Medical Review Nurse (RN) Remote, 8:30am-5:00pm Central Time Zone, Molina Healthcare
AI Summary: The Medical Review Nurse (RN) conducts clinical and medical reviews of claims and appeals to ensure regulatory compliance and appropriateness of services. Responsibilities include evaluating medical records, resolving escalated complaints, and providing clinical resources, requiring at least 2 years of nursing experience and an active RN license.
Nurse Reviewer (part-time / remote), Lensa
AI Summary: The part-time Nurse Reviewer position involves assessing eligibility for 1:1 support services based on nursing expertise for Liberty Healthcare. Duties include reviewing health information, collaborating on determinations, and creating evidence-based letters, requiring an active RN license in Idaho and 2 years of relevant nursing experience.
MinuteClinic Virtual Care Provider – PRN, CA IL AZ, CVS Health
AI Summary: The MinuteClinic Virtual Care Provider position offers remote patient care through telehealth services, requiring a minimum of 9 hours of availability weekly. Responsibilities include assessment, diagnosis, and treatment planning, necessitating current FNP licensure in Arizona, California, or Illinois, and 2 years of relevant medical experience.
CDQI Nurse Specialist – Part Time – Remote, Lensa
AI Summary: The part-time CDQI Nurse Specialist role focuses on improving the quality of medical documentation through reviews and physician collaboration at Datavant. Key tasks include conducting documentation evaluations and ensuring compliance, requiring an RN license, a Bachelor’s in Nursing, and 3+ years of clinical CDI experience.
[Hiring] LPN/LVN 100% Virtual, CareBridge @Elevance Health, Elevance Health
AI Summary: The 100% virtual LPN/LVN role involves providing nursing care and support to patients, leveraging telephonic interactions. Key responsibilities include patient assessment and documentation under physician guidance, requiring a current LPN/LVN license and a minimum of 2 years of experience.
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