Acute Care CDS: Utilization Management Expert
Enloe Health
Enloe Health in California seeks a Clinical Documentation Specialist to review inpatient medical records and ensure accurate severity-of-illness representation. You will collaborate with physicians, nurses and HIM staff to clarify documentation and improve coding accuracy. The role requires five years of inpatient nursing experience, CDI/CCDS exposure preferred, and active RN licensure in California. On-site days, with weekend days off, and a comprehensive benefits package are provided. #J-18808-Ljbffr
- ...seeking an experienced Licensed Practical Nurse (LPN) for our managed care nursing team in New York. The role focuses on pre-... ...discharge planning in alignment with Medicare guidelines and Utilization Management processes. Responsibilities include processing...Suggested
- ...A healthcare staffing agency seeks a Utilization Management RN to evaluate clinical conditions through medical record reviews. The position is remote, requiring candidates to reside in PA, DE, or NJ. Key duties involve applying criteria for medical necessity, collaborating...SuggestedRemote work
$100k - $140k
...Thesis is building the AI-powered care team platform for infinitely... ...combining AI agents with clinical experts to take on high-impact clinical operations and care management activities for healthcare... ...operations team. This is a broad-scope "utility player" role for a clinician...SuggestedRemote work- ...possibilities for patients and care teams everywhere. For 70 years... ...science into better acute care across EMEA. We are looking... ...impact Be the senior EMEA medical expert for CRRT, extracorporeal blood... ...The drive to take ownership, manage competing priorities and turn...SuggestedLocal areaRemote workWorldwide
- ...NYU Langone Orthopedic Hospital at NYU Langone Health seeks an Acute Care Nurse Practitioner for the Special Care Unit (prior Critical Care experience required). The NP will provide comprehensive nursing care within a collaborative practice, under a physician, serving...Suggested
- ...Judi Health in the United States is seeking a Utilization Management Pharmacist to review prior authorizations and support clinical programs.... ...authorization requests, ensure regulatory compliance, and provide expert guidance to members, providers, and pharmacies while...Remote work
- ...KPC Global Medical Centers is seeking a Registered Nurse to perform professional nursing duties in acute and non-acute care settings under supervision. You will assist physicians and follow orders, participate in quality assurance, policy review, and staff development...
- LCMC Health is seeking an Acute Care Float Pool Registered Nurse (RN) to provide high-quality nursing care across multiple acute care units. You will be a valued team member, bringing flexibility and specialized clinical skills to support units where needed, within a Magnet...
- ...committed to helping independent primary care practices take better care of their patients... ...searching for a Support Subject Matter Expert in Elation Billing - someone who has... ...done real medical billing and revenue cycle management work, not someone learning it on the job....
- ...Northwell Health in New York seeks a Nurse Practitioner to perform a broad range of patient admission, assessment, and care planning, with responsibilities spanning from initial histories to discharge planning. The role emphasizes collaboration with physicians and...
- ...program delivery, and achieve leaps forward in areas such as asset management & maintenance, major projects, railway operations, strategic... ...Our work is driven forward by our values: agile, always safe, care about people, collaborative, impartial and passionate . Why work...Work at officeWork from homeHome officeFlexible hours
- ...ecosystem across trading, payments, wealth management, custody, institutional services, and Web... ...values define how we build. We listen, care and improve to create products and experiences... ...team, we are looking for a P2P Regional Expert to own LATAM regional growth strategy and...Local area
- ...You will lead our diagnostic imaging services using in-house ultrasonography and digital radiography to support top-quality patient care. We offer a transparent pay model, a structured career ladder, annual CE allowance, PTO, health/dental/vision, a 401(k) with 5% match...Relocation package
- ...TruBridge, Inc. is seeking an Acute Claim Biller - UB04 & CMS-1500 to manage day-to-day billing operations for hospital and clinic claims. The role focuses on patient billing, collections, payer relations, and insurance claim preparation, with strong emphasis on accuracy...Remote work
$90k - $100k
...operating system for modern musculoskeletal care. We partner with MSK provider groups and... ...a revenue cycle leader who will run care management billing hands-on today while building a... ...partner practices, and serve as the go-to expert on how remote therapeutic monitoring (RTM...For contractorsRemote work- ...Omega Healthcare Management Services Pvt. Ltd. is seeking a qualified medical coder to abstract, code, and sequence clinical data from inpatient, outpatient, and professional records in a remote home-office setting. You will assign principal and secondary diagnoses and...Remote workHome office
- ...registered dietitian nutritionist to coordinate nutrition assessment and treatment plans within the WIC program. You will lead high-risk care, supervise staff, and ensure timely education and counseling to participants. The role requires strong knowledge of WIC requirements...
