The Denials Nurse Auditor is responsible for completing, appealing, tracking, and reporting clinical denial reviews to determine appropriate actions for post-billing denials. This role combines clinical, financial, and regulatory knowledge to reduce financial risk and exposure caused by payer denials.
Remote Nurse Jobs (1,655)
Search = nurse
Conduct video consultations and provide psychiatric assessments, diagnoses, and medication management via a telemedicine platform. Coordinate treatment planning and care delivery in collaboration with a network of licensed therapists.
Conduct video consultations to assess, diagnose, and prescribe medication to patients via a telemedicine platform. Coordinate treatment planning and care delivery in collaboration with a network of licensed therapists.
Conduct video consultations and provide psychiatric assessments, diagnoses, and medication management via a telemedicine platform. Coordinate treatment planning and care delivery in collaboration with a network of licensed therapists.
Conduct video consultations and provide psychiatric care including assessment, diagnosis, and medication management via a telemedicine platform. Coordinate treatment planning and care delivery in collaboration with a network of licensed therapists.
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Conduct video consultations to assess, diagnose, and prescribe medication to patients via a telemedicine platform. Coordinate treatment plans and collaborate with a network of therapists to ensure high-quality, evidence-based care.
Conduct video consultations to assess, diagnose, and prescribe medication to patients via a telemedicine platform. Coordinate treatment planning and care delivery in collaboration with a network of licensed therapists.
Conduct video consultations to assess, diagnose, and prescribe medication to patients via a telemedicine platform. Coordinate treatment planning and care delivery in collaboration with a network of licensed therapists.
Registered Nurse (RN) Weekday On-Call - Senior LIFE Johnstown
Senior LIFE
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Full Time
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7 Weeks Ago
Senior LIFE
The Registered Nurse is responsible for fielding phone calls from members and performing triage via phone or in-home visits. They will also consult with the on-call physician and maintain accurate documentation.
The Nurse Practitioner will conduct comprehensive wellness assessments and coordinate care for patients with chronic conditions in home and virtual settings. They are responsible for developing treatment plans, prescribing medications, and maintaining accurate patient records while collaborating with an integrated care team.
The Nurse Practitioner will conduct patient assessments, develop treatment plans, and perform medical procedures such as IV infusions. They will also collaborate with interdisciplinary teams and provide care via telehealth platforms.
Deliver virtual, evidence-based gastrointestinal care to patients through video visits and chat messaging. Collaborate with a multidisciplinary team of physicians, dietitians, and behavioral health specialists to implement comprehensive care plans.
The Registered Nurse will provide comprehensive hospice care, including patient assessments, medication administration, and the development of individualized care plans. They will act as an RN Case Manager, coordinating care with interdisciplinary teams and providing health education to patients and their families.
1099 Telemedicine Family Nurse Practitioner | Flexible Schedule
Allara
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Full Time
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7 Weeks Ago
Allara
Conduct thorough patient assessments and develop personalized treatment plans via video consultations. Collaborate with a multidisciplinary team to provide high-quality, evidence-based care for women's health and chronic conditions.
Principal Care Management (PCM) Nurse
My VA Support, Inc.
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Full Time
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7 Weeks Ago
My VA Support, Inc.
The nurse will maintain ongoing communication with patients in the PCM program to monitor symptoms, medication adherence, and treatment progress. They will also provide patient education, coordinate care services, and document all interactions within the system.
In-Home Nurse Practitioner or Physician Assistant Per Diem - Wheeling
CVS Health
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Full Time
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7 Weeks Ago
CVS Health
Conduct in-home health evaluations for health plan members, including physical assessments and medication reviews. Provide health education and bridge gaps in care while utilizing an intuitive clinical workflow on an iPad.
In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Seattle , Snohomish County
CVS Health
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Full Time
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7 Weeks Ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews and physical assessments. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
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1099 Telehealth Family Nurse Practitioner (FNP) or WHNP PCOS Treatment: GA, FL, or TX licenses
PCOS Sisters Telehealth Clinic & Wellness Center, LLC
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Full Time
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7 Weeks Ago
PCOS Sisters Telehealth Clinic & Wellness Center, LLC
The Family Nurse Practitioner will provide primary and urgent care consultations to women with Polycystic Ovarian Syndrome via telehealth. Responsibilities include taking patient histories, performing physical examinations, diagnosing conditions, and developing personalized treatment plans.
