LocationNew York, New York Shift:Day (United States of America) Description: Feel the Pulse of Amazing Things Cardiac Nurses Make It Possible Staff Nurse - RN - hybrid EP/ Cardiac Cath Lab - Days -Full time Cardiac nursing
JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired
JOB DESCRIPTION Fully remote opportunity requiring an active Illinois nursing license. The role operates Monday through Friday from 9:30 AM to 6:30 PM CST and requires prior experience in Utilization Management (UM) and the application of
Employment Status:Full time Shift:Day/Evening/Night (United States of America) Facility:1906 Belleview Ave SE - Roanoke Requisition Number:R159653 RN - Hybrid Critical Care (Open) How You’ll Help Transform Healthcare:8 South Radius PCU is a 12-bed medical-surgical ICU utilizing Internal Medicine
JOB DESCRIPTION This RN will act as a Care Review Clinician supporting our Medicare members who have recently been admitted to this hospital. The Medicare will support them to ensure a successful transition from inpatient to discharge
JOB DESCRIPTION This RN will act as a Care Review Clinician supporting our Medicaid members who have recently been admitted to this hospital. The Medicaid will support them to ensure a successful transition from inpatient to discharge
The Role We’re thrilled to offer an exciting opportunity for experienced nurses with backgrounds in Intensive Care, Critical Care, Coronary Care, or Remote Nursing to join our dynamic Urgent Care Centre in Fairfield. Urgent Care Centres
JOB DESCRIPTION This RN will act as a Care Review Clinician and provide clinical review support for Medicare inpatient utilization management activities. Conducts medical necessity reviews of inpatient admissions and ongoing services using established clinical guidelines, Medicare
JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes
JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired
JOB DESCRIPTION Fully remote opportunity requiring an active Illinois nursing license. The role operates Monday through Friday from 9:30 AM to 6:00 PM CST (30-minute lunch) or 9:00 AM - 6:00 PM CST (1 hour lunch)
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united
JOB DESCRIPTION This position will support the Arizona state Plan. We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience with UM and prior authorization with both inpatient and outpatient. Candidates
At Trinity Medical Solutions, we provide logistics support for organ donations, and transplantation teams dedicated to saving lives! As a trusted partner and the nation’s largest organ donation and transplantation logistics provider, our mission is clear:
JOB DESCRIPTION This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully remote. Excellent computer skills and attention to detail are very important to multitask between systems, talk with providers
Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track
JOB DESCRIPTION Job Summary Provides support for inpatient and outpatient clinical claim review activities. Verifies that coded diagnoses, procedures, revenue codes, and corresponding reimbursement methodologies accurately reflect the members documented clinical condition, services rendered, and billed
Overview Who We Are Because health is personal. Thats why Personify Health created the first and only personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. We serve
At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We
Department: Status: Part time Benefits Eligible: Yes Hours Per Week: 32 Schedule Details/Additional Information: Pay Range:$35.50 - $53.25 Schedule: Part-time, either 3 (10 hour) shifts or 4 (8 hour) shifts. Day hours available. Every fourth weekend