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

BrightSpring Health Services is seeking a licensed Nurse Practitioner (NP) to join their team, providing primary care within Assisted Living and Home Health partnerships. This role involves performing evidence-based medical care, examining and treating illnesses and injuries, ordering and interpreting laboratory and diagnostic testing, and collaborating with healthcare professionals. The position offers competitive compensation, including a base salary range of $100,000 to $120,000 with potential earnings of $130,000+ through a monthly incentive plan, based on performance.

NURSE PRACTITIONER - APRN

Nurse Practitioner

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

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

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]

The Regional Family Nurse Practitioner at Paragon Healthcare, a proud member of the Elevance Health family, is responsible for patient care within their scope of practice in the clinical setting. This role involves administering ordered therapies, completing patient assessments, documenting patient data, and ensuring medication orders are accurate. The position requires extensive travel up to 75% of the time across multiple states, including GA, TN, AL, FL, and OH.

Regional Family Nurse Practitioner (FNP) -Paragon Healthcare

Regional Family Nurse Practitioner

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

Monogram Health is seeking skilled Nurse Practitioners and Physician Assistants to join their integrated Care Team, providing personalized, compassionate medical care to patients mainly with CKD and/or ESRD/ESKD. The role involves delivering care in patients' homes, maintaining accurate records, scheduling, and administering follow-up appointments. This position offers flexible scheduling, value-based care, competitive compensation, comprehensive benefits, and paid relocation assistance.

Nurse Practitioner - Fort Myers, FL - Nephrology

The License Professional Nurse at Sandy Park Development Center provides vital around the clock care, including nursing and medical oversight, to residents with intellectual and developmental disabilities. This role involves direct support through everyday tasks such as ADLs, risk mitigation, and following behavioral management plans tailored to individual needs. The position plays a crucial role in enhancing the quality of life for individuals by involving them in community and enrichment opportunities.

Overnight License Professional Nurse (LPN)

License Professional Nurse

The Labor and Delivery nurse at Amergis is responsible for applying the nursing process and delivering patient care in the L&D setting. This role involves working with mothers during the final stages of pregnancy, assisting with birthing, monitoring vital signs, and educating patients on post-delivery care. The nurse is expected to demonstrate critical thinking and performance ability in patient care coordination, adhere to nursing standards, and be accountable for managing patient care.

RN Labor and Delivery - DAYS

Registered Nurse Labor and Delivery

The Registered Nurse at Acadia Healthcare is responsible for providing professional nursing care to patients with a positive, empathetic, and professional attitude to foster a supportive and therapeutic environment. Patient safety is a top priority, and the role involves assessing physical and behavioral health needs, developing and implementing nursing care plans, maintaining medical records, and educating patients and their families. The position requires adherence to state Nurse Practice Act regulations, facility and corporate policies, and procedures.

RN (Nights 7p-7:30a) + Shift Differential

Registered 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)

The Licensed Practical Nurse (LPN) at the Veterans Affairs, Veterans Health Administration is responsible for delivering care to Veterans in primary care and/or specialty units. The LPN provides direct and indirect nursing care to patients and families within the clinic, functioning as a team member under the guidance of a Registered Nurse. The role involves adhering to established policies, protocols, standards of care, and standards of practice.

Licensed Practical Nurse - Patient Aligned Care Team (PACT)

Licensed Practical Nurse

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