The Nurse Case Manager provides case management services for special needs and eldercare clients to improve their quality of life. They collaborate with family caregivers, attorneys, financial planners, and trustees to address client challenges.
Psychiatric Mental Health Nurse Practitioner (PMHNP)
High Country Community Health
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Full Time
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7 Weeks Ago
High Country Community Health
The provider is responsible for evaluating, diagnosing, and treating patients with behavioral health disorders in both in-person and telehealth settings. They will design individualized care plans and collaborate with a multidisciplinary team of therapists, psychologists, and case managers.
Manage a cohort of patients with chronic conditions by creating care plans and titrating medications based on evidence-based guidelines. Respond to clinical alerts, monitor physiologic data, and provide patient education to improve disease control rates.
Provide evidence-based, patient-focused care directly in the patient's home to reduce hospitalizations and improve quality of life. Perform comprehensive assessments, educate patients on disease management, and coordinate care within a multidisciplinary team.
UVA Health Virtual Care Clinic - Nurse Practitioner - Autonomous License - Virginia
University of Virginia
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Full Time
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7 Weeks Ago
University of Virginia
The Nurse Practitioner will provide autonomous virtual care services, including patient assessment, diagnosis, and the initiation of medical treatments. They will work collaboratively with the medical director and interprofessional team members to facilitate patient management across various clinical settings.
Registered Nurse (RN) Triage & Care Coordination (3582)
WACO FAMILY MEDICINE
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Full Time
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7 Weeks Ago
WACO FAMILY MEDICINE
Perform comprehensive telephonic and electronic nursing assessments to determine appropriate levels of care and facilitate patient care coordination. Manage in-basket messages, lab results, and patient inquiries while providing education and supporting population health initiatives.
In-Home Health - Nurse Practitioner or Physician Assistant (Part Time) - Suffolk County, New York
CVS Health
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Full Time
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7 Weeks Ago
CVS Health
Conduct in-home health evaluations for health plan members, including medication reviews, medical history assessments, and physical examinations. Provide patient education and bridge gaps in care while maintaining accurate clinical documentation via an iPad.
You will provide high-quality clinical care and nursing assessments to older Australians in their homes to support their independence. This involves developing individualized care plans and collaborating with multidisciplinary teams, GPs, and families to ensure coordinated support.
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Longevity Nurse Practitioner - Telehealth (Multi-state Licensed, CA Required) 12 APPLICANTS
Superpower
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Full Time
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7 Weeks Ago
Superpower
The Nurse Practitioner will provide personalized, evidence-based care within a longevity and functional medicine model. Responsibilities include prescribing targeted therapies, reviewing diagnostics, and documenting patient encounters accurately.
Family Nurse Practitioner - Remote (Michigan Licensed)
Sprinter Health
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Full Time
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7 Weeks Ago
Sprinter Health
Conduct virtual wellness visits, health risk assessments, and medication reviews for patients in their homes. Collaborate with in-home clinical teams to coordinate care, manage referrals, and document patient findings.
Nurse Practitioner - HouseCalls - Northeast Regional Traveler - CT, MA, ME, NH, NJ, NY, RI, VT 11 APPLICANTS
UnitedHealth Group
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Full Time
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7 Weeks Ago
UnitedHealth Group
Conduct comprehensive in-home health assessments for Medicare Advantage members, including physical exams and medication reconciliation. Collaborate with primary care providers to address care gaps and educate patients on disease processes and health management.
Bilingual Nurse Case Manager - East Coast (Remote)
Sentrex Health Solutions
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Full Time
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7 Weeks Ago
Sentrex Health Solutions
The Bilingual Nurse Case Manager coordinates patient support programs by acting as a primary contact for healthcare providers and patients to ensure access to drug therapies. This role involves managing patient cases, facilitating reimbursement, documenting adverse events, and providing education on disease states and treatments.
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