You will perform retrospective clinical case reviews and draft appeals that focus on establishing the Medical Necessity of diagnosis in question by the payor or 3rd party audit firm. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant i...
The Primary Care Nurse completes triage and identifies abnormal patient symptoms, laboratory findings and notifies physician or provides treatment according to standard Primary Care developed protocols. Associate of Applied Science in Registered Nursing, Graduation from registered nursing program, B...
Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome. Coordinates as appropriate between the member and/or family/caregive...
Must be comfortable traveling to Medford Oregon, including Klamath Falls to Roseburg. In this role, you’ll work independently to make decisions and execute them for the best possible outcome for your patients, while feeling the impact you’re making every single day. Accredo, Evernorth Health Service...
Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services. Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan...
Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services. Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan...
Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome. Coordinates as appropriate between the member and/or family/caregive...
CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN) (NLC) (LVN) with at least 3 years of direct patient-facing work experience; that thrives in a fast-paced environment, is self-motivated, has impeccable attention to detail, and values the impact they can have on a patie...
CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN) (NLC) (LVN) with at least 3 years of direct patient-facing work experience; that thrives in a fast-paced environment, is self-motivated, has impeccable attention to detail, and values the impact they can have on a patie...
Aptive Resources is seeking a dedicated and compassionate Registered Nurse Case Manager to support the Teleconology Division at the Veterans Health Services. Current and unrestricted licensure as a Registered Nurse (RN). ...
We are seeking a highly motivated nurse practitioner with. The Nurse Practitioner will be responsible for caring for patients, maintaining accurate and current patient records, and working collaboratively with our provider and support teams. Board certified - Current national certification as a Fami...
Aptive Resources is seeking a dedicated and compassionate Hematology/Oncology Specialized Registered Nurses to support the National Teleconology Division at the Veterans Health Services. Process incoming consults by assigned team and subspecialty diagnoses: Contractor’s staff(s) shall follow the Sta...
At the end of this course the student will be prepared for entry into clinical practice providing psychiatric mental healthcare across the lifespan after first passing the national certification for the psychiatric mental health nurse practitioner. We build long-term relationships with superior educ...
The Good Samaritan Society is seeking to hire a compassionate and adaptable Registered Nurse to join our team as a Travel RN This opportunity allows a RN to travel locally by working in various GSS locations within a -mile radius from home address providing care with competitive pay, mileage reimbur...
Are you a compassionate, self-motivated registered nurse with top-notch critical thinking and clinical skills? Seeking a challenging yet remote registered nurse position that keeps your abilities sharp?. Carenet Healthcare Services is seeking RNs (Registered Nurses) to join our team of talented prof...
LPN acute care or ambulatory experience. Pediatrics LPN experience preferred. The Licensed Practical Nurse (LPN) Triage Coordinator is an incredible opportunity to expand your role in health care through the management of telehealth, community and system resources, and access to high quality care. A...
In addition to owning some of the largest brands distributing cruises, villas, resort vacations, car rentals, resort day passes and luxury travel services, World Travel Holdings has a vast portfolio of private-label partnerships comprised of top leisure travel providers, including almost every U. Wo...
Master’s Degree level Family Nurse Practitioner and Psych-Mental Health program with current National Board Certification and State of Employment license to practice in the Advanced Practice Nurse roles required. MinuteClinic Virtual Care Psychiatric Mental Health Nurse Practitioner. ...
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team.Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.PRN - At Least 29 Hour...
AONCP (Advanced Oncology Certified Nurse Practitioner) and or ACHPN (Advanced Certified Hospice and Palliative Nurse) would be highly desireable. Aptive Resources is seeking a highly skilled and compassionate Advanced Practice Professional (Nurse Practitioner) to support the National Teleoncology Di...
Knowledge of travel destinations, attractions, and travel products and services. Join Our Team as a Hotel Reservationist! Are you detail-oriented and passionate about delivering outstanding customer service? We have an exciting business opportunity for motivated individuals looking to thrive in the ...
We have an amazing opportunity to build dream vacations and business travel with the biggest names in the travel industry!️ Job Description: Arrange sports events packages, concerts, theatre, theme parks, tours, excursions for families, couples, singles, businesses and more&...
Travel Perks: Immerse yourself in a world of travel perks! Enjoy exclusive benefits and explore new destinations, all while assisting others in planning their dream getaways. Unlock Your Virtual Business Adventure: Embark on a thrilling virtual business opportunity tailor-made for travel enthusiasts...
The Good Samaritan Society is seeking to hire a compassionate and adaptable Registered Nurse to join our team as a Travel RN This opportunity allows a RN to travel locally by working in various GSS locations within a -mile radius from home address providing care with competitive pay, mileage reimbur...
Aptive Resources is seeking a dedicated and compassionate Registered Nurse Case Manager to support the Teleconology Division at the Veterans Health Services. Current and unrestricted licensure as a Registered Nurse (RN). ONCC Certified Nurse (RN) is preferred and highly desirable for this position. ...