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...
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...
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...
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 Triage Registered Nurse is responsible for ensuring that patient care is coordinated and managed appropriately by directing hospice services/care via phone conference. This experienced nurse has a background with an emphasis on palliative care. Possess or obtain an RN license for the 10 states t...
The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. Documents patient case information within a database system. Participates in monthly case confer...
As a part of our team, you will provide a high-level concierge service, crafting personalized travel plans based on clients' preferences and budgets. Responsibilities: Utilize social media platforms (Facebook, Instagram, TicTok, LinkedIn, and YouTube) to promote our travel business. Understand clien...
Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. This Telehealth RN is responsible for the delivery of the Medication Therapy Management (MTM) services for commercial and Medicare members. In addition, the Telehealth RN will assist in the development and ex...
We are looking for a highly skilled Registered Nurses. Formal education as a Registered Nurse or Health care aide or equivalent experience (RN, LVN, LPN). ...
Travel perks and discounts for personal and professional travel. We're actively seeking individuals with a passion for hospitality and a keen eye for detail to embark on a rewarding journey as Remote Hospitality Booking Specialists. Knowledgeable about travel destinations and services. Passion for t...
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...
Job Type: 1099 Independent Contractor (Full-time or Part-time) Company: Top Grossing Award-Winning Host Agency Description: Are you someone who loves planning travel? Why not turn your passion into a lucrative business opportunity? We're currently seeking a remote Travel Scheduling Specialist who th...
CASE;RN, case manager, case management, care manager, CM, nurse, utilzation review, discharge planning, insurance, telephonic, medical coverage, CCM, inpatient, critical care, medsurg, ICU, remote, benefits, coordinate, medical records. Responsibilities of the Case Manager, RN:. Qualifications of th...
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...
Job Title: WFH Travel Data Entry Specialist Position Overview: We are seeking a detail-oriented and highly organized individual to join our team as a WFH Travel Data Entry Specialist. In this role, you will be responsible for entering and updating travel-related information in our databases, p...
Job Description: Remote Digital Travel and Marketing Specialist Are you passionate about travel and ready to turn your love for adventure into a fulfilling career? Join us as a Remote Digital Travel and Marketing Specialist, where you'll embark on a virtual business opportunity that caters to travel...
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 uses the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the member’s heal...
JOB TITLE (#25027): Nurse Practitioner / Primary Care (Tier 3) / VA Reviewer- Remote. Greenlife Healthcare Staffing is currently seeking a Primary Care Nurse Practitioner - VA Reviewer to fill an opening with a Non-profit organization. Responsibilities of the Nurse Practitioner / Primary C...
Community Care Case Manager use a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost e...
We are seeking a Case Manager Registered Nurse for an assignment in Remote National. ...
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...
With 95 years in travel, the award-winning Globus family of brands creates vacations that offer travelers culture-rich experiences featuring must-see sights, the stories behind the scenes and countless joy-filled memories in more than 65 countries on six continents across the globe. Exciting Travel ...
With over 500 providers nationwide, 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. Valid nurse practitioner (NP) license i...
Restore is seeking an experienced Part-time Nurse Practitioner to join our team of wellness professionals on a mission to help people feel better so they can do more of what they love. Our nurses have described working for Restore as "the most fun you can have at a nursing job while still helping pe...