Currently seeking a qualified RN to staff a remote position for Utilization Review in Indianapolis.Must be Indiana Resident.It is a 3 month position, hours being Monday-Friday 8A-5P EST.High speed internet connection is required, along with the ability to connect to a router.Pay is $35/hour.Benefits...
The Utilization Review Nurse is responsible for the development, implementation, coordination, and follow-up of projects related to Mercy Care Management. This includes the validation, assimilation, and integration of information derived from projects, focus studies, in network and out of network pr...
Description Are you a registered nurse with a background in utilization management? Are you interested in the opportunity to work from home? UPMC Health Plan is looking for you! We are hiring temporary full-time Utilization Management Care Managers to support the Utilization Management Clinic...
About this job Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and ...
Description POSITION SUMMARY: Responsibilities include but are not limited to: Concurrent and retroactive chart review, performed for medical necessity as well as for effectiveness and appropriateness of admission, length of stay, and utilization of hospital resources. Knowledge of state an...
You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...
Are you an experienced Registered Nurse with a passion for shaping the future of healthcare? As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned cas...
Job Description **REMOTE** Manage the operations and support team within Health Care Services including the Call Center, Utilization Management or Care Management intake & review functions which includes but is not limited to prior authorization, concurrent review (CCR), Claims, skilled nurs...
Job Title: Registered Nurse (RN ) Care Manager - Geisinger at Home (Company Car) Location: Bloomsburg, Pennsylvania Job Category: RN - Registered Nurse, Nursing and Nursing Support Schedule: Days Work Type: Full time Department: Geisinger at Home Nursing Team Date Posted: 02/07/2024 Job ID: R-58304 ...
Job Summary The Triage Registered Nurse will be part of a multidisciplinary team supporting general care processes, providers, and patients in an ambulatory community-based setting. The RN is responsible for evaluating and assessing patient’s health care needs based on telephonic evaluation and asse...
Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The...
Job Summary Serves a case management role, responsible for an assigned group of patients, typically geographically related and accountable for the oversight and overall management of the post-acute services in the home setting. Provides direct patient care and supervision of LPNs and HHAs in accorda...
Job Summary Serves a case management role, responsible for an assigned group of patients, typically geographically related and accountable for the oversight and overall management of the post-acute services in the home setting. Provides direct patient care and supervision of LPNs and HHAs in accorda...
Do you want to work for a company that Forbes’ named one of the best employers of 2021? Do you want to fast-track your career by working for one of LinkedIn’s top companies in the US? If so, keep reading!Title of Job: Registered Nurse – Remote Triage Location: REMOTE (anywher...
You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ...
There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing your life's best work.(s...
Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) The Nurse Case Manager II (NCM) is responsible for patient case management for longi...
Are you ready for your next challenge? Discover it here at UnitedHealth Group and help us reinvent the health system. We're going beyond basic care, providing integrated health programs with a member-centric focus. The challenge is ensuring we deliver the right care at the right time. When you join...
Essential Functions: Leads the coordination of patient care with other disciplines within the care team, monitoring the appropriateness and timeliness of care. Ensures the interdisciplinary care plan is consistent with the patient's clinical course, continuing care needs and covered services...
DaVita IKC allows Registered Nurse RN Case Managers to collaborate with accomplished experts in the field and make an impact the quality of life for our patients. DaVita strives to give our employees more knowledge, and more time with the patients to provide excellent patient centered care. Job I...
RN Clinical Manager Hybrid Office/Remote and $10K Sign on Bonus Our Care Matters. When you join the Kindred at Home team, you become part of something bigger. We are the nation’s leading provider of comprehensive home health, hospice, and non-medical home care services. Our team delivers co...
The position is primarily accountable for performing initial clinical appropriateness review of requests for services that require prior authorization or retrospective review. The review process is performed in accordance with established Client (health plan) protocols/guidelines, benefits, and c...
The position is primarily accountable for performing initial clinical appropriateness review of requests for services that require prior authorization or retrospective review. The review process is performed in accordance with established Client (health plan) protocols/guidelines, benefits, and c...
The position is primarily accountable for performing initial clinical appropriateness review of requests for services that require prior authorization or retrospective review. The review process is performed in accordance with established Client (health plan) protocols/guidelines, benefits, and c...
The position is primarily accountable for performing initial clinical appropriateness review of requests for services that require prior authorization or retrospective review. The review process is performed in accordance with established Client (health plan) protocols/guidelines, benefits, and c...
Overview This position is Sign-on Bonus eligible. Experienced RNs are eligible for a bonus up to $10K for Full Time positions and up to $5,000 for Part Time positions based on experience. In addition to the sign-on bonus, new teammates at Atrium Health are eligible for robust benefits package...
Position Description Job Description Job Summary The Care Connections NPs focus on screening and preventive primary care services delivered in the home, community and nursing facility settings. Provides needed care in the environment that patients feel most comfortable and are most re...
