<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

Lead Director Digital Product - Chronic Condition Management

Lead multidisciplinary technology teams -including Product Managers, Epic Analysts, Software Engineers, Data Scientists, and Designers-to build seamless, end-to-end clinical technology pathways that reduce medical costs, while driving patient experience and outcomes. Partner with healthcare delivery leadership to collaborate on end-to-end care models to drive admissions prevention, including optimizing care coordination and developing/implementing patient risk stratification models.

Lead Director- Digital Product - Admission Prevention

The Pharmacy Operations & Supply Chain team owns the journey from the moment a provider writes a prescription to the moment medication reaches the patient's door — including demand forecasting, network capacity, and the supply continuity that keeps product, ingredients, and consumables flowing across a network of 20+ fulfillment partners. Our telehealth support solutions are thoughtfully designed to streamline and simplify go-to-market care delivery for companies offering meaningful virtual support to patients across an expansive array of specialties, in all 50 states.

OpenLoop Health

Director, Demand & Supply Planning

Our telehealth support solutions are thoughtfully designed to streamline and simplify go-to-market care delivery for companies offering meaningful virtual support to patients across an expansive array of specialties, in all 50 states. You will own the entire product roadmap, lead and grow the PM team, and partner closely with engineering directors and design to ship products that transform how healthcare is delivered at scale.

Director of Product Management

You will lead a high-performing team that implements, integrates, and optimizes all mission-critical applications—spanning ERP, CRM, HRIS, finance, collaboration, and proprietary platforms—so that they scale with the business, meet security and compliance requirements, and delight internal users. Our telehealth support solutions are thoughtfully designed to streamline and simplify go-to-market care delivery for companies offering meaningful virtual support to patients across an expansive array of specialties, in all 50 states.

Guest Services Manager Jobs in Wichita Falls, TX

Medical Management Nurse - AmeriBen Elevance Health Inc

Medical Management Nurse - Ameriben Elevance Health

Medical Management Nurse - AmeriBen Elevance Health

Director, Procurement Excellence & Transformation Accendra Health Inc

Director Product Pharmacy Claims Platform Prescryptive Health Inc

Director of Operations - Inpatient Services Fresenius Medical Care

Director of Nursing /Clinical Administrator - Assisted Living (AL) Presbyterian Homes & Services

Director of Nursing /Clinical Administrator Assisted Living (AL) Presbyterian Homes & Services

Acute Care Nursing Director Trinity Health Corporation

Assistant Director of Nursing (ADON) Nava Healthcare Recruitment

ADON Assistant Director of Nursing Dart Healthcare Staffing

Assistant Director of Nursing ADON Dart Healthcare Staffing

Quality Management Director Everystep

CMICU RN - Cardiac Medical Intensive Care Registered Nurse Trinity Health

Acute Care Nursing Director Trinity Health

Lead Director Digital Product - Chronic Condition Management CVS Health Corp

Lead Director- Digital Product - Admission Prevention CVS Health Corp

Director, Demand & Supply Planning OpenLoop Health

Director of Product Management OpenLoop Health

Director, Applications & Business Systems OpenLoop Health

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