- Zurich NA (Schaumburg, IL)
- …medical terminology Preferred Qualifications: + 2 or more years' experience in Utilization Review, Case Management , Workers Compensation, or medical bill reviews ... Medical Bill Review Senior Nurse 127127 Zurich Insurance is currently looking for...order to identify any anomalies or discrepancies and ensure management has access to up to date and accurate… more
- Saint Francis Health System (Tulsa, OK)
- …and apply.** Full Time Days Minimum of 5 years bedside experience preferred. Virtual Nurse works from an on-site office location (not a remote position) Will ... to patient rooms. Shift: 10a - 10p \#RNSIND Job Summary: The Registered Nurse I (Virtual) assesses, plans, implements and evaluates nursing care, utilizing the… more
- Evolent (Lansing, MI)
- …Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed ... medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care across the continuum… more
- AccentCare, Inc. (Middlebury, CT)
- …Admissions Registered Nurse / RN, Hospice Position Type: Part Time Remote /Virtual Position: No Coverage Area: UCONN, Waterbury and Griffin Hospitals / Weekend ... Overview Admissions Registered Nurse / RN, Hospice Location: Middlebury, CT Position:...and external partners, ensuring timely updates, interventions, and resource utilization + Provide patient and caregiver education, document care… more
- Geisinger (Danville, PA)
- Job Summary Geisinger is proud to offer a full time Inpatient Licensed Practical Nurse (LPN) a $10,000 sign on bonus for eligible candidates as well as up to $40,000 ... safety, and maximize patient satisfaction. Exhibits compassionate care during patient- nurse interactions. Coordinates patient care and interaction of staff. +… more
- Humana (St. Paul, MN)
- …Office products including Word, Excel and Outlook **Preferred Qualifications** + Utilization Review/Quality Management experience + Experience working with MCG ... community and help us put health first** The Appeals Nurse 2 resolves clinical complaints and appeals. The Appeals...programs + Bachelor's degree **Additional Information** **Work Style** : Remote **Work Days/Hours:** Monday - Friday; 8:00 am-5 pm… more
- Bon Secours Mercy Health (Norfolk, VA)
- …excellence. **Summary of Primary Function** In the capacity of a Registered Nurse (RN), the Ambulatory Care Manager will provide clinical care management ... a plan of care to ensure medically appropriate cost-effective care. This position is primarily remote /work from home. Hire must be able to go onsite up to 20% to… more
- Elevance Health (Washington, DC)
- …with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures, chairs and schedules meetings, as ... ** Nurse Case Manager Sr** **Location:** Washington, DC. This...approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Alternate… more
- BrightSpring Health Services (Dunbar, WV)
- …of business development & growth, achievement of key performance indicators, management of nursing performance and staff development. Responsibilities * Oversees and ... performance reviews* Responsible to ensure that there is a nurse on call after hours for all homes (and...professional consultants and direct care in coordination with Operations management * Provides feedback to Operations management regarding… more
- Geisinger (Danville, PA)
- …To learn more about Geisinger opportunities, please contact Katy Baralt, Nurse Recruiter, at ###@geisinger.edu. Job Duties Assesses plans, organizes, performs, and ... safety, and maximize patient satisfaction. Exhibits compassionate care during patient- nurse interactions. Coordinates patient care and interaction of staff. Meets… more