Possess or obtain an RN license for the 10 states that we serve and/or a compact license to cover the states before hired. ...
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. Current RN licensure in state practicing. We provide meaningful opportunities to our extensive n...
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. ...
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...
Mental and Behavioral Health RN / VA Reviewer - Remote. Mental and Behavioral Health RN / VA Reviewer. Mental and Behavioral Health RN / VA Reviewer. Mental and Behavioral Health RN / VA Reviewer. ...
Triage RN assesses the patient's needs and provides appropriate clinical options through the guidance of the triage protocols which may include education regarding immediate care advice and preventative behavior. Our health network operates eastern Wisconsin's only academic medical center and adult ...
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. ...
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 ...
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 or MD degree with strong clinical knowledge - Active unrestricted clinical license in at least one state within the United States. ...
For this position we are seeking a (RN) Registered Nurse with previous experience in Acute Care, Concurrent Review/ Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. CALIFORNIA LICENSURE IS REQUIRED FOR THIS ROLE IMMEDIATELY UPON HIRE. CALIFORNIA IS NOT A COMPA...
This position is looking for an RN in the San Antonio area for a hybrid position with Superior Health Plan. May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success. RN - Reg...
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,...
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. ...
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 ...
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. ...
To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click. The RN Utilization Management Nurse performs clinical review of prior approvals, network exceptions, benefit inquiries, inpatient medical/surgical admissions and outpatient procedures for providers, and all other ...
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. ...
Matches these needs to a service site location or, if not available, look up and provide alternative services. Assist with clinical eligibility review for alternate services. RN license in a compact state is required. Ability to learn and master information related to locations and services of clien...
JOB TITLE (#25025): Emergency RN / VA Reviewer - Remote. Responsibilities of the Emergency RN/ VA Reviewer:. If you would like to learn more about other opportunities we offer, please call our office: (800) 608-4025 or submit your Resume/CV to hr@glhstaffing. ...
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...
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. ...
Active and unrestricted RN license for the State(s) of employment. Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. ...