The Registered Nurse Evidence Based Practice Specialist at Bon Secours Mercy Health is responsible for assisting in the development of infrastructure to support Evidence Based Practice (EBP), supporting the development of EBP ideas and projects, maintaining a repository and communication plan for EBP projects, and facilitating programming to support EBP capacity. This role involves working closely with organizational leaders to improve healthcare outcomes by translating nursing research/EBP and QI projects into practice, mentoring others in evidence-based decision making, and seeking collaborative publication and presentation opportunities.

Registered Nurse (RN) - Evidence Based Practice (EBP) Specialist  - Remote

Registered Nurse Evidence Based Practice Specialist

As a Clinical Appeals Nurse at R1 RCM, you will serve as an expert on appeals and denials management, reviewing patient clinical and hospital course documentation, payer policy, and denial information to prepare appropriate written documents and represent client hospitals during hearings if needed. This role requires experience in a clinical inpatient environment, proficiency in basic computer skills, and the ability to use sound judgment in reviewing clinical documentation supporting patient care.

Clinical Appeals Nurse

The Utilization Management Manager at Dartmouth Health is responsible for overseeing the utilization review program across multiple hospitals, ensuring regulatory compliance and appropriate financial outcomes. This role involves collaboration with program medical directors, care teams, and health plans, as well as leading departmental performance improvement activities. The position offers the option to be fully remote and requires strong communication and analytical skills.

Utilization Management, Manager. Registered Nurse, RN

Utilization Management Manager, Registered Nurse

As a Utilization Review Nurse at R1 RCM, you will perform initial admission and continued stay reviews utilizing InterQual or Milliman to identify and support the appropriate level of care. This role involves determining appropriate cases for review, ensuring appropriate orders and clinical documentation are in place, and adhering to established quality, timeliness, and productivity outputs. The position requires experience in a clinical inpatient environment and hospital-based utilization or case management, as well as proficiency in basic computer skills. This is a remote position with a flexed weekday schedule and some weekend requirement.

Utilization Review Author

Utilization Review Nurse

Wellpath is seeking qualified individuals for the positions of Licensed Practical Nurse/Paramedic and Registered Nurse for a Correctional Nursing Virtual Hiring Event in Martinsville, VA. These positions offer the opportunity to make a significant impact in the lives of the underserved, with a focus on providing high-quality healthcare in a correctional setting. The event is designed to connect interested candidates with the recruiter to discuss available roles and benefits.

Correctional Nursing Virtual Hiring Event - September 18, 2024 - 1p-3p

Licensed Practical Nurse/Paramedic

Join Burrell Behavioral Health as a Nurse Care Manager, a role that involves making a meaningful impact on patient health outcomes by providing vital education and support to clients with complex medical conditions. This remote position, based in Joplin, Missouri, offers the opportunity to work with a multidisciplinary team, develop wellness and prevention initiatives, and advance your career in a supportive environment. The role includes developing personalized treatment plans, facilitating health education groups, managing hospital admissions and discharges, and implementing health technology programs.

DD Nurse Care Manager-RN/LPN -Hybrid (Joplin and surrounding areas)

Nurse Care Manager

The Nurse Navigator 1 at the University of Miami is responsible for triaging new patient appointments, assessing barriers to care, educating patients on treatment plans, and supporting them throughout the care continuum. This role involves collaboration with a multidisciplinary team to ensure the best treatment for patients, implementing healthcare policies, and mentoring healthcare professionals. The position requires a Bachelor's degree, RN licensing, and 2-3 years of relevant experience.

Nurse Navigator 1 - Site Disease Group - Remote - Full Time

Nurse Navigator 1

The Hospice/Home Health After Hours Triage Nurse at Sutter Health aids patients in obtaining the correct level of care with the appropriate provider at the right time. This role involves providing advance clinical telephone support to Sutter Health patients, other callers, in-basket and other remote support for physicians, and limited in-clinic support. The nurse uses the nursing process, input from physicians, and Sutter Health's approved telephone nursing guidelines and protocols to maintain highly efficient operations, provide quality care, and ensure positive patient outcomes.

HOSPICE/HOME HEALTH- AFTER HOURS TRIAGE NURSE

Hospice/Home Health After Hours Triage Nurse

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Regional Nurse Jobs in Montezuma, GA Hiring Now