Medical Insurance Specialist - Registered Nurse

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Provide medical support and education to patients and healthcare providers while managing case protocols and therapy adherence. Coordinate with reimbursement specialists and healthcare teams to ensure patient access to therapies and maintain accurate electronic patient records.

Remote Psychiatric Nurse Practitioner - Fee For Service

Conduct psychiatric assessments and evaluations for clients via telemedicine while collaborating on personalized care plans. Prescribe medication as needed and maintain accurate clinical documentation in accordance with practice guidelines.

Part Time Remote Psychiatric Nurse Practitioner - Fee For Service

Conduct psychiatric assessments and evaluations for clients in a telemedicine capacity. Collaborate on care plans and prescribe medication to manage mental health symptoms while adhering to clinical guidelines.

Program Director - Nurse Practitioner

The Program Director oversees field-based multidisciplinary teams to ensure the delivery of integrated, whole-person care for complex populations. This role is responsible for program development, clinical quality, regulatory compliance, and the strategic administration of palliative care initiatives.

Clinical Nurse Specialist

The Clinical Nurse Specialist performs complex clinical reviews for pre-service, concurrent, and post-service cases while serving as a subject matter expert for medical necessity and regulatory compliance. They also analyze trends to identify systemic issues and provide coaching to clinical staff on documentation and review best practices.

Clinical Trial Nurse

The Clinical Trial Nurse will serve as a liaison between the RAY Lupus Patient Registry and academic medical centers to guide participants through clinical trial screening and enrollment. This role involves maintaining longitudinal patient relationships, managing trial eligibility matching, and supporting participants throughout the research process.

Clinical Nurse Administrator

The Clinical Nurse Administrator develops and maintains organization-wide nursing standards, procedures, and clinical support frameworks across all sites. This role provides functional oversight of clinical performance, ensures regulatory compliance, and coordinates training and privileging processes.

Clinical Review Nurse - Concurrent Review

Performs concurrent reviews to evaluate medical necessity, determine appropriate levels of care, and facilitate effective discharge planning. Collaborates with healthcare providers and medical directors to ensure high-quality care and maintain accurate medical records.

Staff Nurse (RN) - Nurse Line

The Telehealth Staff Nurse provides remote nursing care and triage across various patient populations using telecommunications technology. Responsibilities include determining appropriate levels of care, providing home care instructions, and managing medication refill requests.

Registered Nurse, Case Manager

The Case Manager will perform utilization management and assess patient status to ensure appropriate levels of care. They will work collaboratively within a team to manage clinical needs and fill staffing gaps as required.

UM Nurse Consultant

Conduct concurrent reviews for inpatient admissions to determine medical necessity and facilitate appropriate levels of care. Collaborate with healthcare providers and care teams to monitor treatment, ensure quality standards, and support effective discharge planning.

Concurrent Review UM Nurse Consultant - Louisiana Residence Preferred

The Utilization Management Nurse Consultant reviews authorization requests and evaluates medical necessity using clinical records and evidence-based guidelines. They collaborate with interdisciplinary teams to facilitate quality care while ensuring compliance with health plan policies and regulatory standards.

Licensed Practical Nurse (LPN) Scheduler or Centralized Scheduler | Centralized Scheduling

The Centralized Scheduler manages outpatient diagnostic orders by interpreting physician requests and scheduling tests according to patient care protocols. They also ensure data integrity within the health information system and maintain effective communication with hospital departments and physician offices.

Pediatric Urgent Care Nurse Practitioner or Physician Assistant

The Advanced Practice Provider will evaluate and provide evidence-based treatment to pediatric patients in both in-person and telemedicine settings. They are also responsible for overseeing daily operations, patient flow, and collaborating with multidisciplinary teams to ensure high-quality care.

Revenue Integrity Nurse Auditor

The Revenue Integrity Nurse Auditor coordinates revenue integrity and charge-related denials while ensuring compliant clinical documentation. They perform routine chart reviews, identify revenue optimization opportunities, and provide education to clinical colleagues regarding identified trends.

Case Manager Registered Nurse - Field (Cook County)

The Case Management Coordinator collaborates with members, providers, and community organizations to address the full continuum of healthcare and social determinant needs. They facilitate appropriate healthcare outcomes by assisting with appointment scheduling and identifying benefits and resources for dual-eligible members.

Pediatric Urgent Care Nurse Practitioner or Physician Assistant

The Advanced Practice Provider will evaluate and provide evidence-based treatment for pediatric patients in both in-person and telemedicine settings. They are also responsible for overseeing daily operations, patient flow, and collaborating with the clinical team to ensure high-quality care.

Bilingual - RN (Registered Nurse) | Remote

Provide telehealth and virtual care clinical triage assessments, health education, and guidance to patients via phone, video, and chat. Monitor performance metrics, document interactions in management software, and participate in coaching sessions to ensure quality care.

Advice Nurse, Mental Health Work From Home

The Virtual Mental Health Intake RN conducts initial psychiatric and medical screenings for incoming referrals and triages patients in acute crisis. They utilize nursing protocols to determine the appropriate level of care and provide self-care intervention and resource identification.

Utilization Management Nurse Consultant

The nurse consultant applies clinical criteria and practice guidelines to authorize procedures and services requiring precertification. They spend the majority of their time reviewing clinical information from providers and initiating medical director referrals as necessary.

Minute Clinic Virtual Care Nurse Practitioner - PRN

The Nurse Practitioner delivers holistic, evidence-based patient care through a remote technology platform, including assessment, diagnosis, and treatment. They also coordinate care with a multidisciplinary team and document all patient interactions within an electronic health record system.

In-Home Traveler Nurse Practitioner or Physician Assistant Full Time - Nebraska

Conduct in-home health evaluations for health plan members, including medication reviews, medical history assessments, and physical evaluations. Travel to various locations within the coverage area to provide comprehensive and personalized health services.

Registered Nurse (RN) | Remote

The Care Advisor provides telephonic clinical assessments, health education, and utilization management services to patients using established protocols. They are responsible for identifying patient care needs, safety risks, and appropriate referrals while maintaining performance metrics.

Field Nurse Case Manager - Statesville, NC

The nurse case manager coordinates care and communicates medical information between injured workers, insurers, and carriers to facilitate treatment and return to work. They are responsible for attending physician appointments, monitoring treatment plans, and maintaining accurate documentation and billing records.

Field Nurse Case Manager - Hickory, NC

Coordinate care and communicate medical information among injured workers, insurers, and carriers to facilitate treatment and return to work. Manage the case management process, attend physician appointments, and maintain accurate documentation and billing records.

Field Nurse Case Manager - Charlotte

The Field Nurse Case Manager coordinates medical care and communication between injured workers, insurers, and carriers to facilitate treatment and rehabilitation. They are responsible for attending physician appointments, monitoring treatment plans, and assisting with return-to-work planning.

Nurse Case Manager I

The Nurse Case Manager conducts assessments and develops care plans to facilitate cost-effective health and disability outcomes for clients. They manage disability durations, coordinate referrals, and maintain clear communication with patients, providers, and internal teams.

Licensed Practical Nurse

The Licensed Practical Nurse will provide routine patient care, assist physicians with examinations and procedures, and accurately document all clinical activities. They are also responsible for triaging patient calls, managing referrals, and ensuring all procedures are pre-authorized for reimbursement.

Bilingual Nurse Case Manager

The Bilingual Nurse Case Manager coordinates patient support services, acting as a primary point of contact for healthcare providers and patients. This role involves managing patient cases, securing medication coverage, and ensuring adherence through clinical monitoring and education.