AmeriHealth Caritas is seeking a Care Manager II Registered Nurse for their Foster Care Program in South Carolina. This remote position requires a BSN and an unrestricted RN license in South Carolina or a compact state. The role involves engaging directly with members through face-to-face visits in the community, monitoring and updating care plans, and collaborating with healthcare professionals to ensure members receive comprehensive care. The ideal candidate will have experience in pediatric home care or acute care, and preferably in the Foster Care System, Department of Social Services, or Department of Juvenile Justice.

REMOTE | CARE MANAGER II REGISTERED NURSE (BSN) - FOSTER CARE PROGRAM -SC

Care Manager II Registered Nurse

Nemours Children's Health is seeking an experienced pediatric telephone triage nurse to support our primary care practices in Delaware, Pennsylvania, and Florida. This casual (8 hours/week), fully remote position involves self-scheduling, including one shift every other weekend and two holidays per year. The role includes providing primary care patients with telephone access to a registered nurse for medical concerns during office hours, escalating to the on-call physician when necessary, and ensuring continuity of care through communication with the health team.

Telephone Triage Nurse (Casual) - Telehealth

Telephone Triage Nurse

Skyline Med Staff Home Health is seeking a travel nurse RN specializing in Home Health for a travel nursing job in Paducah, Kentucky. The role involves working 40 hours per week with 8-hour shifts during the day. This position is designed for those looking to travel and work in different locations, offering a unique opportunity to explore new places while maintaining a career in healthcare.

Travel Nurse RN - Home Health - $1,758 per week

Travel Nurse RN - Home Health

Malone Healthcare - Nursing is seeking a travel nurse RN specializing in Med Surg / Telemetry for a travel nursing job in Paducah, Kentucky. The role involves working 36 hours per week with 12-hour shifts, which may be during the day or night. This position offers a variety of benefits, including weekly pay, holiday pay, guaranteed hours, and a comprehensive benefits package.

Travel Nurse RN - Med Surg / Telemetry - $2,362 per week

Travel Nurse RN - Med Surg / Telemetry

Trusted Resource Associates (TRA) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Modesto, California. The RN Case Manager is responsible for facilitating care along a continuum through effective resource coordination to help patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources. This position involves managing the medical necessity process for accurate and timely payment for services, which may require negotiation with a payer on a case-by-case basis.

LOCAL CONTRACT NURSE RN - UTILIZATION REVIEW - $84 PER HOUR

Utilization Review Nurse

The Registered Nurse - Utilization Review at Ascension St. Vincent's Birmingham is responsible for providing health care services regarding admissions, case management, discharge planning, and utilization review. This role involves reviewing admissions and service requests for medical necessity, providing case management for complex cases, assisting staff with coding, documentation, and reimbursement issues, and overseeing compliance with utilization management rules. The position requires at least 3 years of acute care experience and utilization management experience.

Registered Nurse RN - Utilization Review  PRN

Registered Nurse - Utilization Review

Oakview Nursing and Rehabilitation Center, part of Signature HealthCARE, is seeking a Registered Nurse to join their team. This role involves providing direct and compassionate care to patients and residents, supervising nursing assistants, and operating in accordance with federal, state, and local standards. The ideal candidate will thrive in a team environment, enjoy delivering excellent care, and build lasting relationships.

Registered Nurse (RN)

Registered Nurse

The Registered Nurse - Review Analyst at W3R Consulting will perform prospective, concurrent, and retrospective review of inpatient, outpatient, ambulatory, and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service, and level of care, including appeal requests initiated by providers, facilities, and members. This role may also involve establishing care plans and coordinating care through the healthcare continuum, including member outreach assessments.

Registered Nurse - Review Analyst

Two immediate vacancies for dedicated registered nurses in Irving, Texas, working remotely. The role involves using Axxess software for home health care, including start of care, revisits, and discharges. The nurse will collaborate with other healthcare professionals to ensure comprehensive patient care.

Remote Home Health Nurse

Remote Licensed Registered Nurse for Home Care

Maxim Healthcare Services is hiring a Licensed Practical Nurse (LPN) to work with a pediatric patient in the home setting in the Paducah area. The 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. Full-time, part-time, and prn shifts are available.

Pediatric Vent Nurse

Licensed Practical Nurse

The Clinical 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 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. Responsibilities include assessing patients' needs, appropriately disposing of cases, collaborating with clinic and hospital-based providers, and performing nursing follow-up activities.

Clinical Triage Nurse - Work From Home

Clinical Triage Nurse

Healthcare Support is seeking a local contract nurse RN specializing in Home Health for a 13-week contract job in Paducah, Kentucky. The role involves working 40 hours per week on 8-hour day shifts. This position requires a BLS certification from the American Heart Association and at least 1 year of recent experience in the field.

Local Contract Nurse RN - Home Health - $45-50 per hour

Contract Nurse RN - Home Health

The Payment Integrity RN at Cambia Health Solutions, Inc. is responsible for conducting post-service review of claims in prepayment, post-payment, or audit capacity to ensure appropriate clinical review, reimbursement of claims, and accuracy of coding. This role involves applying internal medical and reimbursement policies, as well as correct coding guidelines based on national standards, all in service of making members' health journeys easier. The position offers the opportunity to work from home within Oregon, Washington, Idaho, or Utah.

Payment Integrity RN

Payment Integrity Registered Nurse

The Triage Nurse (RN) at CenterWell is responsible for assessing patients' health problems and needs, developing and executing nursing care plans, and assisting in maintenance of patient medical records. This role involves varied work assignments that require interpretation and independent determination of appropriate courses of action. The position is remote and telephonic, focusing on evaluation of patients with ambulatory diagnoses as well as possible acute conditions and medication refills, in partnership with the center's mid-levels and PCPs.

Triage Nurse - CenterWell - Eastside

Triage Nurse

We are seeking a Registered Nurse Coder to join our team in the healthcare industry, working remotely with EST hours. This role involves working on a COC/SPD project to build out the coding for our benefit plans, utilizing clinical knowledge and coding skills to support project deliverables. The position offers an opportunity to work in a thriving sector and contribute to the team's objectives.

Registered Nurse Coder

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