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Contract Clinical Care Reviewer jobs

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LICENSED PRACTICAL NURSE - IMMUNIZATION NORTHWEST PRIMARY CARE CLINIC

Performs basic nursing procedures such as vital signs, treatments, and specimen collection in accordance with nursing policies and procedures. Is an integral part of the health care team functioning under the guidance, supervision...

CompanyDepartment Of Veterans Affairs
AddressLas Vegas, NV
CategoryEducation/Training
SalaryCompetitive
Job typeFull Time
Date Posted 16 hours ago See detail

Licensed Practical Nurse - Immunization Northwest Primary Care Clinic New

Department Of Veterans Affairs

Las Vegas, NV

Competitive

Performs basic nursing procedures such as vital signs, treatments, and specimen collection in accordance with nursing policies and procedures. Is an integral part of the health care team functioning under the guidance, supervision...

16 hours ago seen See more...

RN Pre-Service Clinical Review

Kaiser Permanente

Renton, WA

Conducts Clinical Review of coverage request based on the application of medical necessity criteria, understanding of individual coverage contracts and ability to meet Kaiser Foundation Health Plan of Washington, coding rules and...

a week ago seen See more...

Registered Nurse Clinical Denials & Appeals Reviewer

Administrative Regional Training Cntr

Buffalo, NY

$36.19 - $54.29 an hour

Registered Nurse with a current New York State license Bachelor of Science Nursing degree Holds, or will obtain within one (1) year of hire, one of the following (or similar) credentials: Certified Documentation Specialist, Certif...

4 days ago seen See more...

Nurse Practitioner - PACT Clinical Deployment/Primary Care

Department Of Veterans Affairs

Grand Junction, CO

Competitive

The PACT Nurse Practitioner (NP) in Primary Care Services provides outpatient primary and specialty care in the clinic setting. Patient populations are served in and include but are not limited to general medical and surgical clin...

4 days ago seen See more...

Adjunct Clinical Instructors for RN Acute Care & PN Practicum Courses

Ata College

Cincinnati, OH

$42 an hour

A leader and role model. A nurse that loves mentoring and teaching future nurses. A nurse who loves the clinical side of nursing. Someone that cares for their patients and works with their students with compassion and empathy. Ass...

7 days ago seen See more...

Clinical Review Nurse I - Medicare Part B (US)

Elevance Health

Atlanta, GA

Assesses the necessity and reasonableness of the items supplied in a valid claim through the use of medical policy and other materials. . Requires AS in nursing and minimum of 1 year of clinical experience; or any combination of...

2 weeks ago seen See more...

Clinical Care Coordinator - RN

Rivervalley & Affiliates

Owensboro, KY

$53.9K - $68.3K a year

Clinical Care Coordinator RNAcumen Counseling ServicesOwensboro, KY 42301Job Summary:+ Responsible for day-to-day operations and services of provider in RiverValley's Outpatient Clinic(s), which include tele-psychiatry, where Ph...

2 weeks ago seen See more...

Dialysis Clinical Nurse Manager- Specialty Care

Department Of Veterans Affairs

Tucson, AZ

Competitive

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are su...

a week ago seen See more...

Clinical Nurse Review - II

Progressive Technology Solutions

Owings Mills, MD

$35 - $39 an hour

8 hour shift. Owings Mills, MD 21117: Relocate before starting work (Required)....

2 weeks ago seen See more...

Clinical Nursing Director - Care Without Delay

Kaiser Permanente

Modesto, CA

Collaborates with CNO and other medical center management in identifying and implementing innovative models and best practices with an emphasis on quality of care, service improvements and cost reduction. With TPMG partner, direct...

2 weeks ago seen See more...

Clinical Care Coordinator (Mon.-Fri. 11:30am-8pm)

Bhs

Remote

$47.2K - $59.7K a year

Mon-Fri. 11:30am-8pm. Securing appointments in our standard timeframes with providers. Keeping the participant updated on our progress securing an appointment with an EAP provider throughout the scheduling process (i.e., hourly fo...

4 weeks ago seen

Registered Nurse- Risk Manager Clinical Reviewer

Department Of Veterans Affairs

Martinsburg, WV

Competitive

Demonstrates knowledge in the interpretation and application of accrediting body standards and other agency requirements. Assists with monitoring of various aspects of care provided to Veterans and the analysis and interpretation...

4 weeks ago seen See more...

Registered Nurse-Clinical Care Coordinator-Mental Health

Department Of Veterans Affairs

Lorida, FL

Competitive

Per local facility policy, the RN is responsible for maintaining RN licensure and Basic Life Support (BLS) certification. Provide the best internal and external customer service by demonstrating interpersonal skills in a positive,...

2 months ago seen See more...

Clinical Review Nurse - Prior Authorization

Bcforward

Indianapolis, IN

Clinical Review Nurse - Prior AuthorizationBC Forward is looking for Clinical Review Nurse - Prior Authorization (Remote Work) Position Title: Clinical Review Nurse - Prior Authorization (Remote Work) Locations: Remote IN (Local t...

2 months ago seen See more...

