The Clinical Nurse Educator at Amgen is a field-based position responsible for supporting patients prescribed ACTIMMUNE. This role involves providing logistical and educational assistance to patients, caregivers, and office staff, including physicians, nurses, and social workers. The CNE will work closely with patients and families, as well as healthcare professionals, to address barriers to patient medication access and improve adherence. The role requires collaboration with numerous internal teams to offer education and resources on insurance processes and treatment access.

Clinical Nurse Educator (Rare Disease)

Clinical Nurse Educator

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 Utilization Review Nurse is responsible for reviewing Workers Compensation requests submitted by providers, requestors, claimants, or carriers to determine the medical necessity of the treatment. This role involves utilizing clinical expertise and evidence-based treatment guidelines, performing evaluations of medical data, and coordinating information between all parties involved. The position is remote but requires living in the state of Florida.

Utilization Review Nurse (Injured Workers)

Utilization Review Nurse

Oscar Medical Group is seeking a Registered Nurse Lead to join their Primary Care team. This role involves managing a team of clinicians, working with a care team of Physicians, Advanced Practitioners, Social Workers, and Medical Assistants to provide collaborative care. The position is remote, requiring the candidate to reside in specific states, and offers a blended work culture with a focus on personalized healthcare goals.

RN Lead, Oscar Primary Care

Registered Nurse Lead

Adelphi Medical Staffing is seeking an autonomous Psychiatric Nurse Practitioner (PMHNP) to provide virtual psychiatric services to adolescents and children, and conduct primary care screenings at multiple clinics in Petersburg, Virginia. This contract position involves a telehealth shift schedule of one day per week, offering an opportunity to contribute to global health initiatives, embrace lifelong learning, increase earnings, and learn from seasoned professionals.

NURSE PRACTITIONER (NP) - PSYCHIATRY IN PETERSBURG, VA - EXCELLENT BENEFITS 2024-07-14

Psychiatric Nurse Practitioner

The Utilization Management Review Nurse will conduct reviews for hospitalizations, post-acute admissions, prior authorizations, and appeals, using national standard guidelines to determine if the clinical information meets criteria. This role involves working collaboratively with medical directors and case managers, assessing and planning healthcare services for members, and communicating with providers to facilitate care. The position is full-time, remote, and requires strong organizational, communication, and multitasking skills.

Utilization Management Review Nurse

The Nurse Manager at WellGuide Health will manage the utilization management team and case management team, including prior authorization, utilization review, appeals, and case management. This role involves close collaboration with the director of clinical operations and focuses on enforcing policies, conducting chart audits, monitoring productivity, and addressing staffing and training needs. This is a full-time remote position that may require working evenings, weekends, and holidays.

Nurse Manager

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

Eleanor Health is seeking a Psychiatric Nurse Practitioner to join their treatment team, providing direct patient care for MAT, substance use, and other psychiatric disorders via telemedicine. The role involves working closely with the Practice Administrator, Regional Medical Leader, and other team members to integrate medical services with whole-person support services, ensuring compliance with laws and regulations, and participating in continuous quality improvement initiatives.

Psychiatric Nurse Practitioner, PMHNP

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

The Overreader Nurse role at Open Systems Technologies is a fully remote position focused on quality checking Field Data Collection nurses through HEDIS experience. This 3-month contract position requires previous HEDIS experience, availability for at least 8 hours a day, flexibility to travel for medical record reviews, and basic knowledge of various software tools. The role involves contacting and scheduling provider offices, traveling to onsite medical record reviews, and performing medical record abstraction into databases.

Overreader 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

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

Mobile Healthcare Partners is seeking skilled Chronic Care Management Nurses (LVN, LPN, RN) to provide telephonic Care Management for patients throughout the health system under the direction of their provider. This role involves utilizing the nursing process to evaluate patient needs, provide guidance and education, and liaise between the patient, their family or caregiver, provider, and other healthcare entities. The position offers a flexible scheduling and work from home setting, with a focus on geriatric healthcare and chronic disease management.

Chronic Care Management- Nurse

Chronic Care Management Nurse

As a Psychiatric Mental Health Nurse Practitioner at Tia, you will play a foundational role in setting the tone for mental health care delivered in a virtual primary care setting. You will work closely with a multidisciplinary team, conducting psychiatric assessments, diagnosis, treatment planning, medication management, and referrals. This role involves collaborating to weave the mental health perspective into educational offerings, providing clinical support, and staying abreast of current trends and best care practices.

Virtual Psychiatric Nurse Practitioner (Full-Time) (California Licensed)

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