The Registered Nurse for PreCert and Appeals at ProMedica Health System performs prior authorization/certification of scheduled services with payers and assists with the appeal process when needed. This role involves clinical review and document submission for oncology treatments plans and services, interfacing with payers on plan medical coverage policies, and managing denial reports. The position is remote, ideally within 120 miles of Toledo, OH, and requires a nursing degree, 2 years of clinical experience, and familiarity with ICD10 and CPT codes.

RN / Registered Nurse - PreCert and Appeals - Remote - Per Diem - Days

Registered Nurse - PreCert and Appeals

A large healthcare insurance company local to the Philadelphia area is seeking a fully remote Case Management RN to join their Care management team. The role involves telephonic or onsite review of hospital admissions, determining alternative settings when appropriate, promoting efficient and high-quality use of the healthcare delivery system, and facilitating timely and dynamic discharge planning. The RN will collaborate with the hospital utilization review department, attending physicians, and members/families as appropriate.

Utilization Management RN - REMOTE (PA, NJ, DE)

Utilization Management Registered Nurse

Burrell Behavioral Health is seeking a Licensed Practical Nurse (LPN) for their Virtual Clinic. This remote position involves providing nursing services to patients virtually, supporting residential care facilities, behavioral health, and/or substance use disorder treatment programs. The ideal candidate will be passionate about virtual healthcare and have experience managing incoming clinic phone calls.

Clinic Nurse - Telephone

Licensed Practical Nurse

Maxim Healthcare Services is hiring a Licensed Practical Nurse (LPN) to work with Pediatric and/or Adult patients in their own homes. This role involves utilizing the nursing process to assess, plan, implement, and evaluate patient care, providing skilled nursing care in accordance with prescribed orders, and assessing signs and symptoms indicating physiologic and psychosocial changes in the patient's condition.

LPN - Bedside Care - $70,000 Targeted Salary

The Infusion Referral Nurse is responsible for performing referral services to support independent physician offices in maintaining member drug infusions in office or to help offices locate a lower cost alternative treatment site. This role involves discussing financial and clinical considerations with members, researching financial programs to decrease out-of-pocket expenses, and coordinating lower cost sites of service for drug administration if necessary. The position requires critical thinking to optimize treatment outcomes and maintain member satisfaction.

Infusion Referral Nurse- REMOTE

Infusion Referral Nurse

The Registered Nurse Applicant at Fresenius Medical Care North America functions as part of the hemodialysis health care team under the direction or supervision of a Staff Registered Nurse. This role is responsible for ensuring quality patient care on a daily basis in accordance with FMS policies, procedures, and training. The RN Applicant supports the FMCNA's mission, vision, values, and customer service philosophy, as well as participating in process improvement activities and adhering to all requirements of the FMCNA Compliance Program.

Pre-Licensed Registered Nurse

Registered Nurse

BrightSpring Health Services is seeking a licensed Nurse Practitioner (NP) to join their team for home-based medical care. The role involves performing evidence-based medical care, examining and treating chronic and urgent illnesses, ordering and interpreting laboratory and diagnostic testing, and collaborating with healthcare professionals. This position offers competitive compensation, flexible scheduling, and opportunities for professional growth.

HOUSE CALLS NURSE PRACTITIONER - FNP/AGNP - APRN

House Calls Nurse Practitioner

Consulate Health Care of Williamsburg is seeking full-time and part-time Licensed Practical Nurses (LPNs) to join their team. The role involves providing high-quality nursing care to residents, collaborating with the healthcare team to implement individualized treatment plans, supervising CNAs, and overseeing fall-risk and pressure ulcer prevention programs. The position offers competitive wages, excellent benefits, and opportunities for career development.

Licensed Practical Nurse - LPN

The Emergency Department (ED) Registered Nurse (RN) at Bon Secours Mercy Health's Mary Immaculate Hospital provides, coordinates, plans, and evaluates nursing care, and supervises licensed and unlicensed associates in nursing care delivery within established nursing procedures, professional standards, and organizational policies/philosophies. This role involves caring for a group of patients in a fast-paced, high intensity setting as part of an interprofessional team focused on achieving the best individual patient and population outcomes.

Registered Nurse (RN) - Emergency Department - Mary Immaculate Hospital

Registered Nurse - Emergency Room

The Licensed Practical Nurse (LPN) at Newport News Nursing & Rehab Center, part of Consulate Healthcare, provides direct patient care to residents and patients, assisting them in activities of daily living under the supervision of a professional nurse. This role involves implementing individualized treatment plans, supervising Certified Nursing Assistants, and overseeing programs such as Falls and Pressure Sore. The position offers competitive pay, shift differentials, a $250 Perfect Attendance Bonus raffle, and opportunities for growth.

Licensed Practical Nurse (LPN)

LPN - $1,360 Paid Weekly

The Clinical Referral Nurse at Sutter Health acts as the in-office clinical liaison, representing the agency via telephone to receive and process referrals for patient care within the regional home health referral management team. This role involves interactions with various referral sources, including hospitals, physicians, and the general public, to ensure timely and consistent admissions. The nurse enters referral information into the Electronic Medical Records (EMR) and creates initial orders to facilitate the start of care. This position requires excellent customer service skills, clinical knowledge, and the ability to work closely with multiple teams to facilitate patient care.

Clinical Referral Nurse

The RN Care Coordinator at Crouse Medical Practice is responsible for coordinating all systems/services required for an organized, multidisciplinary, patient-centered care team approach. This role ensures quality, cost-effective care for the identified patient population by managing the course of treatment in collaboration with physicians, nurses, other staff, and community health care providers. The position involves directing LPN Care Coordinators and participating in Patient Centered Medical Home activities.

Registered Nurse Care Coordinator

Rising Medical Solutions is seeking a part-time Nurse Auditor to join their team. The role involves reviewing medical bills from a nurse's perspective, ensuring appropriate billing, coding, and treatment, and negotiating bills as required. The position offers the opportunity to make a significant impact in medical cost containment, with a focus on maximizing client savings. This remote role requires an active professional nursing license, specialized training in hospital coding, and 3-5 years of clinical experience in acute care, surgery, or orthopedics.

Nurse Auditor - Medical Bill Review (Part-Time, Remote)

Nurse Auditor

OptiMindHealth is seeking compassionate Psychiatric Nurse Practitioners to join their team in Brookline, Massachusetts. This full-time position offers a competitive salary, medical benefits, a paid malpractice policy, CEU reimbursement, paid time off, and more. The role involves participating in an integrated care team, customizing care for each patient, and working from or close to home with the option to work remotely.

Psychiatric Nurse Practitioner (PMHNP-BC) - Brookline, MA

Psychiatric Nurse Practitioner

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