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- Sep 3
Remote Nurse Practitioner, Pacific Time Schedule - CA, WA, or AZ License Preferr
Cadence · Remote · United States
Cadence is the clinical AI company automating the treatment of chronic disease.
- 13 days ago
Program Director - Nurse Practitioner
Adobe Population Health · Remote · United States
ABOUT ADOBEAdobe Population Health (APH) is a women-owned health solutions company founded in 2018 with a mission of positively impacting the lives we touch.
- Sep 8
Bilingual Clinical Nurse Coach (RN)
Renalogic · Remote · United States
Salary based on location: $78,000 - $85,000 if EST or CST; $86,000 - $100,000 if MST or PST.
- 26 days ago
Senior Nursing Executive
abridge · Remote · United States
About AbridgeAbridge was founded in 2018 with the mission of powering deeper understanding in healthcare.
- 21 days ago
Patient Contact Nurse, RN
Cedars-Sinai Medical Center · Remote · United States
Align yourself with an organization that has a reputation for excellence!
- 9 days ago
Patient Support Nurse
Valeris · Remote · United States
Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain.
- 16 days ago
Telephonic Nurse Case Manager
Chubb · Remote · United States
The Workers’ Compensation Telephonic Nurse Case Manager is responsible for evaluating and expediting appropriate, cost-effective medical treatment of injured employees with the goal of optimum medical improvement.
- 18 days ago
Telehealth Nurse Practitioner - Remote, US
Carewell · Remote · United States
Telehealth Nurse Practitioner - Remote, US, PT or FT Talent pipeline posting: We are building a pipeline of qualified candidates for future openings in this role.
- 6 days ago
Utilization Review Nurse (PRN)
Netsmart · Remote · United States
Job Description Responsibilities• Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using InterQual or MCG criteria • Apply evidence-based clinical guidelines and criteria to assess and ensure proper utilization of healthcare resources • Participate in telephonic discussions with emergency department physicians relative to documentation and admission status • Enter clinical review information into system for transmission to insurance companies for authorization • Review, analyze, and identify utilization patterns and trends, problems, or inappropriate utilization of resources QualificationsRequired• Current and unrestricted RN license • At least 3 years clinical experience in acute care setting in emergency room, critical care and/or medical/surgical nursing • At least 2 years utilization management experience in acute admission and concurrent reviews • Intermediate level experience with InterQual and/or MCG criteria within the last two years • Proficiency in medical record review in an electronic medical record (EMR) • Experience in Microsoft Suite including Office and basic Excel • Ability to thrive in a fast-paced, dynamic environment and adapt to frequent changing business needs • Passing score(s) on job-related pre-employment assessment(s) Preferred• At least 5 years clinical experience in acute care setting in emergency room, critical care and/or medical/surgical nursing • At least 3 years utilization management experience within the hospital setting • Bachelor's of Science in Nursing (BSN) • Case Management Certifications such as Certified Case Manager (CCM), Accredited Case Manager (ACM), Certified Managed Care Nurse (CMCN), Case Management, Board Certified (CMGT-BC) Expectations• Comfortable with remote work arrangements and virtual collaboration tools • Physical demands include extended periods of sitting, computer use, and telephone communication Netsmart is proud to be an equal opportunity workplace and is an affirmative action employer, providing equal employment and advancement opportunities to all individuals.
- 9 days ago
Telephonic Nurse Case Manager (CA Licensed, Remote – Must Reside Outside CA)
The IMA Group · Remote · United States
Remote Telephonic Nurse Case Manager (Workers' Compensation) About the Role Help injured workers get the right care and get back on their feet, all from home.
- 3 days ago
Nurse Reviewer - IMR (Any city, TX, US, 99999)
Gainwell Technologies · Remote · United States
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges.
- 18 days ago
Nurse Advice Line - Nights, One Weekend Shift Per Week
Denver Health · Remote · United States
We are recruiting for a mission-driven Nurse Advice Line - Nights, One Weekend Shift Per Week to join our team!
- 5 days ago
Utilization Review Nurse
Netsmart · Remote · United States
Responsible for utilization review work for emergency admissions and continued stay reviewsResponsibilities• Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using InterQual or MCG criteria • Apply evidence-based clinical guidelines and criteria to assess and ensure proper utilization of healthcare resources • Participate in telephonic discussions with emergency department physicians relative to documentation and admission status • Enter clinical review information into system for transmission to insurance companies for authorization • Review, analyze, and identify utilization patterns and trends, problems, or inappropriate utilization of resources QualificationsRequired • Current and unrestricted RN license • At least 3 years clinical experience in acute care setting in emergency room, critical care and/or medical/surgical nursing • At least 2 years utilization management experience in acute admission and concurrent reviews • Intermediate level experience with InterQual and/or MCG criteria within the last two years • Proficiency in medical record review in an electronic medical record (EMR) • Experience in Microsoft Suite including Office and basic Excel • Ability to thrive in a fast-paced, dynamic environment and adapt to frequent changing business needs • Passing score(s) on job-related pre-employment assessment(s) Preferred• At least 5 years clinical experience in acute care setting in emergency room, critical care and/or medical/surgical nursing • At least 3 years utilization management experience within the hospital setting • Bachelor's of Science in Nursing (BSN) • Case Management Certifications such as Certified Case Manager (CCM), Accredited Case Manager (ACM), Certified Managed Care Nurse (CMCN), Case Management, Board Certified (CMGT-BC) Expectations• Comfortable with remote work arrangements and virtual collaboration tools • Physical demands include extended periods of sitting, computer use, and telephone communication Shifts Requirements & Needs: • Working between the hours of 9am EST and 9pm EST either for 8-hour, 10-hour or 12-hours shifts.
- 6 days ago
Home Infusion Nurse, Part Time - Accredo - Hempstead, NY
The Cigna Group · Remote · United States
Join Accredo Specialty Pharmacy, part of Evernorth Health Services, and bring your nursing expertise to patients where they feel most comfortable—their homes.
- 22 days ago
Workers Compensation - Telephonic Nurse Case Manager (Remote - Pacific Standard
Berkley · Remote · United States
Company DetailsBerkley Medical Management Solutions (BMMS) provides a different kind of managed-care service for W.
- 19 days ago
Advance Practice Nurse
CFG Health Network · Remote · United States
Psychiatric Nurse Practitioner – Tele-Psychiatry (Evenings/Nights) 100% Remote | Flexible Evening & Overnight Schedules | Full-Time, Part-Time & Per Diem Opportunities Location: Remote (New Jersey-based coverage) Practice Psychiatry Remotely Within a Large Academic-Affiliated Behavioral Health System Center for Family Guidance, PC is seeking a Psychiatric Mental Health Nurse Practitioner (PMHNP) to provide tele-psychiatry services within a large, well-established academic-affiliated behavioral health system with an excellent reputation.
- 8 days ago
Senior Nurse Reviewer- Remote (Any city, TX, US, 99999)
Gainwell Technologies · Remote · United States
It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges.
- 9 days ago
PATIENT SUPPORT NURSE
Valeris · Remote · United States
Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain.
- 22 days ago
Care Manager - Nursing (Field) - Mandarin/Cantonese speaking with Community Expe
Point32Health · Remote · United States
Who We ArePoint32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare.
- 10 days ago
Nurse Care Coordinator Manager (RN) - Remote, CA License
Clarity Pediatrics · Remote · United States
About Clarity PediatricsClarity Pediatrics is reimagining pediatric chronic care, starting with ADHD.
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