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Become a part of our caring community The Utilization Management Nurse uses clinical nursing skills to support the coordination, documentation and communication of medical services and benefit administration...

About Float Float is the full-stack platform for Specialty Pharma home infusion. We're on a mission to make healthcare safer, easier, and more efficient by connecting Nurses to home medication visits - moving all care that doesn't need a...

Description This position will have well-developed knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual is responsible for performing a variety of...

Job Description Travel Nurse - Tele/Stepdown Epic Travel Staffing is hiring a Travel Nurse - Tele/Stepdown. We`ll be your ticket to the travel RN - Telemetry/PCU job you`ll love with unparalleled recruiter support and...

Registered Nurse Risk Manager Aptive is seeking a registered nurse risk manager. IHSC's mission is to provide medical care to maintain the health of individuals in the custody of ICE through an integrated health care delivery system,...

Hospital Liaison Functions as Hospital Liaison with third party billing and auditing firms for all audits for LVHN locations. Reviews all audits in LVHN audit software and writes appeals for charge and line item audit denials as well as...

Requisition Details GENERAL REQUISITION INFORMATION EEO Statement: UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and...

$40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical...

Description Director of Nursing ...

Overview Empassion is hiring a Care Coordinator/LPN to work within our contact center, including directly interfacing with patients, providers, and families in our palliative care program managing day to day functions such as educating patients by...

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...

The RN MDS Coordinator coordinates and assists with completion and submission of accurate and timely interdisciplinary MDS Assessments, CA - As, and Care Plans according to CMS RAI Manual Regulations and in accordance with all applicable laws,...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Start the day excited to make a difference...end the day knowing you did. Come join our team. Job Summary: The Virtual Registered Nurse (VRN) is responsible for providing professional nursing care with collaboration from the...

UTILIZATION REVIEW NURSE HYBRID, must be able to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470 EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than...

Why Suncrest At Suncrest Hospice our goal is to change the expectation of hospice care in your area by providing exceptional care and service to our patients. This is achieved by allocating the resources to increase our staff to patient...

Overview Deliver Comfort. Honor Dignity. Transform Care. Are you a Hospice Aide or Certified Nursing Assistant (CNA) who finds purpose in providing compassionate, hands-on care during life's most meaningful...

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Provides clinical administrative nursing care coordination in...

Field Case Manager Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an...

Prior Authorization Nurse (Utilization Review) This role analyzes prior authorization requests to determine the medical necessity and appropriate level of care in line with national standards, contractual requirements, and members'...

At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults-and we're looking for passionate people to help us do it. As a national leader in value-based care, we offer senior living...

Join Our Caring Community Humana Healthy Horizons in Virginia is seeking RN, Field Care Managers to perform telephonic and face-to-face assessments and evaluations of the needs and requirements of our long-term services and support (LTSS)...

Medicare Advantage RN Review Analyst Location: Detroit, MI (Remote - Must be local to Michigan) Duration: 12+ Months Role Type: W2 Contract Role Max Pay Rate: $36/HR Schedule: Monday - Friday 9-5...

Remote LPN/LVN–Chronic Care Management (Full‑Time, Work From Home)CARDIOVASCULAR INSTITUTE OF EXCELLENCE PLLC is a dedicated medical practice company headquartered in Wagoner, Oklahoma. With a focus on delivering high‑quality cardiovascular...

Work From Home Nurse Practitioner (PMHNP - Telehealth - Flexible Schedule)Join to apply for the Work From Home Nurse Practitioner (PMHNP - Telehealth - Flexible Schedule) role at NPHireBase pay range$175,000.00/yr - $200,000.00/yrAbout the RoleA...