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...
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...
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...
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...
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...
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) WellMed provides concierge-level medical care and service for seniors, delivered by ph...
UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and...
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...
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...
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...
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...
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...
Overview As a leading healthcare education organization, Unitek Learning’s family of schools helps thousands of students launch and accelerate their careers every year. As a rapidly growing and highly successful company, Unitek is also a great place to pursue a rewarding and challenging caree...
Overview As a leading healthcare education organization, Unitek Learning’s family of schools helps thousands of students launch and accelerate their careers every year. As a rapidly growing and highly successful company, Unitek is also a great place to pursue a rewarding and challenging caree...
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...
RN (Registered Nurse) Home Health Full-Time positions include a $12,000 Sign-On Bonus! The Registered Nurse (RN) in Home Health provides and directs provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations and a...
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...
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...
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...
DescriptionProvider EducatorAre you an experienced Provider Educator looking for a new challenge? Do you value care management and quality improvement?Are you motivated, energetic, and excited to become part of the Kepro team?If so, you might be our next new team member!Candidates – please take note...
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 dat...
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 ...
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...
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 Halifax Health-Care at Home is seeking a Registered Nurse . Summary The Registered Nurse plans, organizes, and directs home care services and is experienced in nursing with emphasis on community health education/experience. The professional nurse builds from the sources ...
Job Name:Utilization Review/RN - remoteFacility Address: 815 NW 9th St Corvallis, OR 97330Job Description: JOB SUMMARY/PURPOSE Reviews, assesses, and evaluates clinical information used to support Utilization Management (UM) decisions based on established clinical criteria and applies intermediate...
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...
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...
Job Description Join the #1 hospital in Wisconsin! We are seeking a Registered Nurse : The Access Center nurse receives and coordinates all urgent phone calls related to inpatient placement from UW Health providers and referring providers, hospitals and institutions for University Hospit...
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 Description:Do you have the career opportunities you want in your current role? We have an exciting opportunity for you to join Essentia Health as a RN - Hospital Care at Home CoordinatorBecome part of Essentia's accomplished team where our mission guides us every day: We are called to make a he...
Job Description:Do you have the career opportunities you want in your current role? We have an exciting opportunity for you to join Essentia Health as a RN - Hospital Care at Home CoordinatorBecome part of Essentia's accomplished team where our mission guides us every day: We are called to make a he...
The quality of care we provide our patients doesn't change no matter how it is delivered. Joining UnitedHealth Care as an Advice Line Registered Nurse can be your opportunity to offer a higher level of care to our members. While your work will take place over the phone, you'll have a direct impact o...
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...
McKesson requires new employees to be fully vaccinated for COVID-19 as defined by the CDC, subject to applicable, verified accommodation requests.The state of healthcare is complex, but our shared purpose isn’t: Help people get the medicine they need to live healthier lives. CoverMyMeds solves medic...
McKesson requires new employees to be fully vaccinated for COVID-19 as defined by the CDC, subject to applicable, verified accommodation requests.The state of healthcare is complex, but our shared purpose isn’t: Help people get the medicine they need to live healthier lives. CoverMyMeds solves medic...
For those who want to invent the future of health care, here's your opportunity. We're going beyond counseling services and verified referrals to behavioral health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work...
If you are located in the EST Time Zone or able to work in EST Time Zone, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges. Energize your career with one of Healthcare’s fastest growing companies. You dream of a great career with a great co...
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...
Description At UPMC, we’re all here for the same reason – to make Life Changing Medicine happen. Join our team and you will play a unique and important role in our mission to change healthcare for the better. UPMC is hiring a full-time Precert Care Manager to support the Pre-certification te...
Job Summary The Clinical Specialist II is an advanced level position with a primary focus in large hospital systems. The Clinical Specialist II is responsible for supporting Masimo Products and maintaining customer relationships with a variety of clinicians and other key stakeholders. The Clin...
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. ...
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. ...
Job Details Description Job Title: Staff Registered Professional Nurse Department: Hospital at Home FLSA Status: Non-exempt Position Summary: Responsible for assessment, planning, implementation and evaluation of direct care to assigned patients with simple to complex health ...
The Leading Provider of Integrated Occupational Medicine ServicesCORE Health Networks, the recognized leader in Integrated Occupational Medicine Services, provides integrated solutions to your occupational healthcare needs. Our programs are designed to align with each clients' missions, goals, and v...
Registered Nurse - Care at HomeOverviewHalifax Health-Care at Home is seeking a Registered Nurse.SummaryThe Registered Nurse plans, organizes, and directs home care services and is experienced in nursing with emphasis on community health education/experience. The professional nurse builds from the s...
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...