$60k - $80k
...it’s not the work that drives us, it’s the respect, trust, and care for each other that defines us as a team. We’re a diverse community... ..., optimized, and measurable. Responsibilities Builds, manages, and optimizes Google Ads campaigns and other lead generating platforms...Local areaRemote workFlexible hoursDay shift$110 - $140 per hour
...Bring senior power and utilities expertise to AI evaluation projects focused on grid operations, generation dispatch, utilities regulation... ...with traceable evidence. Pay $110–$140/hr Alpheva is a new expert network (launched September 2026); payout methods are not published...Hourly payContract workRemote work$150 per hour
...Jack Dorsey . Position: Utilisation Management / Case Management leader (RN/Physician-advisor... ...review, discharge planning, and care coordination. Evaluate AI-generated... ...Coordinate with clinical teams, payers, and post-acute providers to facilitate appropriate care...Remote jobContract workSummer workNight shift- ...applications for an Inpatient Hospital Medicine Advanced Practice Provider on the Solid Tumor GU team. You will deliver comprehensive acute inpatient care, work with multidisciplinary teams, and contribute to excellence in oncology care and research. Requirements include NYS...
- ...seeking a Nurse Practitioner or Physician Assistant to evaluate and manage patients in a multidisciplinary setting. You will perform... ...collaborating with physicians and staff to ensure high-quality care. The role requires an MSN or PA certification, active state licensure...
$55 - $65 per hour
...for AI training datasets . Provide expert feedback on nursing assessments and documentation... ...., outside California). Recent adult acute care inpatient bedside experience.... ...reviewing charts for quality improvement, utilization review, CDI, or clinical informatics....Contract workSummer workRemote work$300k - $400k
...Strategic Account Executive, Expert Data Labs The Strategic Account Executive, Expert Data Labs owns new revenue for Office Hours'... ...companies building frontier AI systems. These are technical buyers who care about data quality and domain rigor, so you will learn what each...Long term contractFull timeContract workWork at officeRemote work- ...Specialist for a remote role based in the United States. This full-time position requires CCS certification, RHIT preferred, and 5 years Acute Care with 3 years inpatient coding experience. You will analyze inpatient records using ICD-10-CM/PCS, collaborate with clinical staff...Full timeRemote work
$86.7k - $173.3k
...Advanced Clinical Expert Abbott is a global healthcare leader that... ...matters, grow, and learn, care for yourself and family, be your... ...solutions to diagnose, monitor and manage heart failure, allowing people... ...experience in the Acute or outpatient setting. Experience...Work experience placementNight shift- ...City. This role involves diagnosing and treating patients while collaborating with other medical professionals to ensure continuity of care. Key responsibilities include reviewing lab work, medical policies, and providing after-hours medical consultations. Candidates...Work at office
- ...collaborate with families, and model best practices within a high-quality center. As Lead Educator, you will guide curriculum delivery, utilize quality assessment tools, and ensure alignment with Bright Horizons' standards while meeting state requirements and health...
- ...Appliance Service Technician in Long Island, NY, to deliver exceptional service while repairing major household appliances. You will utilize your repair skills and customer service expertise, ensuring high levels of customer satisfaction. GE Appliances offers competitive...Hourly pay
$80 - $82 per hour
...is a membership-based preventive health care practice delivering cutting-edge primary... ...tailored interventions to prevent, reverse, or manage all major chronic diseases. Each... ...Atria Academy of Science & Medicine, top experts in their respective fields who are available...Weekend work
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