A company is looking for an Appeals and Grievances Clinical Specialist - RN or LPN, 100% Remote.Key ResponsibilitiesManage clinical case development and resolution for member and provider complaintsPrepare cases for Medical Director Review and external appeals processesEnsure compliance with Federal and State regulations while managing caseloadsRequired QualificationsMust be an RN, LPN, or Dental HygienistBachelor's degree preferredExperience in clinical practice, appeals & grievances, or utilization managementUnderstanding of Utilization Review Guidelines and related regulationsAbility to work with care management systems and multiple computer applications
Clinical Review Coordinator - RN LPN
A company is looking for a Clinical Review Coordinator - RN/LPN (Remote) to support the Indiana Level of Care Assessment program. ...
Infusion Nurse LPN or RN
Instructs client and/or significant other in disease process, prescribed treatments, actions side effects of medications and treatments and those complications requiring medical intervention. Provides daily summary of services and client outcomes to physician and agency supervisor as per agency poli...
Medical Information Specialist - RN LPN
A company is looking for a Medical Information Specialist II to provide virtual or telephonic support to clients in a clinical dialogue. ...
Per-Diem LPN's or RN's
Compassion Behavioral Health is seeking a dedicated and compassionate Per-Diem Nurse (LPN or RN) to join our clinical team. This position is ideal for an experienced nurse with a passion for mental health and addiction recovery who is looking for flexible, per-diem work. Active and unrestricted LPN ...
Clinical Nurse Specialist - RN
A company is looking for a Clinical Nurse Specialist to improve healthcare for older Americans through a cross-functional role. ...
Unit Manager RN LPN
Monitoring inventory levels to ensure that supplies are adequate and ordering more as needed. Reviewing reports and statistics to identify opportunities for improvement in productivity and efficiency. We provide compassionate short- and long-term healthcare and specialized medical support. Managing ...
Rn/lpn 7pm-7am
The primary purpose of this position is to provide direct nursing care to the residents and to supervise the day-to-day nursing activities performed by the Nursing Assistants and Licensed Practical Nurses in accordance with the Nurse Practice Act; current federal, state, and local standards; guideli...
Home Healthcare Case Manager RN or LPN
Your responsibilities extend to crafting individualized Plans of Care (POC) based on patient needs and family input, supporting treatment plan adherence, and monitoring overall well-being, medical requirements, and specialist treatments. Your duties also encompass collaborating with the primary doct...
Rn/lpn 7pm-7am
The primary purpose of this position is to provide direct nursing care to the residents and to supervise the day-to-day nursing activities performed by the Nursing Assistants and Licensed Practical Nurses in accordance with the Nurse Practice Act; current federal, state, and local standards; guideli...
Clinical Specialist Technical Support & Education
This includes but is not limited to planning and conducting clinical workshops for customers, sales, and marketing team members, supporting the virtual educational platform, and working with the collective Orlando Team. The Clinical Specialist, Technical Support and Educational role, is responsible ...