- University Medicine (East Providence, RI)
- SUMMARY: The Clinical Nurse Manager reports directly to the Chief Operating Officer. The Clinical Nurse Manager has direct supervision of the Endoscopy ... Center Staff and oversees daily clinical operations. Supports staff, physicians and patients. Analyzes and...within the scope of practice and expectations of a Nurse Manager in an Endoscopy Center. Consistently applies the… more
- Dana-Farber Cancer Institute (Milford, MA)
- The Clinical Research Nurse (CRN) will provide direct patient care to patients enrolled in or considering a clinical trial. The CRN, in collaboration with ... the satellite physician(s), is responsible for the implementation and evaluation of clinical research in their specific program/area. The CRN has expert knowledge of… more
- Evolent (Providence, RI)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Clinical Reviewer , Nurse , you will be a key member of the utilization ... while providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse , you will...**What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases,… more
- Elevance Health (Smithfield, RI)
- ** Nurse /CPC - Clinical Fraud Investigator Senior - SIU Fraud & Abuse** **Location:** Alternate locations may be considered. This position will work in a hybrid ... 50 miles of one of our Elevance Health PulsePoint locations. The ** Clinical Fraud Investigator Senior** is responsible for identifying issues and/or entities that… more
- Wolters Kluwer (Providence, RI)
- …Working knowledge of the Next Generation NCLEX, andragogy, and strategies for building clinical judgment + Ability to review educational challenges and develop ... effective, evidence based. + Welcomes change and innovation in the organization and educational process. + Strives to build efficiencies and standardized processes to best serve the client and company. + Ability and willingness to travel to meet business goals… more
- Evolent (Providence, RI)
- …Participates in the development and implementation of new strategies to make the clinical review process more efficient through people, processes, and technology ... CCO will be the single point of responsibility for all clinical operations inclusive of nurse , physician, and shared services performance. and core work can be… more
- Humana (Providence, RI)
- …a part of our caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record ... complete, compliant and accurate to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and frequently... clinical and coding experience to conduct a clinical validation review of the inpatient medical… more
- Evolent (Providence, RI)
- …better health outcomes. **Collaboration Opportunities:** + Works with the physician reviewer to monitor the adverse determination process and ensure notification ... made, documented and communicated clearly **What You Will Be Doing:** The Clinical Letter Writer is responsible for reviewing adverse determination decisions against… more
- Cardinal Health (Providence, RI)
- **_What Individualized Care contributes to Cardinal Health_** Clinical Operations is responsible for providing clinical specialties support and expertise in the ... meet the particular needs of an individual patient. **_Job Summary_** The Nurse , Individualized Care promotes high-quality patient care and treatment through patient… more
- Lincoln Financial Group (Providence, RI)
- …Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible ... claims. In this role you will act as a clinical resource for Group Protection benefit specialists and claim...for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state… more