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

Treva Workforce is seeking a travel nurse RN specializing in Home Health for a travel nursing job in Ludington, Michigan. 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 a dynamic environment while still providing high-quality care in a home health setting.

Travel Nurse RN - Home Health - $1,577 per week

Travel Nurse RN - Home Health

Supplemental Health Care is seeking Registered Nurses with experience in OASIS/Medicare Certified Visits for contract assignments in Ludington, Michigan. These positions are designed for both local and travel nurses, offering a 12-week contract with an average expectation of 30 units of productivity per week. Nurses will be paid by the hour, not by the visit, and will have a designated territory of coverage. This role requires a minimum of 1 year of recent home health nursing experience.

Travel Nurse RN - Home Health - $1,962 per week

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

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

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

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

The Utilization Review Nurse is responsible for the review of precertification admission and concurrent reviews for the appropriateness of the inpatient setting utilizing InterQual criteria. This role involves entering or referencing data via PC, collaborating with facilities, providers, and Medical Directors, and requires excellent written and oral communication skills. The position is remote, with a work location in Detroit, MI, and is a 10-month contract job type.

Utilization Review Nurse

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

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 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

Interim HealthCare Staffing is seeking Licensed Practical Nurses (LPNs) and Registered Nurses (RNs) with a passion for providing exceptional patient care. This role offers a unique opportunity to work in various facilities, gaining new experiences and skills to grow your nursing career. The position includes flexible assignments, no weekend requirements, and the ability to choose your facility, with competitive salary, benefits, and a sign-on bonus.

LPN and RN Positions

Licensed Practical 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

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

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