Clinical Policy Operations Specialist II
Humana Inc
Humana Inc. is seeking a Clinical Policy Operations Professional 2 to provide operational support for policy implementation, maintenance, and reporting. The role focuses on translating clinical strategies into operational systems with strong attention to detail and cross-functional collaboration. The position involves ensuring accuracy for utilization management criteria, contributing to policy documentation, and supporting external accreditation processes. #J-18808-Ljbffr Humana Inc
- ...across audiences overseeing projects and activities related to special initiatives or operations leading the resolution process for problems adhering to defined practices and policies to obtain results establishing input/output processes and working parameters for...Policy
$33.37 - $47.97 per hour
UNC Health Care in Raleigh, North Carolina, seeks a part-time clinical coordinator to optimize patient care and clinic flow. You will coordinate... ..., liaise between staff and physicians, and ensure adherence to policies. A Nursing Diploma/ADN/BSN and a minimum of two years nursing...PolicyHourly payPart time$33.37 - $47.97 per hour
UNC REX Healthcare in Raleigh seeks a part-time Nurse Coordinator to ensure quality clinical care across clinics. This role requires coordinating patient flow, assisting in policy development, and providing direct patient care. A valid North Carolina RN license, BLS certification...PolicyHourly payPart time- ...Field Clinical Representative II – Spinal Cord Stimulator Boston Scientific Neuromodulation At Boston Scientific, we’re dedicated to improving... ...of employment. Boston Scientific continues to evaluate its policies and protocols regarding the COVID-19 vaccine and will comply...PolicyWork experience placementWork at officeNight shift
- ...RN Clinical Nurse II (Per Diem) - 7 HV Cardiac Medicine Become part of an inclusive organization with over 40,000 teammates, whose mission... ..., including cardiac drips and therapies, in accordance with policies and protocols Collaborate closely with physicians, APPs,...PolicyDaily paid
- ...RN Clinical Nurse II - 6 West Orthopaedics Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve... .... Utilizes healthcare organization and nursing standards, policies and procedures in delivery of care. Organizes and...Policy
$35.58 - $54.42 per hour
...UNC Rex Surgical Services Float Pool as a Per Diem Clinical Nurse II-OR! We are looking for experienced operating room nurses to support our teams at UNC Rex in... ...Utilizes healthcare organization and nursing standards, policies and procedures in delivery of care. Organizes and...PolicyHourly payDaily paidFlexible hoursShift work$75k - $95k
...be supported in progressing – whatever your ambitions. Clinical Specialist II for Deep Brain Stimulation Boston Scientific Neuromodulation... ...of employment. Boston Scientific continues to evaluate its policies and protocols regarding the COVID-19 vaccine and will...PolicyFull timeContract workLocal areaWorldwide- ...Objective As a Clinical Research Associate II (CRA II) specializing in oncology, you will play a crucial role in the execution and management of Phase... ...protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including...PolicyInterim roleLive inLocal areaRemote work
- ...Clinical Nurse II - Duke Orthopaedics of Raleigh We are seeking a Clinical Nurse II in our... ...with physician orders and established policies and procedures. Use professional nursing... ...in the identification of clinical or operational performance improvement opportunities...PolicyMonday to FridayDay shift
- ...RN Clinical Nurse II- 3 East- Acute Care Medicine Provides competent clinical nursing care consistent with professional standards. Reporting... .... Utilizes healthcare organization and nursing standards, policies and procedures in delivery of care. Organizes and...Policy
- ...RN Clinical Nurse II - Oncology Infusion, Garner Become part of an inclusive organization with over 40,000 teammates, whose mission is... ...plan. Utilizes healthcare organization and nursing standards, policies and procedures in delivery of care. Organizes and...PolicyWork at officeMonday to FridayWeekend work
- ...patient-centered nursing care across our Level II Intermediate Care Nursery and the... ...interdisciplinary team to support optimal clinical outcomes and positive patient and family... ...accordance with UNC Health standards and policies. Work Locations The ideal teammate...PolicyDaily paidShift workNight shiftWeekend workDay shift
- ...RN Clinical Nurse II - Intermediate and Acute Care UNC Rex Hospital is hiring a Registered... ...limited to: general and thoracic post-operative patients, cardiovascular patients requiring... ...organization and nursing standards, policies and procedures in delivery of care....PolicyHourly payFull timeRelocation packageShift workNight shift
