Medical Review Nurse II - Plantation

Provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements Molina policies and procedures and medically appropriate clinical guidelines. · ...

We are seeking a highly skilled Clinical Reviewer (RN) to join our team This is an excellent opportunity for a clinically strong detail-oriented nursing professional with experience in acute care and utilization review. · Conduct utilization reviews through the appeal level inclu ...

RN Clinical Reviewer - Jericho, NY (#25314) · Location: Jericho, NY · Employment Type: Full-time · Hourly Rate: $45/hr - $50/hr · Position Overview: · We are seeking a skilled Registered Nurse Clinical Reviewer to join a team at a respected non-profit organization in Jericho, NY. ...

We are seeking a Registered Nurse Clinical Reviewer to conduct comprehensive medical-legal reviews and appeals while ensuring regulatory compliance for a non-profit organization in New York. · Baccalaureate degree in Nursing or approved RN program · New York State RN license requ ...

We're expanding and looking for an experienced Clinical Reviewer to support fair, compliant, · evidence-based case outcomes in the State and Federal Independent Dispute Resolution (IDR) · process. · Clinical review up to appeal level · , including chart screening regulatory resea ...

We're expanding and looking for an experienced Clinical Reviewer to support fair, compliant, and evidence-based case outcomes. · Registered Nurse (RN) license – requiredBachelor's degree in NursingMinimum 2 years of clinical experience ...

Job Summary: · Title: RN - Case Manager · Location: New York, NY 10037 · Duration: 13 weeks (Extending) · Shift: 9:00 AM to 5:30 PM. 8 hours. 40 hours a week. · Pay rate: Lucrative pay + Benefits + Bonus. · Requirements: · Must have 2+ years of recent Case Management & Utilizatio ...

Position Summary · The Nurse Administrator supervises, leads, and coordinates nursing activities and nursing personnel. This position evaluates nursing activities to ensure patient care, staff relations and efficiency of service. The Nurse Manager coordinates all medical care and ...

The Clinical Pharmacy Specialist in Oncology plays an integral role in the therapeutic management of hematology and oncology patients. He/she works collaboratively with physicians, APPs, nurses, pharmacists, and IT informatics to provide comprehensive care to a diverse patient po ...

· Discovery Mood & Anxiety   · Discovery Mood and Anxiety Program is a national leader in behavioral healthcare and one of the fastest growing companies in the field. DBH offers world-class treatment for those struggling with mental health and places a high priority on seeking e ...

We have a full-time opportunity for a Risk Management Associate. The incumbent will assist RM Leadership in all phases of RM, including litigation and claims evaluation. · Contribute to and participate in the Performance Improvement and Quality Improvement activities of the RM De ...

Location Detail: 425 Post Road Fairfield · Shift Detail: Mon-Fri · Work where every moment matters. · Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become ...

Location Detail: St Vincents Medical Center · Shift Detail: Full Time - Dayshift · Trauma Quality Performance Improvement Patient Safety (PIPS) Nurse) · Work where every moment matters. · Every day, over 40,000 Hartford HealthCare colleagues come to work with one thing in common ...

Children's Learning Centers of Fairfield County is looking to enhance its nursing staff with a full-time Nurse who seeks an alternate career route with regular daytime hours. · ...

The Healthcare provider seeks experienced nurse manager with leadership skills to oversee daily operations in endo department located in Stamford. · Bachelor's Degree in Nursing is required with Master's Degree preferred. · A minimum of three years experience in nursing supervisi ...

The Nurse Manager for Maternity is accountable for the daily operations of the unit(s) to include staffing, productivity and service recovery. · Collaborates with the Director to maintain a competent staff through the selection process, orientation to the unit, competency develop ...

Location Detail: · St Vincents Medical Center · Shift Detail: · M-F (no nights/weekends) · Work where · every moment · matters. · Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters h ...

The Nurse Manager for Maternity is accountable for the daily operations of the unit(s) to include staffing, productivity and service recovery. · Collaborates with the Director to maintain a competent staff through the selection process, orientation to the unit, competency develop ...

+ Job summary · The scope of responsibility and accountability for the Nurse Manager continuously evolves to meet the demands of the practice setting. · +QualificationsBachelor's Degree in Nursing is required with a Master's Degree preferred. · + ...

The Nurse Manager for ICU and Intermediate Care is accountable for daily operations to include staffing productivity service recovery. · Collaborates with Director to maintain competent staff through selection process orientation competency development performance management. · I ...

We are seeking an LPN for our Urogyn & Reconstructive Surgery practice. · Reviews schedules and organizes patient low; greet patients, documents patients concerns, questions etc…accompanies patient to exam/procedure room and prepares patients for physical exam. · Initial patient ...