- Highmark Health (Westfield, NY)
- …the best growth and educational opportunities to employees. **GENERAL OVERVIEW:** The Registered Nurse assesses human responses and plans, implements and ... provide a critical stopgap for the citizens in a remote area of Western New York. **Allegheny Health Network**...nursing care for individuals or families for whom the nurse is responsible. The Registered Nurse… more
- Healthfirst (NY)
- This position is 100% Remote . We are hiring for the following schedules listed below:** **EST Schedule** **Wednesday through Saturday, 10-hour shift, 7am-5:30pm** ... and Responsibilities:** + Responsible for case development and resolution of clinical cases, such as: Pre-existing Conditions, Prior Approval, Medical Necessity,… more
- Centene Corporation (Chicago, IL)
- …**Candidates must reside within 30 miles of Chicago.** **What We're Looking For:** . ** Registered Nurse ( RN ) with active Illinois license** . **Experience in ... case management and/or utilization review ** . **Previous work in an inpatient hospital environment...4 - 6 years of related experience. **License/Certification:** + RN - Registered Nurse -… more
- Medical Mutual of Ohio (OH)
- …provider community, explaining processes for accessing health plan to perform clinical review , identifying appropriate community resources, or otherwise ... Bachelor's degree preferred. + 3 years experience as a Registered Nurse in acute care, critical care,...abuse and nicotine testing._ **Title:** _Clinical Appeal & Claim Review Nurse II_ **Location:** _Ohio_ **Requisition ID:**… more
- Sanford Health (WI)
- …to the work of health and healing across our broad footprint.** **Facility:** Remote WI **Location:** Remote , WI **Address:** **Job Schedule:** Full time ... **Weekly Hours:** 40.00 **Salary Range:** $31.00 - $49.50 **Job Summary** The Peer Review Specialist facilitates provider peer review processes at a regional… more
- PeaceHealth (Vancouver, WA)
- …focus on utilization management, medical necessity reviews or care coordination.** + Required: Registered Nurse In state of practice. + **Required: Registered ... **Description** PeaceHealth is seeking a RN VBC Complex Care Manager for a Full...+ **Telephone support** + **Chronic Care Management** + **Utilization review ** + **Patient advocate** + **Population Health** Responsible for… more
- Logan Health (Kalispell, MT)
- Logan Health is seeking a compassionate and detail-oriented Registered Nurse ( RN ) to join our Logan Pre-Anesthesia Clinic (LPAC) team. This role is essential ... patient-centered care. The LPAC team includes both onsite and remote staff; however, this position is fully onsite. Our...Trusted | Work Together | Strive for Excellence. The Registered Nurse ( RN ) in the… more
- Veterans Affairs, Veterans Health Administration (Boston, MA)
- …other appointments. Telephone and video care are encouraged. Each physician is assigned a registered nurse , clinical associate, and scheduler. There is no ... and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation,… more
- Virtua Health (Marlton, NJ)
- …may be required. This position will require 8-hour shifts. Job Summary: The Hospice Registered Nurse will bring the essential elements of the hospice delivery ... / Licensure: Current State of New Jersey nursing license to practice as a registered nurse . Current CPR certification and BLS. Must have current proof of… more
- UPMC (Harrisburg, PA)
- …within 30 days of hire + Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) + Registered Nurse ( RN ) + Act 34 *Current licensure either in the ... Diagnostic Cardiology experience preferred** **Purpose:** The Senior Professional Staff Nurse is a Registered Nurse ...leader in one or more of the following areas: clinical expertise, teacher, specialized resource nurse , and/or… more