- ...Clinical Nurse II-Urogynecology Work Arrangement: On-Site Requisition Number: 271573 Regular... ...with physician orders and established policies and procedures. Use professional... ...in the identification of clinical or operational performance improvement opportunities...PolicyTemporary workMonday to FridayShift workDay shift
- ...RN Clinical Nurse II Part Time-Cardiovascular Surgery Stepdown Cardiovascular Surgery Stepdown Unit The Cardiovascular Surgical Stepdown... .... Utilizes healthcare organization and nursing standards, policies and procedures in delivery of care. Organizes and...PolicyPart time
$33.88 - $47.91 per hour
Position RN Clinical Nurse II - 4HV Cardiovascular Intensive Care Unit (CICU), UNC Health Care, Raleigh, NC. About the Unit 20‑bed CICU on... ...performs bedside point‑of‑care testing, follows organizational policies, prioritizes care, consults resources. Leadership - develops...PolicyHourly payFull timeRelocation package- ...Clinical Nurse II- Wakefield Mohs Surgery At Duke Health, we're driven by a commitment to... ...plans of care along with established policies and procedures. He/She provides nursing... ...maintain patient care and daily clinic operation. Collaborate with clinic leadership...PolicyShift workDay shift
$28.87 - $41.5 per hour
...health and well‑being of the unique communities we serve. The Clinical Dietitian II works closely with the multidisciplinary healthcare team to... ...contributes to the development and revision of hospital policies. The Clinical Dietitian II also may be involved in community...PolicyHourly payPart timeInternship- ...Hospital is hiring a Registered Nurse (Clinical Nurse-II) to join the intermediate and acute... ...limited to: General and thoracic post‑operative patients Cardiovascular patients requiring... ...‑care testing; utilize organizational policies and procedures; organize and...PolicyHourly payFull timeRelocation packageShift workNight shift
- ...postpartum mothers and families in a Level II Intermediate Care Nursery and Postpartum Unit. Key strengths include clinical adaptability, strong assessment and critical... ...health record per UNC Health standards and policies. Work Locations UNC REX Raleigh - Level II...PolicyDaily paidShift workNight shiftWeekend workDay shift
- ...assistance (based on location) and our employee referral program. Clinical Nurse II - Cardiac Intensive Care Unit (CICU) Are you a passionate... .... Utilizes healthcare organization and nursing standards, policies and procedures in delivery of care. Organizes and...PolicyRelocation package
- Clinical Research Coordinator II (On-site) Full-time M3 Wake Research, an M3USA Company, is an integrated... ...compliance, data integrity, and operational efficiency. The CRC II also serves as... ..., and applicable laws, regulations, policies, and procedures Collect, review, and...PolicyFull timeFlexible hours
$34.22 - $48.38 per hour
...Johnston Special Care Nursery is a Level II NICU with 3 licensed beds on our Smithfield... ...support. Summary Provides competent clinical nursing care consistent with professional... ...healthcare organization and nursing standards, policies and procedures in delivery of care....PolicyHourly payDaily paid$34.22 - $48.38 per hour
...REX! UNC REX is seeking a full-time Clinical Nurse II for the night shift (three 12‑hour shifts... ...Department (OBED) 20 Labor Rooms 3 Operating Rooms (ORs) 3 Post‑Anesthesia Care... ...healthcare organization and nursing standards, policies and procedures in delivery of care....PolicyHourly payFull timePrivate practiceShift workNight shift- ...Job Description The Clinical Research Coordinator (CRC) is a specialized research professional working with and under the guidance of... ...standards in compliance with all applicable laws, regulations, policies, and procedural requirements Collecting and entering data as necessary...PolicyFlexible hours
- ...than 110 primary and specialty outpatient clinics, extending the reach of the Duke Health... ...SUMMARY We are seeking a Clinical Nurse II in our Fertility Center located in... ...team. Adheres to professional standard, policies, procedures, EOC, JCAHO, and Infection...PolicyRelocation package
- ...Clinical Professional Full-time , Days , 8:00am - 5:00pm Clinical Operations Manager – Emergency & Med-Surg Why You’ll Love Working Here As the Clinical Operations Manager... ...the scope of RN licensure and organizational policies Knowledge of emergency and acute care nursing...PolicyFull timeShift workNight shiftAfternoon shift
- ...acute and behavioral health diagnoses. Summary Provides competent clinical nursing care consistent with professional standards. Reporting... ...plan. Utilizes healthcare organization and nursing standards, policies and procedures in delivery of care. Organizes and prioritizes...PolicyPart timeNight shift
- Job Description The Clinical Research Coordinator (CRC) is a specialized research professional working with and under the guidance of the... ...standards in compliance with all applicable laws, regulations, policies, and procedural requirements Collecting and entering data as...PolicyFlexible hours
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