Search Nursing Jobs

Overview: This position will work in our School Based Health Centers in Franklin County. Hours are between 7-4 depending on the site. Days are M-F depending on the site. More details will be discussed during the interview.

A company is looking for a Utilization Management RN to ensure efficient healthcare resource use while promoting quality patient care.Key ResponsibilitiesCoordinate with healthcare teams to assess and monitor the delivery of healthcare...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

A company is looking for a Clinical Review Nurse - Correspondence.Key ResponsibilitiesDrafts correspondence letters based on clinical review outcomes in accordance with NCQA standardsInvestigates denials and provides supplemental information to...

Overview: MS/MSN required Minimum 6 years of nursing experience required 1.0 fte/40 hours per week Job Description Summary: The Professional Development Education Nurse Specialist develops tools,...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help...

A company is looking for a Clinical Review Nurse - Concurrent Review.Key ResponsibilitiesPerform concurrent reviews to assess member health and appropriate care levelsReview quality and continuity of care, including discharge planning and resource...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover...

A company is looking for a Utilization Management Director - RN Required - Remote.Key ResponsibilitiesOversee day-to-day operations of the Utilization Management Department to ensure compliance with payer requirements and regulatory...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help...

A company is looking for a Call Center Nurse RN, HouseCalls - Remote.Key ResponsibilitiesPerform telephonic outreach to members for follow-up post HouseCalls visitEnsure members have scheduled appointments with their Primary Care Provider and...

A company is looking for a Nurse Auditor.Key ResponsibilitiesPerform charge audits and assessments to resolve incorrect or missing chargesMonitor revenue loss reports and identify documentation needs to support charge captureEducate stakeholders...

A company is looking for a Nurse Case Manager (WC and PIP).Key ResponsibilitiesNegotiate fees and coordinate referrals with rehabilitation and medical case management vendorsGather, analyze, and report service data significant to clients and...

A company is looking for a Clinical File Review Specialist (RN) to support physician reviewers by analyzing complex medical records in a remote, non-patient-facing role.Key ResponsibilitiesReview medical records for disability, workers'...

A company is looking for a Utilization Management Nurse.Key ResponsibilitiesCoordinate and facilitate correct identification of patient statusConduct concurrent and retrospective reviews and support the medical necessity denial and appeal...