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Ensure Network patients follow through with referrals to other specialties, labs, and diagnostic imaging through a review of patient records in OHSU Epic and through direct verbal and written communication with representatives from Network Member clinical teams and OHSU clinical and research.
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As assigned and under the direction of the KCI Program Manager and serves as a liaison between referring providers, Network Members and Knight physicians, clinicians, PAS staff, and care coordinators in the medical practice to support community providers and patients throughout the cancer care continuum (prevention, screening, risk assessment, diagnosis, clinical trials, treatment, survivorship, and end of life care) as.
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Sorts and prioritizes mail containing patient and/or clinical information requiring clinicians review and attention. Answers and responds to in-coming messages/requests via telephone, mail or kp.org from patient or other department(s) by collecting and communicating pertinent data requiring clinicians review and input.
$23.78 - $25.6 an hourFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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The Clinical Standards Lead is called upon to provide Stage 3 training to new hires and ongoing informal 'on the job' training to new hires, audit, case review and 'on the spot' coaching to new and tenured HCPs, and may be required to deliver classroom trainings to new HCPs.
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SUMMARY: The Enterprise Risk Analyst works as part of the ERM Team to review, evaluate and manage risks across the organization. Conducts a regular review of the incident reporting system and its metrics to observe and report trends.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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One (1) - two (2) + years in a medical assistant position to assigned departments clinical area (e.g. Pediatrics, FP/IM, OB/Gyn, Surgery, Dermatology, Neurology, Cardiology, etc.) Clinical Procedures: Performs diagnostic tests, therapies and procedures within scope of authorized duties competently and with maintenance of proficiency according to: a) specific department standards on core clinical tasks (see departments list of core skills); application of knowledge and skills appropriate to developmental age of patient; and established policies such as and not limited to patient safety, aseptic and sterile techniques and infection control.
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Work collaboratively with the UM Director and Manager Team to develop, implement, and oversee the utilization management process to include; coordination of prior authorization needs for members engaged with care management, as well as the inpatient concurrent review process to ensure medical appropriateness, care coordination needs, and discharge planning for PacificSource patients who have been hospitalized.
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Licensed in a clinical counseling field (e.g. LPC, LMFT, LMSW, LCSW) Working knowledge of admissions and intake, Utilization Review, and 3rd party or insurance payers. At times, the Clinical Director might conduct individual therapy, group therapy, or family therapy.
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Conducts peer clinical review for medical necessity on utilization management authorization requests. Must be located in a state or territory of the United States when conducting a peer clinical review.
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Provide clinical dental hygiene services including but not limited to: prophylaxis, scaling and root planing, fluoride application, complete periodontal charting and periodontal treatment, expose and mount dental radiographs, place dental sealants, take blood pressure, review and sign paper medical history of patients and proper chart documentation.
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Utilization Management Experience (EX. Concurrent Review, Prior Authorization, Medical Audits, Appeals or Delegation) Job Category: Clinical Administration. 5+ years clinical nursing experience.
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Assist with clinical study activities such as study start up, investigator meetings, data review, etc. Work on special projects on the clinical team, such as use of medical review tools and creating and maintaining trackers related to selected safety and recruitment topics.
InternExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Appropriately utilizes internal and external resources and referrals i.e., Utilization Review, Peer Review, Field Claims Specialists, Regional Medical Director Consults, and Vocational Rehabilitation to achieve best possible case outcome.
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Responsibilities RN will support the EKG Tech, Clinical Assistants, LPN, Lead RN and the Nursing Manager (RN) Will utilize Charting System - Epic Process incoming device transmissions from outside vendor and forward to physicians.
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Technical certification such as A+, CBET, CRES, CLES, or CCE preferredMinimum 7 years’ experience managing in a clinical engineering environment or direct management experience with proven business acumen and ability to develop others Previous leadership experience and leading others is a must.
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