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...
RN - Registered Nurse - State Licensure and/or Compact State Licensure required. ...
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...
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...
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. ...
Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. RN) and requires a leader who can assess, discuss, display, and train best-in-class services for our members and associates. The RN Supervisor will work closely with leaders in our operations and program area...
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 ...
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...
Come work where you are truly appreciated and treated like Professionals! Our 1:1 RN/LPN: Patient ratio allows you to give the care you know your patients deserve! Flexible schedules promoting a healthy work life balance. Day, Part time, and Per Diem RN's needed!. ...
RN or MD degree with strong clinical knowledge - Active unrestricted clinical license in at least one state within the United States. ...
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...
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...
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...
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,...
If you are an RN and have at least two years of experience of clinical quality or healthcare risk management, we would like to talk with you about our growing portfolio supporting the. Current unencumbered RN licensure. Process clinical, government administrative, and criminal adverse action cases I...
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...
Come work where you are truly appreciated and treated like Professionals! Our 1:1 RN/LPN: Patient ratio allows you to give the care you know your patients deserve! Flexible schedules promoting a healthy work life balance. Day, Part time, and Per Diem RN's needed!. ...
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)- 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...
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 ...
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 scenari...
Active RN Compact State license. RN experience (any environment as long as they have a solid work history). ...
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 ...
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 ...