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. ...
Foster positive relationships with internal and external stakeholders to enhance team effectiveness and the review process. The Clinical Reviewer (RN) plays a vital role within the Care Management & Quality Oversight department, utilizing clinical expertise to review medical records and evaluate...
Dane Street is seeking highly motivated candidates to join our team as a Clinical (RN) QA Specialist, specializing in Long Term Disability (LTD). As a Clinical (RN) QA - Long Term Disability Specialist, you will leverage your expertise in long-term disability claims to review and ensure to accuracy ...
Senior LTSS RN Case Manager - position provides flexibly to work from home and travel to conduct IN-PERSON medically approved Medicaid assessments. May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness fo...
Consult and coordinate with internal and external team members to assess, plan, implement and evaluate patient care plans, make appropriate referrals, and provide follow-up. Care Managers will assess symptoms/concerns of callers to determine the urgency and type of care needed, refer to or schedule ...
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...
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...
Ideal candidate will be located in the Eastern Standard Time (EST) zone with a compact registered nurse (RN) license, experience in case management, or medical-surgical (med surg), intensive care unit (ICU) settings and leadership experience, either as a leader or in a lead role, in a clinical setti...
RN or MD degree with strong clinical knowledge - Active unrestricted clinical license in at least one state within the United States. ...
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...
Build positive relationships with internal and external customers to support the review process. The Clinical Reviewer plays a pivotal role in ensuring compliance with state government healthcare systems, contributing to quality healthcare outcomes through accurate and timely reviews. Maintain curre...
High Speed Internet / direct connection required- Must be able to connect directly into internet?–?via hard wire (either directly to modem or router). Minimum of 3 years’ clinical nursing experience as an RN, with significant experience in emergency care or urgent care settings. Identify gaps in pat...
Available Part-Time Schedules (Eastern Time ONLY). Resilient; willing to learn from others; patients, optimistic and adaptable. Technology experience - preferably with multiple EMR/EHR systems, familiar with Microsoft Office, GoogleSuite products and comfortable learning new softwares quickly. Posse...
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. ...
Home Infusion Nurse RN (Accredo)- Part time, 32 hours a week. For RNs who want to grow their skills with new/specialty infusion therapies, while having greater flexibility, ownership, and serenity than what is experienced in more high-impact, high-stress environments, we encourage you to rethink wha...
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. ...
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...
Proven success and enjoyment in building relationships with a variety of stakeholders, such as care managers at hospitals and care coordinators at large PCP groupsThe ability to learn quickly from past experiences and implement changes for improvement. An unrestricted, compact RN license and willing...
Home Infusion Nurse RN (Accredo)- Full time. For RNs who want to grow their skills with new/specialty infusion therapies, while having greater flexibility, ownership, and serenity than what is experienced in more high-impact, high-stress environments, we encourage you to rethink what’s most importan...
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, LPN, remote, hybrid, wfh, primary care, clinic. ...
Meet/exceed department Turn Around time, daily established productivity goals, and service levels. Current RN license – Multi-State License Preferred. ...
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. ...
Netsmart desires to provide a healthy and safe workplace and, as a government contractor, Netsmart is committed to maintaining a drug-free workplace in accordance with applicable federal law. ...