RN or MD degree with strong clinical knowledge - Active unrestricted clinical license in at least one state within the United States. ...
Strategic Staffing Solutions is currently looking for an RN Case Manager for a contract opportunity with one of our largest healthcare clients!. The Care Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health pl...
This position includes responsibility for conducting research and analysis of published medical literature in order to respond to internal and external inquiries and the development of Cigna Medical Coverage Policies. Presents proposals to the TMC committee for consideration; once a project is recom...
RN - Registered Nurse - State Licensure and/or Compact State Licensure required. ...
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. ...
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. ...
Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work. Willing and able to obtain multi state RN licenses if needed, company will provide. ...
Home Infusion Nurse RN (Accredo)- Full time. 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 what’s most importan...
Prepare cases for Maximus Federal Services, Fair Hearing, and External Appeal through all levels of the appeal process. ...
You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time.As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.Assists in dev...
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. ...
Available Part-Time Schedules (Eastern Time ONLY). Resilient; willing to learn from others; patients, optimistic and adaptable. Technology experience - preferably with multiple EMR/EHR systems, familiar with Microsoft Office, GoogleSuite products and comfortable learning new softwares quickly. Posse...
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...
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...
Senior LTSS RN Case Manager - position provides flexibly to work from home and travel to conduct IN-PERSON medically approved Medicaid assessments. May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness fo...
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...
This position provides financial data and analysis for internal and external reporting and ensures the hospital is prepared for audits and responds to all audit requests. ...
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Fosters positive and professional relationships and acts as liaison with internal and external customers to ensure effective working relationships and team building to facilitate the review process. Maintains current knowledge base related to review processes and clinical practices related to the re...
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...
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...
High Speed Internet / direct connection required- Must be able to connect directly into internet – via hard wire (either directly to modem or router). RN, with significant experience in emergency care or urgent care settings. Identify gaps in patient services; develop and utilize alternative re...
This includes meeting scheduling best practices and turnaround time requirements. Supply and support their own internet services. Maintaining an uninterrupted internet connection is a requirement of all work from home position. ...
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 ...