Clinical Training Lead for Utilization & Case Management
Molina Healthcare of Illinois
A leading healthcare organization is seeking a Clinical Training Specialist to develop and implement training programs for clinical staff. The ideal candidate will have a background in nursing and experience in training delivery within healthcare environments. Responsibilities include creating training content, educating teams on best practices, and evaluating the effectiveness of training programs. This role requires strong knowledge of healthcare regulations and the ability to work independently on multiple projects. #J-18808-Ljbffr Molina Healthcare
- A leading healthcare recruiting firm in New York seeks an experienced RN Supervisor for the Utilization Management department. Responsible for supervising daily operations, ensuring compliance... ...in utilization management, clinical nursing, and supervisory roles. The position...Suggested
$68.13k - $119.52k
...regulatory requirements and manages concurrent and pre-bill denials... .... Ensure requested clinical information is communicated,... ...authorizations for in-house patients, utilizing daily commercial authorization... ...Preferred] Utilization Management or Case Management [Preferred]...SuggestedFull timeWork experience placementLocal areaShift work- ...Statement of Job The School Health RN-Lead Nurse will provide direct supervision, training, delegation and oversight to... ...(e.g. nursing assessments, case management, physician and parent consultations... ...measures. For an assignment providing clinical supervision of LPNs: Provide...SuggestedWork at office1 day per week
- ...Clinical Appeals Nurse (RN) Status: Exempt Location: Remote Department: Clinical Appeals Reports To: Director of... ...persuasive appeal narratives Preferred Prior experience in utilization review, case management, CDI, or clinical appeals Familiarity with CMS...SuggestedRemote work
- ...Summary As the Nurse Manager, you will have the... ...Daily Execution Leads daily nursing unit... ...and just in time training. Assists with onboarding... ...the department. Clinical Quality and... ...reduction in agency utilization through retention,... ...Partners with therapy, case management,...SuggestedHourly payImmediate startFlexible hoursShift work
- ...Broughton Group is looking for a motivated Utilization Review Nurse to join their team in New... ...plans. The role involves performing clinical reviews to determine medical necessity,... ...paced environment. Previous utilization management experience is preferred. Join us in...
- ..., FL 33025, USA Responsibilities As a Utilization Management Nurse, you will ensure that home health... ...care. Concurrent review of patient’s clinical information for efficiency. Ongoing review... ...programs. Utilization Management or Case Management certification preferred....Temporary work
- ...Supervisor, Clinical Review Nurse Location: Any TurningPoint is an innovative healthcare... ...This position is responsible for Utilization Management (UM) activities, including but not limited... ...utilization review, pain management, case management, or health insurance pre‑...Full time
- ...TurningPoint Healthcare Solutions is hiring a Supervisor, Clinical Review Nurse in New York. This full-time role involves overseeing Utilization Management activities and leading a clinical team. Candidates should possess an active RN license, a minimum of five years...Full time
- ...identity protection. Role Overview The Medical Case Manager is a Licensed Practical Nurse or Registered Nurse responsible for reviewing clinical data to approve admissions, procedures... ...knowledge of medical‑surgical cases, utilization management, and discharge needs,...Temporary workLocal areaImmediate startRemote work2 days per week3 days per week
- ...About Global Medical Management At Generali Global Assistance... ...Plans Internal training and internship opportunities... ...The Medical Case Manager is a licensed... ...securing and reviewing clinical data to approve admissions... ...medical‑surgical cases, utilization management, discharge...Temporary workInternshipLocal areaImmediate start2 days per week3 days per week
$60.52k - $129.62k
...Position Summary Community Care Case Manager uses a collaborative process of assessment, planning, facilitation, care... ...eligibility and facilitates integrative functions using clinical tools and information/data. Utilizes case management processes in compliance with...Hourly payFull timeTemporary workWork at officeLocal area$60.52k - $129.62k
...personnel as appropriate. Implements and coordinates all case management activities relating to catastrophic cases and... ...eligibility and facilitates integrative functions using clinical tools and information/data. Utilizes case management processes in compliance with...Hourly payFull timeTemporary workLive inWork at officeLocal areaFlexible hours- ...Development Plans Internal training and intern opportunities Women... ...The Expedition The Medical Case Manager is a Licensed Practical Nurse... ...of securing and reviewing clinical data in order to approve requests... ...to medical-surgical cases, utilization management, discharge...Temporary workInternshipWork at officeLocal areaImmediate startWork from home2 days per week3 days per week
$48.29k - $96.52k
...actively hiring and accepting applications in the Cocoa Beach, FL area for the position of Nurse Case Manager (RN). Nurses with experience in Clinical pathway, Navigator, or Utilization Review are strongly encouraged to apply. Responsibilities Conduct comprehensive...$115.88k - $261k
...Hispanic Alliance for Career Enhancement is seeking a Pharmacy Specialty Clinical Development Sr. Manager. The successful candidate will oversee the development and execution of utilization management programs, collaborating with teams at all levels. A strong understanding...$32.76 - $57.47 per hour
...of inpatient Nursing experience Preferred Qualifications Bachelor of Science degree in Nursing Prior Care Management/Utilization Management experience Certified Case Manager (CCM) Accredited Case Manager (ACM) Physical Requirements Physical Requirements - Pay Range $32....Part timeLocal areaShift workWeekend work- ...A leading restaurant chain in Florida is seeking a Manager in Training (MIT) to prepare for future leadership roles through hands-on experience in restaurant operations. The MIT will support various aspects of daily management, including food safety and guest service,...
