6 rn clinical research jobs found

    Position Summary   The Clinical Reviewer Specialist is responsible for performing clinical and medical necessity reviews to support the timely and accurate processing of member and provider appeals. This role evaluates medical records, clinical documentation, and applicable criteria to determine medical necessity and prepare recommendations for Medical Director review. The Clinical Reviewer Specialist ensures compliance with organizational policies, State and Federal regulations, Medicaid requirements, and NCQA standards while delivering high-quality appeal determinations and communications.   This position is eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance, short- and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required...

Stroke response times nearly half of the national average. Cutting-edge SPOT Technology that detects sepsis earlier than the human eye. An Enhanced Surgical Recovery program that reduces opioid prescriptions and post-surgical readmissions. As a national learning health system, we're transforming care delivery, advancing clinical outcomes, and empowering our nursing teams in a collaborative effort to give people a healthier tomorrow. Join us!  Job Summary and Qualifications  As a Registered Nurse, you will be responsible for delivering high-quality, patient-centered care in line with the requirements of the department and the standards of practice for the relevant state and specialty. Collaborating with medical providers and the care team, you will provide personalized, comprehensive, and compassionate care, following established nursing models such as "Assess, Perform, Teach, and Manage." You will also act as an advocate for patients, families, and caregivers,...

As a Nurse Educator Surgical Services, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. You'll help shape decisions that elevate both patient outcomes and the future of nursing. Job Summary and Qualifications The Nurse Educator enhances professional practice and the provision of quality patient care by providing evidence-based quality educational programs and activities that promote professional competency for nursing, inter-professional, and non-licensed clinical staff at the assigned facility. In this role you will: Participates in the development, coordination, managing, facilitating, conducting, and evaluating of onboarding and orientation programs for nursing and other healthcare personnel. Provides orientation/onboarding programs to promote employee...

As the nation’s largest private employer of Registered Nurses, we’re honored by the trust of over 100,000 nurses and committed to supporting safe, high-quality care for which they can practice. That’s why more than 80% of our hospitals earn an A or B Leapfrog safety grade, rank in the top 5% nationally for patient outcomes through Health Grades, or are recognized as Magnet or Pathway to Excellence facilities. Join us!   Job Summary and Qualifications The Nurse Educator enhances professional practice and the provision of quality patient care by providing evidence-based quality educational programs and activities that promote professional competency for nursing, inter-professional, and non-licensed clinical staff at the assigned facility. In this role you will: Participates in the development, coordination, managing, facilitating, conducting, and evaluating of onboarding and orientation programs for nursing and other healthcare personnel. Provides...

As a Nurse Educator Medical Surgical, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. You'll help shape decisions that elevate both patient outcomes and the future of nursing. Job Summary and Qualifications The Nurse Educator enhances professional practice and the provision of quality patient care by providing evidence-based quality educational programs and activities that promote professional competency for nursing, inter-professional, and non-licensed clinical staff at the assigned facility. In this role you will: Participates in the development, coordination, managing, facilitating, conducting, and evaluating of onboarding and orientation programs for nursing and other healthcare personnel. Provides orientation/onboarding programs to promote employee...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...