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Registered Nurse - MN WI
Work from Home · Virtualvocations · Lincoln, NEA company is looking for an RN Refill Centralized Nursing Services. Key Responsibilities Assess and collect comprehensive data pertinent to patient health Develop and implement individualized care plans based on nursing diagnoses Evaluat...TopUSAJobs.com ·2 days ago on TopUSAJobsTools -
Utilization Review RN - NY Licensed
Work from Home · Virtualvocations · Vista, CAA company is looking for a Remote Utilization Review RN with a New York license. Key Responsibilities Perform initial, concurrent, and post-service review activities and discharge care coordination Support care management by collaborating ...TopUSAJobs.com ·2 days ago on TopUSAJobsTools -
Medicaid Clinical Reviewer - RN
Work from Home · Virtualvocations · Naperville, ILA company is looking for a Medical Reviewer III - Managed Care Project (MCP). Key Responsibilities Conduct clinical reviews of medical records for Medicaid claims Utilize Medicaid guidelines to determine payment coverage appropriateness ...TopUSAJobs.com ·5 days ago on TopUSAJobsTools -
Utilization Management RN - WV Licensed
Work from Home · Virtualvocations · Tallahassee, FLA company is looking for a Utilization Management RN to collaborate with the Medical Director in driving care variance reduction and timely discharges. Key Responsibilities Assist in building and implementing care management review processes...TopUSAJobs.com ·1 week ago on TopUSAJobsTools -
Utilization Management RN - WV Licensed
Work from Home · Virtualvocations · Orange, CAA company is looking for a Utilization Management RN to collaborate with the Medical Director in driving care variance reduction and timely discharges. Key Responsibilities Assist in building and implementing care management review processes...TopUSAJobs.com ·1 week ago on TopUSAJobsTools -
Clinical Reviewer RN
Work from Home · Virtualvocations · Grand Rapids, MIA company is looking for a Clinical Reviewer-Immediate Advocacy Discharge Assistance, RN (Remote). Key Responsibilities Review medical records to ensure compliance with contract requirements Collaborate with supervisors on quality monitori...TopUSAJobs.com ·1 week ago on TopUSAJobsTools -
California Licensed Utilization Management RN
Work from Home · Virtualvocations · Aurora, ILA company is looking for an RN, Utilization Management - Remote. Key Responsibilities Perform all functions of a UM nurse reviewer and compose compliant denial letters Ensure accurate clinical decision-making and documentation for adverse ...TopUSAJobs.com ·1 week ago on TopUSAJobsTools -
RN Care Navigator
Work from Home · Virtualvocations · Naperville, ILA company is looking for a Care Navigator specializing in kidney health management. Key Responsibilities Manage case load and coordinate care for patients with kidney health issues Educate members on kidney health, dialysis, and transplant...TopUSAJobs.com ·1 week ago on TopUSAJobsTools -
Behavioral Health RN
Work from Home · Virtualvocations · Saginaw, MIA company is looking for a Utilization Management Behavioral Health Nurse to support the coordination and documentation of medical services. Key Responsibilities Complete medical record reviews and assess discharge plans Review claims and ...TopUSAJobs.com ·1 week ago on TopUSAJobsTools -
Behavioral Health RN
Work from Home · Virtualvocations · Modesto, CAA company is looking for a Utilization Management Behavioral Health Nurse to support the coordination and documentation of medical services. Key Responsibilities Complete medical record reviews and assess discharge plans Review claims and ...TopUSAJobs.com ·1 week ago on TopUSAJobsTools -
RN Clinical Documentation Specialist
Work from Home · Virtualvocations · Charlotte, NCA company is looking for a Clinical Documentation Specialist to perform chart reviews for Medicare patients. Key Responsibilities Conduct concurrent and retrospective chart reviews to ensure accurate medical record documentation Collaborat...TopUSAJobs.com ·2 weeks ago on TopUSAJobsTools -
Clinical Reviewer RN
Work from Home · Virtualvocations · Rockford, ILA company is looking for a Clinical Reviewer-Immediate Advocacy Discharge Assistance, RN (Remote). Key Responsibilities Review medical records to ensure compliance with contract requirements Collaborate with supervisors on quality monitori...TopUSAJobs.com ·2 weeks ago on TopUSAJobsTools -
Clinical Trainer - RN Required
Work from Home · Virtualvocations · Far Rockaway, NYA company is looking for a Clinical Trainer to equip staff with skills for handling authorization requests. Key Responsibilities: Conduct training sessions on the authorization request process and relevant policies Update and enhance train...TopUSAJobs.com ·3 weeks ago on TopUSAJobsTools -
Transitions of Care RN - Compact License
Work from Home · Virtualvocations · Colorado Springs, COA company is looking for a Transitions of Care RN - Spanish Bi-lingual. Key Responsibilities: Provide patient outreach, triage, and disease education through telehealth Monitor post-discharge patient care and communicate with healthcare pr...TopUSAJobs.com ·Over 4 weeks ago on TopUSAJobsTools