- ...Power Design Inc. is seeking a Technical Plumbing Trainer in New York to lead hands-on training and mentor apprentices. This role focuses on developing plumbing professionals by conducting technical training and evaluations. The ideal candidate will have an active plumbing...ApprenticeshipFlexible hours
$45k
...Hand & Stone Franchise Corp in Florida is looking for a General Manager in Training (GMIT) to develop leadership skills in a sales-driven environment. This role focuses on enhancing front desk operations, guest experience, and sales performance. Ideal candidates will have...$31.53 - $52.24 per hour
...techniques to engage stakeholders in care management. Informs the physician, clinical manager, and healthcare team of... ..., and best practice visit utilization. Other duties as assigned. Assesses... ...certified home health agency as a case‑manager [Preferred] Additional Information...Full timeWork experience placementLocal areaMonday to FridayFlexible hoursShift work$103k - $180k
...an Adjunct Contingency Instructor based in the Town of Florida, NY, to provide senior-level training development and delivery for contingency operations and financial management readiness. The ideal candidate should have at least a Bachelor’s degree, 10 years of relevant...- ...Origin Travel Nurses is seeking a professional to utilize clinical tools and data for comprehensive patient assessments. The ideal candidate will create individualized treatment plans, document necessary medical information, and ensure adherence to regulatory guidelines...
- ...Registered Nurse- Hospice (Field Case Manager) page is loaded## Registered Nurse- Hospice... ...Represents Halifax Health-Hospice (HH-H) and utilizes effective communication methods and... ...customers. - Demonstrates a knowledge of clinical practice and performs nursing...
- ...office operations. Manages and monitors... ...CERTIFICATIONS: None Required. Clinical Laboratory... ...supplies and equipment; training of trainees;... ...Registered Nurse (Case Management) POSITION... .... Experience with utilization review, discharge... ...of transmitters, lead cables, and other...Full timeTraineeshipWork at officeShift workNight shiftWeekend workAfternoon shift
- .... As a rapidly growing clinical research organization across... ..., and Rhode Island, we lead multiphasic trials in... ...Coordinator/Project Manager to support our clinic out... ...Responsibilities Train new and current Project... ...groups hired by the Sponsor Utilize various psychiatric...Full timeImmediate startMonday to ThursdayShift workWeekend work
$83.93k - $113.55k
...a personal impact as Nurse Case Manager supporting mission critical... ...practices, and procedures in clinical settings to analyze the full... ...front and back proof of all training/certs/documentation. Knowledge... ...in using pre-established utilization review criteria recognize and...Local areaRemote work- A fast-food restaurant chain is seeking a General Manager in Training to oversee store operations, ensure customer satisfaction, and achieve sales targets. The candidate should have strong leadership skills and previous management experience in the restaurant industry....Local area
$70k - $100k
A leading fitness franchise is seeking a Personal Training Manager in Training to oversee fitness programs and lead a team at their rapidly expanding clubs. This role offers comprehensive training, mentorship, and competitive compensation ranging from $70,000 to $100,0...- Abra is seeking a Patient Access Principal Trainer to develop and maintain the training environment for the Epic Patient Access module. This role focuses on creating realistic scenarios for user training while collaborating with technical teams for alignment with the production...Remote jobContract work
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