- Brighton Health Plan Solutions, LLC (NC)
- …regulatory and accreditation requirements. * Duties as assigned. Essential Qualifications * Current Registered Nurse ( RN ) with state licensure. Must retain ... provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with… more
- BrightSpring Health Services (Hickory, NC)
- …or permit issued by the governing board regulating a human service profession, except a registered nurse who is licensed to practice in the State of North ... as they relate to policy and procedure, state regulations, contract requirements and Company staff training protocols + Arrange...and drug abuse counseling + Experience in auditing and contract compliance + Two or more years' experience in… more
- Amergis (Winston Salem, NC)
- …Must have Med-Surg, LTAC or Acute experience. Under the supervision of a registered nurse , the licensedvocational/practical nurse medical surgical assumes ... the management of patient care. Minimum Requirements: + Current Licensed Practical/Vocational Nurse License in statepracticing + Current CPR if applicable + TB… more
- Amergis (Kenansville, NC)
- …- feel free to send your resume to ###@amergis.com Under the supervision of a Registered Nurse , the LicensedPractical/Vocational Nurse - Clinic Site works in ... a remote clinic location toserve a specific population's nursing needs. The nurse demonstrates ability tomake clinical judgments in an effective and efficient manner… more
- Amergis (Rocky Mount, NC)
- …patient care to medically complex patients under the clinicalsupervision of the Registered Nurse in facilities or specialty care hospitals. Minimum Requirements: ... questionnaire, PPD or chest x-ray if applicable + Current Health certificate (per contract or stateregulation) + Must meet all federal, state and local requirements… more
- TEKsystems (Charlotte, NC)
- Clinical Quality Assurance Analyst (Remote) (Must have LPN or RN degree) Location: Remote - Must reside in the US Schedule: Monday-Friday, 8:00 AM - 4:30 PM EST ... AM - 4:30 PM EST for 4-6 weeks Type: Contract -to-Hire (3 months) Start Date: November 11, 2025 Pay:...(3 months) Start Date: November 11, 2025 Pay: + RN : $28.50/hr + LPN: $26.50/hr Position Overview: We're hiring… more
- Humana (Raleigh, NC)
- …a part of our caring community and help us put health first** The Appeals Nurse 2 resolves clinical complaints and appeals. The Appeals Nurse 2 work assignments ... and independent determination of the appropriate courses of action. The Appeals Nurse 2 reviews documentation and interprets data obtained from clinical records to… more
- Actalent (Durham, NC)
- Job Title: Clinical Review Nurse - Prior Authorization Location: Remote (this position is looking for east coast nurses who would be willing to help out the PST team ... on a remote short term contract ) Contract Duration: 3 months Schedule: Monday-Friday,...PST (occasional weekend/holiday rotation) Position Summary The Clinical Review Nurse will conduct medical necessity reviews for prior authorization… more
- Amergis (Black Mountain, NC)
- …Assistant (CNA) performs direct patient care under the direct supervision of a RN or LPN/LVN or other licensed medical professional. The CNA/NA performs a variety ... 36 week rotation every other weekend + 16 week contract with 13 week renewals Minimum Requirements: + Prefer...chest x-ray if applicable + Current Health certificate (per contract or state regulation) + Must meet all federal,… more
- Granville Medical Center (Oxford, NC)
- …status of quality assurance, configuration management, and security management applied to the contract * Maintain knowledge of all tasks and subtasks to a detailed ... deliverables * Participate in weekly team meetings with agency leaders and contract staff to provide updates on system development, documentation, training, and… more
Recent Jobs
-
Principal Scientist I - CAR-T Biology, Immuno-Oncology Discovery
- AbbVie (South San Francisco, CA)
-
Part-Time Pharmacy Technician
- Cardinal Health (Richmond, TX)