- Packing Corp of America (Tomahawk, WI)
- …The Nurse must maintain relationships with internal and external customers. The Nurse is the facility's medical professional and employees rely on the ... detection. Maintains wellness boards monthly with fresh topics. + Review , update, and maintain essential job function reports. +...Nurse to provide medical advice and treatment that is accurate, respectful of… more
- US Tech Solutions (Richmond, VA)
- …advocacy. **Duties** + Through the use of clinical tools and information/data review , conducts an evaluation of member's needs and benefit plan eligibility and ... including co-morbid and multiple diagnoses that impact functionality. + Reviews prior claims to address potential impact on current case management and eligibility.… more
- HCA Healthcare (Nashville, TN)
- … review , or otherwise support concise clinical evaluations for disputed claims through review and assessment of denial reconsideration documentation, payer ... hours volunteering in our communities. As a Compliance Registered Nurse with Parallon you can be a part of...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- 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
- 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
- University of Virginia (Charlottesville, VA)
- UVA Health is seeking a full-time autonomous licensed Nurse Practitioner to support our new Virtual Care Clinic in the state of Virginia. **Position Details** + ... and credentialing dependent on specialty. Works in conjunction with the medical director, administrative management, nursing and other interprofessional team members… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role Brighton Health Plan Solutions (BHPS) provides Utilization Review / Medical and Case Management services for Workers' Compensation. The Workers' ... Compensation Nurse Case Reviewer collaborates with medical care...+ Collaborates with workers' compensation patients, employers, providers, and claims adjusters to coordinate medical and disability… 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
- Beth Israel Lahey Health (Boston, MA)
- …(BLS) is required. **Experience:** At least three (3) years of work experience as a medical or surgical staff nurse . **Pay Range:** $35.19 - $73.33 The pay range ... lives.** Under the supervision of the Employee Health Director, the Registered Nurse - Employee Health provides occupational health care services to employees,… more
- Emanate Health (Covina, CA)
- …States, and the #19 ranked company in the country. **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical ... using indicated protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical … more