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

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

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.

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 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

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 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

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 Licensed Practical Nurse to work at a facility in Vandalia, IL. These are registry positions offering a pay rate of $51 per hour, with the opportunity to work all shifts. The role involves providing general nursing care to patients, administering prescribed medications and treatments, preparing equipment, and aiding physicians during treatments and examinations. The nurse will also observe patients, record significant conditions and reactions, and notify supervisors or physicians of patient's condition.

Licensed Practical 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

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Registered Nurse Jobs in Vandalia, IL Hiring Now