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...
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...
Seasoned Recruitment is excited to announce that we are currently recruiting for dedicated and experienced Psychiatric Mental Health Nurse Practitioners (PMHNP) to work REMOTELY. The Psychiatric Mental Health Nurse Practitioner will play a crucial role in providing comprehensive patient care which i...
Remote - California Nurse Practitioner Annual Health Assessment Job. Seeking a board certified or truly board eligible nurse practitioner. Seeking providers who have 2+ years post training nurse practitioner experience. ...
Seasoned Recruitment is currently seeking a REMOTE Psychiatric Mental Health Nurse Practitioner (PMHNP) to join our team. As a Psychiatric Mental Health Nurse Practitioner, you will be responsible for providing patient care and medication management. We are looking for Psychiatric Mental Health Nurs...
Join our dynamic team and take on an exciting role as the RN Senior Manager Case Management (CM) Operations, where you will make a significant impact on our case management operations! The Senior Manager provides overall management and administrative oversight of case management activities performed...
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...
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...
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...
CareHarmony is seeking an experienced Licensed Practical Nurse to work 100% Remote – LPN Nurse (LPN) (LVN) with at least 3 years of direct patient-facing work experience; that thrives in a fast-paced environment, is self-motivated, has impeccable attention to detail, and values the impact they can h...
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...
The Quality Analyst is responsible for managing the various aspects of the medical file review process.They will review the completed referral to ensure client questions have been addressed appropriately and review the completed report for accuracy.Ensuring client and department standards have been ...
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...
National certification (AANP or ANCC) as Nurse Practitioner - Specialty in Adult Gero Primary Care Nurse Practitioner (AGNP-C or AGPCNP-BC) required. Earned degree as a Nurse Practitioner (MSN or Doctoral) required. Current and unencumbered Registered Nurse (RN) license in state of residence require...
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 and Outreach Specialists in the case management department. RN Manager - Case Management Operations | Remote. The Manager also di...
This position represents an amazing opportunity for a caring Nurse Practitioner (APRN) to help build and staff our growing telehealth medical group called Devoted Medical. The Care OnDemand Nurse Practitioner will diagnose complex medical conditions, order and interpret diagnostic tests, and work wi...
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...
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...
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...
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). ...
Are you a compassionate and dedicated RN looking to make a difference? Join our team as an RN Case Manager and provide comprehensive case management services for TRICARE beneficiaries with multiple or complex conditions. Demonstrate and apply knowledge of the philosophy/principles of comprehensive c...