As a Quality Management Nurse Consultant at CVS Health, you will be responsible for the review and evaluation of clinical information and documentation. This role involves interpreting data from clinical records or systems, applying clinical criteria and policies in line with regulatory and accreditation requirements, and coordinating clinical resolution. The position is full-time, remote, and requires adherence to company policies regarding confidentiality.

Quality Management Nurse Consultant

SteadyMD is seeking Nurse Practitioners with licensure and residency in at least one of the states (TX, CA, WA, AZ, UT, CO), and 5 years of primary care experience for a potential role in providing virtual patient care. The role involves conducting initial intake evaluations, reviewing labs, prescribing weight loss medications, and managing prescription refills and chronic condition management. This fully remote position offers a flexible schedule and a 1099 contract opportunity at $60/hour.

Nurse Practitioner (Primary Care, Remote)

Nurse Practitioner

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

Nurse Advice Line staff nurses at Children's Mercy provide telephone triage, illness management, and health promotion for patients and families. They utilize the nursing process, knowledge of scientific principles, and triage protocols to offer safe, high-quality, comprehensive, and age-appropriate nursing care via the telephone. This role is part of a 24/7 team and involves patient and family education, as well as advocating for their needs.

Staff Nurse - Nurse Advice Line - 24/7 Team

Staff Nurse - Nurse Advice Line

The Nurse Aide Training program at Hickory Creek Healthcare offers a paid job opportunity to become a Certified Nurse Aide (CNA) without any previous work experience required. The program includes 30 hours of classroom and 75 hours of on-the-floor clinical training. Successful completion leads to a career in nursing with additional pathways and opportunities available.

Nurse Aide in Training

The Clinical Correspondence Review Nurse is responsible for performing quality reviews of written clinical determination letters to ensure adherence to Federal laws, CMS and Medicaid regulatory guidelines, and NCQA accreditation standards for assigned Medicare, Medicaid, or Marketplace programs. This role requires a RN license, UM experience, and strong typing and writing skills. Bilingual candidates fluent in Spanish are encouraged to apply. The position is remote with a work schedule of Monday to Friday, 8:00 AM to 5:00 PM PST, and offers a competitive benefits and compensation package.

UM Clinical Correspondence Review Nurse Bilingual-Spanish Remote

Clinical Correspondence Review Nurse

315 Health is seeking a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention, and management of their health through continuous care programs like Remote Patient Monitoring and Chronic Care Management. The role involves educating patients on in-home monitoring devices, creating personalized care plans, identifying barriers to success, providing specific education and coaching on chronic conditions, and serving as the patient's first contact for non-emergent needs. The position requires an active and unrestricted Georgia RN License, at least three years of experience in adult health, and proficiency in electronic medical records.

Remote Registered Nurse (Remote Patient Monitoring & Chronic Care Management)

Registered Nurse

Woodlawn Health is seeking a Registered Nurse to join their team in Fulton and Marshall County, Indiana. This role involves performing duties inherent to a RN in the respective department, including patient assessments, coordination of care, and administering treatments and medications. The position offers a sign-on bonus, tuition assistance, loan forgiveness, and certification pay, among other benefits.

Registered Nurse - Nights

Molina Healthcare Services (HCS) is seeking a Registered Nurse Case Manager for their Complex Adult Case Management program. This remote position, based in New York, involves supporting members with high need potential by assessing, facilitating, planning, and coordinating integrated delivery of care across the continuum, including behavioral health and long-term care. The role requires a nurse with previous case/care management and managed care experience, preferably with knowledge of managing complex/chronic medical conditions and community resources for social determinants of health concerns.

Registered Nurse Case Manager Complex Care Remote in New York

Registered Nurse Case Manager Complex Care

The Licensed Practical Nurse at Logansport State Hospital, a state-operated inpatient psychiatric hospital for adults, is responsible for the daily care of patients, including prioritizing and organizing patient care, making patient care assignments, assisting in creating treatment plans, providing ongoing assessment and documentation of patients' physical and psychosocial status, administering medications and treatments, and educating patients and family members. This role requires an Associate degree in Nursing, a Licensed Practical Nurse license in Indiana, and proficiency in computer skills.

Licensed Practical Nurse

Molina Healthcare Services (HCS) is seeking a Registered Nurse Case Manager for its Maternity Care Management program. This remote position, based in the Western NY region, involves supporting members through their maternity care journey, including prenatal, birth, and postpartum care. The role includes comprehensive assessments, developing and implementing care plans, conducting home visits, and ensuring quality, cost-effective care. New York RN licensure is required, and bilingual Spanish speakers are encouraged to apply.

Registered Nurse Case Manager Maternity Care Remote In New York

Registered Nurse Case Manager Maternity Care

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

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

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

Trusted Resource Associates (TRA) is seeking a local contract nurse RN specializing in Utilization Review for a 13-week contract job in Modesto, California. The role involves facilitating care along a continuum through effective resource coordination to help patients achieve optimal health, access to care, and appropriate utilization of resources. This position requires managing the medical necessity process for accurate and timely payment for services, which may involve negotiation with payers on a case-by-case basis.

Local Contract Nurse RN - Utilization Review - $84 per hour

Contract Nurse RN - Utilization Review

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