- Evolent (Bismarck, ND)
- …scheduled. + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks… more
- Kelly Services (Fargo, ND)
- …team: Proudly Serving Those Who Served** Are you a licensed MD, DO, Nurse Practitioner* (NP), or Physician Assistant* (PA) seeking meaningful work that fits ... seamlessly into your current clinical schedule? Join Kelly Government Solutions, helping Veterans by conducting one-time disability evaluations in your existing… more
- Cognizant (Bismarck, ND)
- …necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with Medicare, Medicaid, and ... as well as timely filing deadlines and processes. . Review clinical denials including but not limited...thinking skills to interpret guidelines of internal policies for clinical determination. . Medical Necessity Reviews can… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- … assigned to the Medical /Surgical Unit on 3 Main, is a professional nurse with a broad-based clinical knowledge that enables him/her to effectively provide ... the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible...come join our team! The primary duties for the Medical /Surgical Registered Nurse (RN) position include but… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- …preceptor providing didactic and clinical instruction in anesthesia to student nurse anesthetists, medical and dental residents, and other health care ... For more information, refer to Required Documents below. Responsibilities CLINICAL ROLE: 1. Assess, monitor, and provide IV sedation,...teams functioning. 2. Acts as a preceptor for student nurse anesthetists, if applicable at the medical … more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- …by the supervisor. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Sanford Health (Fargo, ND)
- …physician investigator. Prepare case report forms and source documents for sponsor review . Abstract data from medical records, clinic, consultation and referral ... Details** Come join our Pediatric Endocrinology team as a Registered Nurse Research Coordinator! This position combines compassionate nursing practice with the… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- …the Fargo VA Medical Center for Rehabilitation and Extended Care Integrated Clinical Community. This position is on the Community Living Center, a 38 bed ... Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that...patient information. Completed work should need only a general review by a registered nurse (RN) or… more
- CVS Health (Bismarck, ND)
- …benefit overall claim management. + Using a holistic approach, consults with clinical colleagues, supervisors, Medical Directors and/or other programs to ... 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,… more
- CVS Health (Bismarck, ND)
- …criteria to evaluate outpatient and inpatient services requiring precertification and concurrent review . + Conduct clinical reviews via phone and electronic ... 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
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