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...
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...
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...
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...
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...
Psychiatric Nurse Practitioner (PMHNP-BC) $135k - $160k/yearPosition Requirement: Full-TimeFLSA Status: ExemptLocation: Weymouth, MassachusettsSalary:135K - 160K+Work from Home! Competitive, negotiable salary! Work/life balance! Leadership and advancement opportunities!Join a leading clinician-led b...
Psychiatric Nurse Practitioner (PMHNP-BC) $135k - $160k/yearPosition Requirement: Full-TimeFLSA Status: ExemptLocation: San Diego, CaliforniaSalary:135K - 160K+Work from Home! Competitive, negotiable salary! Work/life balance! Leadership and advancement opportunities!Join a leading clinician-led beh...
Psychiatric Nurse Practitioner (PMHNP-BC) $135k - $160k/yearPosition Requirement: Full-TimeFLSA Status: ExemptLocation: Holyoke, MassachusettsSalary:135K - 160K+Work from Home! Competitive, negotiable salary! Work/life balance! Leadership and advancement opportunities!Join a leading clinician-led be...
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?. The start date for this exciting registered nurse opportunity is. Carenet Healthcare Services is...
MUST have or be willing to obtain a Compact LPN license. MUST have or be willing to obtain a Compact LPN license. All Remote Hospice Triage LPNs, once trained to their originally assigned team are paid $19 per hour. ...
Lead, Utilization Review Registered Nurse - Remote in Compact States Only. Registered Nurse License (compact licensure). ...
We are seeking a highly motivated nurse practitioner who enjoys management of all health conditions and who is passionate about raising the standard of healthcare for everyone. The Nurse Practitioner will be responsible for caring for patients, maintaining accurate and current patient records, and w...
The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately.They review medical records, treatment plans, and patient information to determine the necessity and appropriateness of medical procedures, te...
About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable.But this isn’t your average doctor’s office.We’re on a mission to transform healthcare, which means improving the experience for everyone involved - fr...
Optional-Registered Nurse: (preferably with CCRP certification, or willing to sit for the CCRP exam within 6 months of hire) . ...
The remote RN has the responsibility for supporting the goals and objectives of the care enhancement program byproviding high quality telephonic support in an appropriate, efficient and cost-effective manner while ensuring high quality care.The RN coordinates with the Primary Care Provider and all o...
Registered Nurse Team Lead - Case Management Operations | Remote. The Registered Nurse Team Lead - Case Management (CM) Operations provides direct supervision for the day-to-day activities provided by a designated team of RN Case Managers. Current, unrestricted Registered Nurse license in the state ...
The independent contractor opportunityas a Remote Honeymoon Specialist offers several advantages andopportunities:. Priorexperience in wedding planning or romantic travel is beneficial butnot mandatory. You can enjoysubstantial perks including travel incentives exclusive honeymoondiscounts and thoug...
Join our vibrant team as a Travel Specialist and curate unforgettable vacations and corporate travel experiences in collaboration with leading vendors. Why Choose Us: • Comprehensive training for your success • No pr...
We are seeking a Registered Nurse tha. Active, unrestricted State Registered Nursing (RN) license in good standing. ...
Other Current unrestricted LPN/LVN state license. ...
With over 500 nationwide providers, Skin Clique is at the forefront of reshaping the aesthetics industry, providing a unique opportunity for Advanced Practice Providers (Nurse Practitioners and Physician Assistants) to thrive in a flexible and fulfilling role. An active and unrestricted Nurse Practi...
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...
Registered Nurse Case Manager - Case Management Operations | Remote. The Registered Nurse Manager - Case Management (CM) Operations provides direct supervision for the day-to-day activities provided by a designated team of RN Case Managers in the case management department. Current, unrestricted Reg...
We are seeking a LPN or LSW candidate with UM and Inpatient Review experience. Remote- requires LPN or LSW license. Completion of an accredited Registered Nurse (RN), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR a bachelor’s or master’s degree in a healthcare field, s...