Dane Street is seeking highly motivated candidates to join our team as a Clinical (RN) QA Specialist, specializing in Long Term Disability (LTD). As a Clinical (RN) QA - Long Term Disability Specialist, you will leverage your expertise in long-term disability claims to review and ensure to accuracy ...
Foster positive relationships with internal and external stakeholders to enhance team effectiveness and the review process. The Clinical Reviewer (RN) plays a vital role within the Care Management & Quality Oversight department, utilizing clinical expertise to review medical records and evaluate...
Ability to work independently and effectively communicate to internal and external customers in a telephonic environment. Active unrestricted Registered Nurse (RN) license in state or territory of the United States. Ability to learn new processes and systems quickly. Strong personal computer skills,...
We are seeking dedicated and qualified RNs to join our team as Remote Contingent Hurricane Response Inbound Phone Agents. As a Remote RN Contingent Hurricane Response Agent, you will play a critical role in assisting individuals who have been impacted by hurricanes and are seeking insurance claim as...
If you are a LPC, LCSW, or Psych/ Mental Health RN and reside in any these Texas cities, please apply!. Licensed Behavioral Health Professional or RN with psychiatric experience based on state contract requirements e. LCSW, LPC and RN with BH experience is required. Master’s level un-restricted lice...
With excellent coaching and support, you'll be part of a collaborative team of RNs across the country. Carenet Healthcare Services is seeking RNs (Registered Nurses) to join our team of talented professionals who provide telehealth and virtual care clinical triage assessments, health education and o...
RN - Registered Nurse - State Licensure and/or Compact State Licensure required. ...
Bachelor's degree in Nursing, or obtained within five (5) years from the initial date of hire; RN with 15+ years of service may be considered in lieu of education agreement. Advanced Degree in Nursing (MSN, PhD, DNP, ARNP) preferred. Washington state's largest community-based, locally governed healt...
RN - Registered Nurse - State Licensure and/or Compact State Licensure 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...
RN, LPN, remote, hybrid, wfh, primary care, clinic. ...
Home Infusion Nurse RN (Accredo)- Part time, 32 hours a week. For RNs who want to grow their skills with new/specialty infusion therapies, while having greater flexibility, ownership, and serenity than what is experienced in more high-impact, high-stress environments, we encourage you to rethink wha...
Proven success and enjoyment in building relationships with a variety of stakeholders, such as care managers at hospitals and care coordinators at large PCP groupsThe ability to learn quickly from past experiences and implement changes for improvement. An unrestricted, compact RN license and willing...
Responsibilities of the Case Manager, RN:. Work on a collaborative Health Care team to monitor utilization patterns to identify and facilitate appropiate health care delivery for selected members. Qualifications of the Case Manager, RN:. RN or LPN- North Carolina license required. ...
HEDIS RN/abstraction, Legal RN, Utilization Review/Utilization Management experience (Preferred). The RN Reviewer position is a crucial role in our organization in this role you are responsible for performing a full range of activities that will positively impact the organization and contribute to ...
This position offers a unique opportunity to be the first steppingstone in their career journey, overseeing their onboarding, training curriculum, and professional development as they progress over time. Provide constructive feedback via review calls, individual case notes, and internal team trackin...
MUST have or be willing to obtain a Compact RN license. You’re required to use your own high-speed internet. You’ll access EMRs for charting and utilize our internal applications to perform job functions. MUST have or be willing to obtain a Compact RN license. ...
Netsmart desires to provide a healthy and safe workplace and, as a government contractor, Netsmart is committed to maintaining a drug-free workplace in accordance with applicable federal law. ...
Registered Nurse (RN) license in good standing in the state of residence. BSN degree, plus 2+ years of relevant RN experience; or. ASN degree, plus 5+ years of relevant RN experience; or. Nursing Diploma, plus 8+ years of relevant RN experience. ...
CPT, HCPCS, ICD-10, CMS,), 3+ years Certified Professional Coder (AAPC or AHIMA), 3+ years Active unrestricted RN license. ...
Build positive relationships with internal and external customers to support the review process. The Clinical Reviewer plays a pivotal role in ensuring compliance with state government healthcare systems, contributing to quality healthcare outcomes through accurate and timely reviews. Maintain curre...
High Speed Internet / direct connection required- Must be able to connect directly into internet?–?via hard wire (either directly to modem or router). Minimum of 3 years’ clinical nursing experience as an RN, with significant experience in emergency care or urgent care settings. Identify gaps in pat...
Care Manager II (RN) - Field/Remote - McAllen, TXUSA TX. Care Manager II (RN) - Field/Remote - McAllen, TX in USA TX. Centene Corporation have an immediate need for Care Manager II (RN) - Field/Remote - McAllen, TX. If you happen to live in or around USA, TX or have the freedom to relocate yourself ...
Manage and provide oversight for complex long-term disability cases requiring additional review prior to returning to the client. Supply and support their own internet services. Maintaining an uninterrupted internet connection is a requirement of all work from home position. ...
DaVita Integrated Kidney Care (IKC) is looking for a Full-Time RN Case Manager (RN) to join us in. Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more. Registered Nurse (RN) Case Manager. Identify and address social determinan...