- The County of Los Angeles (Los Angeles, CA)
- REGISTERED NURSE I, SHERIFF (CORRECTIONAL HEALTH) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2930992) Apply REGISTERED NURSE I, ... of Los Angeles is currently offering up to 20% bonus for full-time Registered Nurse I, Sheriff positions hired by Correctional Health Services and working on-site in… more
- CareFirst (Baltimore, MD)
- …the appeal case for physician review by compiling clinical, contractual, medical policy and claims information along with corporate and appellant ... mental health, psychiatric setting. **Preferred Qualifications:** + 2 years experience in Medical Review , Utilization Management or Case Management at CareFirst… more
- CVS Health (Phoenix, AZ)
- …in the US with virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, ... Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members.… more
- InGenesis (Columbia, SC)
- …out to answer any questions you may have. Job Duties * Perform medical review /authorization process. * Ensure coverage for appropriate services within benefit ... located in Columbia, SC. In this role you will review and evaluate medical or behavioral eligibility...regarding benefits and clinical criteria and assess and monitor medical necessity using your clinical proficiency and claims… more
- Cognizant (Phoenix, AZ)
- …. Draft and submit the medical necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with ... to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work related to clinical… more
- 3M (Maplewood, MN)
- …Compensation paperwork and process. + Provides disability management for open Workers Compensation claims which may include: + Coordination of medical care and ... Provides backup nurse triage for other clinic nurse roles. + Documenting worker medical encounters...the country where you are applying for employment, and review . Before submitting your application, you will be asked… more
- ASM Global (Peoria, IL)
- …for Event Nurse /EMT at the Peoria Civic Center. The Event Nurse /EMT responds to medical issues and emergency/triage situations during events. Starting ... Position: Event Nurse /EMT Department: Operations Reports to: Guest Services Manager...Duties and Responsibilities: + Responds to all requests for medical assistance within the Peoria Civic Center facility. +… more
- CVS Health (Columbus, OH)
- …+ 3+ years clinical nursing experience, with 1-3 years managed care experience in Utilization Review , Medical Claims Review , or other specific program ... Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care… more
- Beth Israel Lahey Health (Milton, MA)
- …Bachelor's degree in Nursing preferred. + At least three years work experience as a medical or surgical staff nurse . + Certified Occupational Health Nurse ... care services to employees. **Job Description:** **RN - Employee Health Nurse - BID-Milton Milton, MA.** 1. Conducts initial post-offer/pre-placement physical… more
- Sedgwick (Baton Rouge, LA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Nurse Allocator- RN Medicare Compliance **Prior medical -set-aside experience highly ... **PRIMARY PURPOSE OF THE ROLE:** To perform provider outreach, specialized document review , and analysis and interpretation of interventions for the preparation of… more