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

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

Registered Nurse - Review Analyst

Sequence Health is seeking a part-time Triage Nurse to provide nursing and administrative support to a range of practices across the country. The role involves receiving and making inbound calls from patients, providing clinical assessments and triage based on established protocols, and offering administrative support for patients' and providers' needs. The ideal candidate will have strong computer and phone skills, excellent communication abilities, and the ability to work independently.

Triage Nurse (Telehealth) [Part-Time]

Triage Nurse

The Correctional RN at Amergis works in collaboration with healthcare professionals, correctional officers, and administrators to ensure the well-being of the incarcerated population. This role involves providing routine and emergency healthcare in a correctional facility setting, utilizing the nursing process to assess, plan, implement, and evaluate patient care.

RN Corrections

Registered Nurse Corrections

The Registered Nurse for the Minimum Data Set at Ascension Living is responsible for collecting data for use in determining care plans, ensuring the accuracy of patient charts and medical data, and participating in the CMS survey process. This role is part of an interdisciplinary team and requires current knowledge of federal, state, and local standards and regulations for long-term care. The position is remote and offers a variety of benefits, including paid time off, health insurance options, retirement benefits, and more.

RN-Minimum Data Set

Registered Nurse - Minimum Data Set

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

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

UC Health is seeking a Registered Nurse (RN) for Denials/Charge Audits in the Perioperative department. This remote position involves supporting data analysis, data mining, and quality monitoring to improve quality of care, service levels, revenue realization, and cost effectiveness. The role offers a work-from-home schedule and a culture that values success and growth.

Registered Nurse (RN), Denials/Charge Audits, Perioperative, First Shift

Registered Nurse, Denials/Charge Audits

The Supervisor Nurse Abstraction at Saint Luke's Health System is a full-time, remote position responsible for supervising a team of Nurse Abstractors in Cardiology Clinics. This role involves aligning and coordinating teams, managing staff schedules, providing new-hire and ongoing training, conducting competency audits, and reviewing PMPs. The position requires a strong cardiology background, attention to detail, and the ability to improve patient care through effective team management.

Supervisor Nurse Abstraction

The Digital Care RN at OSF HealthCare provides digital care to a diverse population of patients across OSF through technology across a variety of environments. This role involves comprehensive symptom assessment, patient education, preventative care, acute psychosocial support, and timely individualized age and developmentally appropriate care for patients. The RN utilizes critical thinking, evidenced-based care, and clinical decision support to guide practice, and performs ongoing communication to promote quality of care through collaboration with all care team members, patients, and families. This is a fully-remote position after training and orientation are complete.

RN Digital Triage

Digital Care Registered Nurse

The Registered Nurse Psychiatric at Amergis is responsible for providing comprehensive care to individuals, families, and communities in a psychiatric facility setting. This role involves a wide range of nursing, psychosocial, and neurobiological expertise, including assessment, diagnosis, treatment of mental health and substance use disorders, and promoting well-being through prevention and education. The position requires critical thinking, effective clinical judgment, and the ability to work in various settings.

RN Psychiatric | $2182 Weekly in Huntington, WV!

Registered Nurse Psychiatric

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

Health Advocates Network is seeking a Registered Nurse specialized in telehealth. The role involves providing exceptional customer service and healthcare staffing, with opportunities ranging from Per Diem to Travel Contracts. The company offers comprehensive benefits, competitive pay, and educational opportunities, aiming to improve healthcare staffing and support the career advancement of healthcare professionals.

RN - Tele

Registered Nurse - Tele

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

IntellaTriage is seeking a Hospice Triage LPN to join their team, offering a remote work opportunity with a focus on end-of-life care. The role involves working from home to provide care without the stress and expense of commuting, with a requirement to have or obtain a Compact LPN license and experience in hospice, palliative, or end-of-life care. The position includes a weekday shift and rotating weekend shifts, requiring high speed internet, tech savviness, and the ability to work in a fast-paced environment.

Remote Hospice Triage LPN- PT 1 shift 3:30p-12a +rotating Sat & Sun 3:30-12a

Hospice Triage LPN

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Registered Nurse (Med Surg) Jobs in Flatwoods, KY Hiring Now

Registered Nurse RN - Utilization Review PRN