Clinical Review Nurse I (US)

Elevance Health

Waukesha, WI

Assesses the necessity and reasonableness of the items supplied in a valid claim through the use of medical policy and other materials. . Requires AS in nursing and minimum of 1 year of clinical experience; or any combination of...

2 months ago seen See more...

Home Care Clinical Professional Development Educator (RN) - Queens

Northwell Health

New York, United States

$94,000 - $150,000 a year

Assess learner characteristics including learning styles and learning needs for program development; creates an effective learning environment; demonstrates proficiency in use of technology; evaluates the outcomes of staff educati...

4 weeks ago seen See more...

Primary Care Physician - Tomball VA Clinic

Ansible Government Solutions, Llc

Tomball, TX

Primary care as appropriate and within scope of practice/privileging. Provide comprehensive Primary Care services, including womens health to a defined panel of patients. Work with clinic staff to schedule new and follow-up patie...

a month ago seen See more...

Primary Care Physician - Texas City VA Clinic

Ansible Government Solutions, Llc

Texas, United States

Primary care as appropriate and within scope of practice/privileging. Provide comprehensive Primary Care services, including womens health to a defined panel of patients. Work with clinic staff to schedule new and follow-up patie...

a month ago seen See more...

Primary Care Physician - Beaumont VA Clinic

Ansible Government Solutions, Llc

Texas, United States

Primary care as appropriate and within scope of practice/privileging. Provide comprehensive Primary Care services, including womens health to a defined panel of patients. Work with clinic staff to schedule new and follow-up patie...

a month ago seen See more...

5674 - Animal Care Shelter Supervisor (Clinic)

Pima County, Az

Tucson, AZ

Any offer of employment resulting from this recruitment is contingent upon Fleet Services' review and approval of the candidate's driving record. Special Notice Items: Within nine months of appointment, employees must receive the...

a month ago seen See more...

5674 - Animal Care Shelter Supervisor (Clinic)

Pima County

Tucson, AZ

principles, practices, and techniques of animal control and care, including procedures for rabies control, animal adoption, and euthanasia;. dog and cat breeds, temperaments, and their common health problems. effect of animals on...

a month ago seen See more...

Clinical Nurse Manager - Community Care/ Admin Care Nursing

Department Of Veterans Affairs

Tucson, AZ

Competitive

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are su...

a month ago seen See more...

Registered Nurse - Clinical Resource Hub Specialty Care/Tele Emergency Care

Department Of Veterans Affairs

Little Rock, AR

Competitive

Provides patient and family health education with a focus on disease self-management, prevention, and wellness, based on the patient's goals. Responsibilities include coordinating scheduling of appropriate labs and appointments, p...

a month ago seen See more...

Pharmacy Clinical Specialist - Full Time - Days - Acute Care

Houston Methodist Hospital

Houston, TX

Promotes a positive work environment and contributes to a dynamic, team focused work unit that actively helps one another to achieve optimal department results. Collaborates with other health care professionals as needed for probl...

a month ago seen See more...

RN Clinical Nurse II- 5HV Cardiovascular Surgical Intensive Care Unit (CSICU)

Cbs17

Olin, NC

This position qualifies for our UNC Rex Incentive Program, which includes up to $20,000 commitment incentive or up to $25,000 tuition loan forgiveness. In addition, this position is also eligible for up to $10,000 in relocation as...

a month ago seen See more...

Dietitian - Outpatient Primary Care Clinic - Penn Hills - Full Time

Highmark Health

Pennsylvania, United States

Performs individualized patient assessments and reassessments. (30%). Develops, documents, and monitors the nutritional plan of care for the population served according to individualized assessment and professional standards. (30%...

a month ago seen See more...

Complex Adult Health/Critical Care Clinical Faculty (Part-Time): Cleveland, OH

Adtalem Global Education

Cleveland, OH

In this role, the clinical instructor:Implements the College's philosophy, curriculum, program outcomes, and course objectives through clinical teaching and service to the College, community, health system and profession.Assumes r...

a month ago seen See more...

Per Diem Registered Nurse Ambulatory Care Clinic - LOH - Now Hiring

Nyu Langone Health

New York, NY

$23.23 - $42.52 per hour

Collects patient healthcare data systematically and on an ongoing basis using appropriate assessment techniques and instruments. Demonstrates knowledge of the NYU Langone Health Core Values and incorporates these into the performa...

2 months ago seen See more...

Per Diem Registered Nurse Ambulatory Care Clinic - LOH

Pix11

New York, NY

Collects patient healthcare data systematically and on an ongoing basis using appropriate assessment techniques and instruments. Demonstrates knowledge of the NYU Langone Health Core Values and incorporates these into the performa...

2 months ago seen See more...

Physician - Clinic-Primary Care Physician - FM/IM

Worldwide Medical Staffing

San Diego, CA

We are currently seeking Primary Care Physicians for the San Diego/La Jolla, CA, Veterans Clinics.. Use ANY State Medical License!. Seeking MD/DO's who are BC/BE in Internal or Family Medicine. Start Feb 2024, 612-month commitm...

2 months ago seen See more...

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The top companies hiring now for Contract Clinical Care Reviewer jobs are AmeriHealth Caritas, Zolontech,

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