Position Description JOB DESCRIPTION Job Summary The Nurse Practitioner Psychiatric-Mental Health (PMHNP) will work primarily in non-clinical settings and provide medical care to all levels of patients. Some programs may focus on specific populations (e.g., adult and geriatric, pediatr...
We’re a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals – careers that not only make the most of your skills and talents, but als...
Description: Providence St. Joseph Health is calling a Senior Coder to work remotely within our footprint states: AK, CA, MT, NV, OR, TX and/or WA. We are seeking a Senior Coder who will apply ICD -10 and CPT-4 codes to medical records based on documentation provided by physicians. Adheres t...
Overview This position is eligible for a sign-on bonus! Experienced RNs are eligible for a bonus up to $10K for Full Time positions and up to $5,000 for Part Time positions based on experience. In addition to the sign-on bonus, new teammates at Atrium Health are eligible for robust benefits p...
Overview This position is Sign-on Bonus eligible. Experienced RNs are eligible for a bonus up to $10K for Full Time positions and up to $5,000 for Part Time positions based on experience. In addition to the sign-on bonus, new teammates at Atrium Health are eligible for robust benefits package...
Nice to meet you, we’re Vesta Healthcare. Vesta Healthcare is a startup with a simple mission: Delivering extraordinary outcomes by unlocking the power of caregivers. We enable people with personal assistance to thrive at home, in their community by assuring their caregivers have the resources, ...
Nice to meet you, we’re Vesta Healthcare. Vesta Healthcare is a startup with a simple mission: Delivering extraordinary outcomes by unlocking the power of caregivers. We enable people with personal assistance to thrive at home, in their community by assuring their caregivers have the resources, ...
Position Overview: This position is eligible to work from home in the following states: Arizona, Arkansas, Idaho, Tennessee, and Utah The Triage nurse is a Registered Nurse who practices nursing utilizing the nursing process by providing telephone patient consultations and education, givi...
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care da...
Company: Posterity HealthWebsite: www.posterityhealth.comJob Title: Care Navigator (Health Tech)Location: Greenwood Village, Colorado (Denver)Salary: $50,000 to $52,500 depending upon experienceJob Type: Full-TimeJob Schedule: Weekdays, normal business hoursBenefits: Medical, Dental, VisionWork Sett...
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, yo...
Job Description Job Summary The Nurse Practitioner Psychiatric-Mental Health (PMHNP) will work primarily in non-clinical settings and provide medical care to all levels of patients. Some programs may focus on specific populations (e.g., adult and geriatric, pediatric, and women’s health). ...
Hi, we're Oscar. We’re hiring a Utilization/Clinical Review Nurse to join our Clinical team. Oscar is a technology-driven, consumer-focused health insurance startup founded in 2012 and headquartered in New York City. Our goal is to make health insurance simple, transparent, and human. We need you...
Hi, we're Oscar. We’re hiring a Utilization/Clinical Review Nurse to join our Clinical team. Oscar is a technology-driven, consumer-focused health insurance startup founded in 2012 and headquartered in New York City. Our goal is to make health insurance simple, transparent, and human. We need you...
Responsibilities I. JOB SUMMARY/RESPONSIBILITIES:• Provides clinical consultation as a Registered Nurse (RN) to patients upon discharge through the Transitional Case Management Program (TCMP).• Key responsibilities include, but are not limited to, assessment and development of transitional care plan...
Job Description Job Summary The Nurse Practitioner Psychiatric-Mental Health (PMHNP) will work primarily in non-clinical settings and provide medical care to all levels of patients. Some programs may focus on specific populations (e.g., adult and geriatric, pediatric, and women’s health). ...
Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing or physician assistants Establishes and maintains effective relationships with patients, care givers, and/or their legal representatives, IDT members, PCPs, other collaborating ...
Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care da...
Location:Geisinger CenterPoint Office BuildingShift:Rotation (United States of America)Scheduled Weekly Hours:40Worker Type:RegularExemption Status:NoJob Summary:Screens potential new enrollees and evaluates and coordinates new enrollees to the appropriate Case Management Program. Assists Case Team ...
There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shapi...
Only show: Hot Hot Jobs New New Jobs Location All Detroit, Michigan (552) Jackson, Michigan (486) Clinton Township, Michigan (210) West Bloomfield, Michigan (185) Wyandotte, Michigan (183) View More Category All Clinical/Allied Health (712) Nursing (664) Admin Support (Non-Clinical) (136) Facility...
Esse Health is the largest independent physician practice in the St. Louis Metropolitan area with over 120 physicians, in 45 locations, serving nearly 130,000 patients. We are leading the health care community by placing patients and their physicians at the center of health decisions. Esse Health is...
Job Description Job Summary The Care Connections NPs focus on screening and preventive primary care services delivered in the home, community and nursing facility settings. Provides needed care in the environment that patients feel most comfortable and are most receptive including home, nu...