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...
The Clinical Support - RN provides advice and follow-up education consistent with the patient's age and cultural needs. The Clinical Support - RN responds to the patient’s inquiries, prioritizing responses and routing urgent situations to the appropriate VMD provider. The Clinical Support - RN maint...
Utilize the online learning platform to enrich the learning experience. Be available within 48 hours (excluding weekends and holidays) by phone, email, and in the courseroom to ensure learners receive quality feedback in a timely manner to support their academic success. Establish high standards and...
Holds an unrestricted LVN/RN license from an accredited vocational nursing program (for LVNs) or a nursing degree from an accredited college (for RNs). Continuously improves processes that help to facilitate better turnaround time, peer to peer success rates and lessens returned reports by clients f...
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. ...
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. ...
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...
CANDIDATE MUST HAVE EITHER RN OR CPC**. CANDIDATE THAT HAS RN AND CPC STRONGLY PREFERRED***. Presents draft document at the Health Net, Inc Medical Director Forum and the Health Net of California Medical Policy Committee. Must have and maintain current, valid and unrestricted RN or CPC license. ...
Collaborate with sales team to ensure patient barriers are removed and internal and external resources are aligned to facilitate the implant process. Actively research, monitor, and identify VNS payer polices within assigned area and communicate information to internal customers. Education level: BS...
RN CLINICAL DOCUMENTATION INTEGRITY (FULL-TIME, REMOTE). RN Clinical Documentation Specialist - Oncology. UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. Together, our community strives to create and maintain ...
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. ...
Washington State RN licensure required. Active, unrestricted State Registered Nursing (RN) license in good standing. Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. ...
One year of RN experience or nursing student clinical rotation experience may be considered. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. ...
Revenue Cycle Clinical Support Office (RCCS) is an area within Access and Revenue Cycle Management Shared Services responsible for Clinical Pre-Certification, Case Reviews, Pre-billing edits, in-patient account validations, supporting Utilization Management, Peer to Peer processes, complex billing s...
Washington State RN licensure required. Active, unrestricted State Registered Nursing (RN) license in good standing. WA state RN licensure required. Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. ...
The RN has the responsibility for supporting the goals and objectives of the care enhancement program by providing high quality telephonic support in an appropriate, efficient and cost-effective manner while ensuring high quality care. The RN coordinates with the Primary Care Provider and all other ...
Teaches and counsels patients and families concerning heath assessment and care including prevention of disease and health maintenance. Skill at finding and providing solutions that are customized to meet customers’ needs and concerns. Ability to readily learn and apply information technology applic...
The Case Manager RN provides excellence in care through empowering patients, maintaining open communication, coordinating sequence of care, aiding in avoidance of complications, arranging alternative facilities, coordinating appropriate treatment with cost containment strategies, educating and suppo...
The Registered Nurse (RN) is responsible for utilizing the nursing process (assessment, diagnosis, outcomes/planning, implementation and evaluation) to provide individualized nursing care to residents. Provides adequate assistance and support to delegates to ensure safe, reliable administration of r...
Supply and support their own internet services. Maintaining an uninterrupted internet connection is a requirement of all work from home position. ...
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...
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...
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 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. ...
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. ...