- AmeriHealth Caritas Health Plan (Wilmington, DE)
- …When necessary, cases are escalated to the Medical Director for further review . The reviewer independently applies medical and behavioral health guidelines ... Role Overview Under the direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity for inpatient and outpatient… more
- Optum (San Juan, PR)
- …internal procedure to determine the viability of the claim for further review in a production environment. Primary Responsibilities: Clinical Case Reviews -75% ... Perform clinical review of professional (or facility) claims vs. medical records...roles you may be interested in. Required Qualifications: Registered Nurse (RN), Coding Certificate or Nursing Licensure, for example:… more
- Integrated Home (Hollywood, FL)
- …paid training program What will you be doing: As a Utilization Management Nurse , you will ensure that home health care services are administered with quality, ... By continuously reviewing and auditing patient treatment files, the utilization nurse will ensure that patients won't receive unnecessary procedures, ineffective… more
- Sedgwick County (Wichita, KS)
- …medication compliance. Reviews requests for refills via fax and ePrescribe. Review medical orders. Per provider's orders, complete refills utilizing ePrescribe. ... PAP/payer sources/vouchers, or sample medications. Assist in the Injection Clinic. Review medical orders for injectable medication. Prepare clinic for the day-… more
- AMN Healthcare (Pleasanton, CA)
- …3+ years of home health since we need someone very well versed in the HH setting to make UM decisions. Quality Coordinator exp CA LIC Preferred Qualifications Prior ... Benefits At AMN Healthcare we take care of our travelers! We offer: Competitive pay rates Free, quality, private housing Medical, Dental, Vision 401(k) and Flex Spending Life Insurance Accident and Short-term Disability Coverage Free Continuing Education Refer… more
- PACS (El Cajon, CA)
- …assigned personnel fail to report to work. Report absentee call ins to the Nurse Supervisor. Review and evaluate your department's work force and make ... the written policies and procedures established by this facility. Periodically review the department's policies, procedure manuals, job descriptions, etc. Make… more
- Geisinger (Wilkes Barre, PA)
- Job Title: Nurse Practitioner or Physician Assistant Skilled Nursing Facilty Per Diem Location: Wilkes-Barre, Pennsylvania Job Category: Physician Assistant, ... Nurse Practitioner, Advanced Practice Schedule: Per Diem Work Type:...a 4:30p Responsibilities include: Communicate with SNF staff and review patient reports Treat acute needs, admissions, discharges, etc.… more
- Geisinger (Wilkes Barre, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Wyoming Valley, Wilkes-Barre) Location: Wilkes-Barre, Pennsylvania Job Category: Inpatient RN - Registered ... Nurse , Nursing and Nursing Support Schedule: Rotation Work Type:...focused on the specialized practice setting Free Princeton NCLEX Review Questions (on-line, self paced)! Temporary Practice Permit (TPP)… more
- Compu-Vision Consulting, Inc. (Lawrenceville, GA)
- OCCUPATIONAL SUMMARY The Registered Professional Nurse at Northside Hospital independently plans and provides professional nursing care to patients in accordance ... the scope of practice as defined by the Georgia Nurse Practice Act. The American Nurses Association's (ANA) Nursing:...call to patient to assess condition, answer questions and review pathology reports as needed. Obtains pathology reports in… more
- Geisinger (Mountain Top, PA)
- Job Title: Nurse Practitioner or Physician Assistant Skilled Nursing Facility Location: Mountain Top, Pennsylvania Job Category: Physician Assistant, Nurse ... Job Summary The Geisinger Skilled Nursing Program is seeking an experienced Nurse Practitioner or Physician Assistant to rotate between Mountain Top Rehabilitation &… more
- Steel City Academies - Keystone Education Group (Fredericktown, PA)
- …Competencies, Tools & Technologies: Lesson Planning Time Management Zoom SCHOOL CERTIFIED NURSE Full-time Monday to Friday, 7:00 am to 3:00 pm Qualifications: RN, ... under the supervision and direction of a certified school nurse , to students to maintain a safe and healthy...specific grades according to Pennsylvania Department of Health guidelines. Review the immunization data on assigned students for accuracy… more
- Geisinger (Danville, PA)
- Job Title: Physician Assistant/ Nurse Practitioner Neurosurgery Location: Danville, Pennsylvania Job Category: Nurse Practitioner, Physician Assistant, Advanced ... Job Summary Geisinger's Neuroscience Institute is seeking an physician assistant or nurse practitioner to join the Neurosurgery team at Geisinger Medical Center in… more
- Veterans Health Administration (Aurora, CO)
- …accepted on an ongoing basis and will remain on file through 9-30-2025. Initial review will be conducted approximately two weeks from the release date of this ... duties as assigned. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for… more
- Embassy of Rockport (Rocky River, OH)
- …when assigned personnel fail to report to work. Report absentee call-ins to the Nurse Supervisor. Review and evaluate your department's work force and make ... our facility, and as may be required by the Director of Nursing Services or Nurse Supervisor to ensure that the highest degree of quality care is maintained at all… more
- Madera County, CA (Madera, CA)
- …FLSA: Non-Exempt Bargaining Unit: PROFS You may also qualify for Licensed Vocational Nurse I! Review the minimum qualifications and apply through the link ... below: Licensed Vocational Nurse I Under general supervision, performs a variety of...and subcutaneous injections. Coordinates and assembles client records for review by clinic staff. Charts, interprets, and executes oral… more
- State of Colorado (Denver, CO)
- …with hospital-wide mandatory training, (ie, CPR, infection control, safety, medication review , and seclusion/restraint), attending Code Blue events and drills, fire ... staff training needs and provides in-the-moment training as needed. Coordinates with Nurse Managers to provide employee orientation to new staff. Provide direct… more
- Veterans Health Administration (Johnson City, TN)
- …enhancement of nursing. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for ... Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion...Opens in a new windowLearn more about federal benefits. Review our benefits Eligibility for benefits depends on the… more
- Hunt Nursing and Rehabilitation Center (Danvers, MA)
- …resident condition. Review , investigate and document properly all incidents/accidents. Registered Nurse or Licensed Practical Nurse !! Nurse Supervisor! ... and the ability to grow in your career. Registered Nurse or Licensed Practical Nurse eligible for...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department… more
- PACS (La Grange, KY)
- …assistant, and/or a nurse aide trainee qualified to perform the procedure. Review nurses' notes to ensure that they are informative and descriptive of the ... concerning the operation of the nursing service department. Periodically review the department's policies, procedure manuals, job descriptions, etc. Make… more
- Geisinger (Scranton, PA)
- Job Title: RN - Graduate Registered Nurse (Geisinger Community Medical Center, Scranton) Location: Scranton, Pennsylvania Job Category: Inpatient RN - Registered ... Nurse , Nursing and Nursing Support Schedule: Rotation Work Type:...focused on the specialized practice setting Free Princeton NCLEX Review Questions (on-line, self paced)! Temporary Practice Permit reimbursement… more
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