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...
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...
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...
Providing telephonic case-management in a Workers’ Compensation environment; focusing on medical appropriateness of care to injured worker with cost savings by coordination and utilization of all services, ensuring that as soon as medically feasible, return-to-work status is achieved, along with inc...
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...
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...
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...
The shift options for this position are the following: Wednesday-Saturday 10x4 schedule or Tuesday-Saturday 8x5 schedule The ability to work on a Saturday is a requirement for this role. Ability to work independently on several computer applications such as Microsoft Word and Excel, as well as corpo...
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...
A company is looking for a Registered Nurse (RN) for a remote Telehealth/Virtual position in Iowa. ...
A company is looking for a Registered Nurse (RN) - Telehealth/Virtual - Remote. ...
A company is looking for a Call Center LPN to join their team remotely. ...
Current licensure as a Registered Nurse (RN) in the State of Texas. Required to maintain a current registered nursing license during employment. ...
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). ...
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...
Job Title: Remote Travel Specialist Job Location: Remote Company Overview: At the forefront of the travel industry, our company specializes in delivering personalized and seamless travel experiences for clients around the globe. As a Remote Travel Specialist, you will use your expertise to craft tai...
Exciting Virtual Travel Opportunity Awaits! Are you prepared to transform your passion for travel into a stimulating and fulfilling career? Align yourself with our esteemed agency, boasting a legacy of over 70 years of expertise, and immerse yourself in a realm of boundless possibilities. Abundant T...
Lead, Utilization Review Registered Nurse - Remote in Compact States Only. Registered Nurse License (compact licensure). ...
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 Family Nurse Practitioner through AANp or ANCC. Licensed Nurse ...
At least 1 year experience as an LPN/LVN with an active accreditation required. ...
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...
Looking for a registered nurse position that is challenging, will keep your clinical skills sharp, but being doing so from the comfort of home. Compassion-driven, self-motivated, high-performing registered nurse. Carenet Healthcare Services is seeking RNs (Registered Nurses) to join our team of tale...
Are you passionate about travel and eager to help others discover the world? Join our team as a Virtual Travel Professional and embark on an exciting journey to curate and plan exceptional travel experiences for our diverse clientele. As a key member of our team, you'll have the opportunity to share...
Are you a psychiatric mental health nurse practitioner (PMHNP-BC) in Virginia looking to launch a private practice, or grow your existing practice?. You’re a fully licensed, ANCC board-certified psychiatric mental health nurse practitioner (PMHNP-BC) in Virginia. We equip mental health practitioners...
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&...