- Elevance Health (Las Vegas, NV)
- ** Medical Management Nurse ** **Location Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... members in different states; therefore, Multi-State Licensure will be required.** The ** Medical Management Nurse ** is responsible for review of the most… more
- HCA Healthcare (Las Vegas, NV)
- …purpose and integrity. We care like family! Jump-start your career as a(an) Medical ICU Nurse CC today with MountainView Hospital. **Benefits** MountainView ... _Note: Eligibility for benefits may vary by location._ Come join our team as a(an) Medical ICU Nurse CC. We care for our community! Just last year, HCA… more
- Humana (Carson City, NV)
- …of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require ... community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Humana (Carson City, NV)
- …of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require ... and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to support the… more
- HCA Healthcare (Las Vegas, NV)
- …our colleagues in their positions. Join our Team as a(an) Clinical Registered Nurse Coordinator- MedSurg and access programs to assist with every stage of your ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...and job skills. Apply today for our Clinical Registered Nurse Coordinator- MedSurg opening and continue to learn! **Job… more
- Humana (Carson City, NV)
- …of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require ... community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- HCA Healthcare (Las Vegas, NV)
- …of care in 21 states and the United Kingdom. We are looking for a Nurse Manager of Medical Pulmonary Med-Surg for our Sunrise Hospital team- where excellence ... to be an influencer in healthcare? **Apply for our Nurse Manager Medical Pulmonary Unit Med-Surg role...Current acute clinical knowledge required. Minimum of 1 year management experience required. + Recent acute clinical experience (3… more
- HCA Healthcare (Las Vegas, NV)
- …integrity. We care like family! Jump-start your career as a(an) Clinical Nurse Coordinator Med Surg MCU today with Sunrise Hospital. **Benefits** Sunrise Hospital, ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...by location._** Come join our team as a(an) Clinical Nurse Coordinator Med Surg MCU. We care for our… more
- Cognizant (Carson City, NV)
- …to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work related to clinical ... denial management and managing clinical denials from Providers to the...Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a… more
- CVS Health (Carson City, NV)
- …and every day. **Must Reside in PST Time Zone** **Position Summary** Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, ... constituents in the coordination and administration of the utilization/benefit management function. + Typical office working environment with productivity and… more
- Veterans Affairs, Veterans Health Administration (Las Vegas, NV)
- Summary The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the revenue ... within the scope of the CPAC for revenue reimbursement. The RUR nurse applies advanced clinical knowledge, communication skills, and collaboration to promote… more
- Veterans Affairs, Veterans Health Administration (Las Vegas, NV)
- …initiatives to enhance efficiency, innovation, patient safety, and reduce medical errors. Integrates evidence-based practices into clinical interventions to ensure ... health equity. PREFERRED EXPERIENCE IS LISTED BELOW. Master's degree in Nursing, Clinical Nurse Leader track, or completion of a post graduate CNL program Certified… more
- ERP International (Nellis AFB, NV)
- **Overview** ERP International is seeking a full time Psychiatric Certified ** Nurse Practitioner (NP)** in support of the **Mental Health** clinic, Mike O'Callaghan ... Military Medical Center at Nellis AFB, NV. **Be the Best!**...We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in… more
- HCA Healthcare (Las Vegas, NV)
- …Degree + American Nurses Credentialing Center - RN Certified, or Board Certified Medical Surgical Registered Nurse , or Certified Medical -Surgical Registered ... We care like family! Jump-start your career as a(an) Clinical Nurse Coordinator Med Surg today with MountainView Hospital. **Benefits** MountainView Hospital,… more
- Gentiva (Carson City, NV)
- …Partnerships. Transform Hospice Care.** We are seeking a dedicated Hospice Nurse Practitioner to perform Face-to-Face (F2F) encounters essential for hospice ... + Document clinical findings accurately and attest F2F encounters in patient medical records. + Utilize Local Coverage Determination (LCD) criteria per hospice… more
- HCA Healthcare (Las Vegas, NV)
- …apart from any other healthcare provider. We are seeking a(an) Clinical Nurse Coordinator OR to join our healthcare family. **Benefits** MountainView Hospital, ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want… more
- Humana (Carson City, NV)
- …the medical and behavioral health spectrum. They will also coordinate with other Medical Management programs (DM/PN) as needed, in addition to MTF UM / CM ... Manager will be a member of the In-Home Case Management Team, providing a comprehensive, holistic approach for case...achieve desired clinical outcomes and to enhance quality of medical care. The **Telephonic Nurse Case Manager**… more
- Gentiva (Reno, NV)
- …or healthcare admissions + Bachelor's Degree and/or Certified Hospice and Palliative Nurse (CHPN) certification + Background in case management , care ... patients understand their options at a vulnerable time? As a Hospice Admissions Nurse , you'll be the face of our care-helping families say "yes" to compassionate… more
- Humana (Carson City, NV)
- …of the appropriate courses of action. The Utilization Management Behavioral Health Nurse 2 completes medical record reviews from medical records sent ... community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical...determination of the appropriate courses of action. + Complete medical record reviews + Assess discharge plans + Review… more
- BAYADA Home Health Care (Las Vegas, NV)
- …receive the medical care required to remain at home. **Registered Nurse (RN) Benefits:** + To learn more about BAYADA Benefits, click here ... Health at Home by BAYADA** is seeking a compassionate and dedicated **Full Time** **Registered Nurse , RN** to join our team and work with adult and senior clients on… more