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...
Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services. Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan...
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 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...
The shift options for this position are the following: Wednesday-Saturday 10x4 schedule or Tuesday-Saturday 8x5 schedule The ability to work on a Saturday is a requirement for this role. Ability to work independently on several computer applications such as Microsoft Word and Excel, as well as corpo...
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...
Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services. Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan...
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...
We are seeking a compassionate and dedicated Psychiatric Mental Health Nurse Practitioner to work remotely. ...
Calling all travel enthusiasts! We're on the lookout for a Remote Vacation Rental Specialist to join our team. Whether you're a travel pro or just have a knack for planning, this opportunity could be your ticket to a fun and rewarding career. Take control of your financial future - Enjoy fantastic 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?. Carenet Healthcare Services is seeking RNs (Registered Nurses) to join our team of talented prof...
At least 1 year experience as an LPN with active accreditation required. ...
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...
Join Our Team as a Virtual Cruise Reservation Specialist! Are you passionate about travel and excited to help clients book unforgettable cruise experiences? We’re looking for a Virtual Cruise Reservation Specialist to join our travel agency. Coordinate with cruise lines to confirm bookings and...
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 thrives on organizing exciting journeys. Additionally, they'll promote travel packages on behalf of cruise lines, resorts, and...
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team.Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.PRN - At Least 29 Hour...
We are seeking a highly motivated nurse practitioner with. The Nurse Practitioner will be responsible for caring for patients, maintaining accurate and current patient records, and working collaboratively with our provider and support teams. Board certified - Current national certification as a Fami...
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...
Practice as a Nurse Practitioner required. Earned degree as a Nurse Practitioner (MSN or Doctorate) required. Demonstrated leadership in academia or in a practitioner settingpreferred. Active, unencumbered current license as a registered nurse required. ...
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...
The Good Samaritan Society is seeking to hire a compassionate and adaptable Licensed Practical Nurse to join our team as a Travel LPN! This opportunity allows an LPN to travel locally by working in various GSS locations within a -mile radius from home address providing care with competitive pay, mil...
Current licensure as a Registered Nurse (RN) in the State of Texas. Required to maintain a current registered nursing license during employment. ...
Headway’s mission is a big one - to build a new mental health care system everyone can access.We’ve built technology that helps people find great therapists with the first software-enabled national network of providers accepting insurance.US have a treatable mental health condition, but the majority...
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 ...
Greenlife Healthcare Staffing is currently seeking a Mental Health Nurse Practitioner - VA Reviewer to fill an opening with a Non-profit organization. Greenlife Healthcare Staffing is a nationwide recruitment agency, matching both new grads and advanced practitioners to hospitals, clinics, nursing h...