Medical Review Nurse (RN) (Post Appeals; must be licensed in IL or WI), Molina Healthcare
AI Summary: The Medical Review Nurse supports medical claim and appeal review processes while ensuring compliance with regulations and guidelines. Responsibilities include conducting medical reviews, resolving complex claims, and providing training and support to peers. Requires at least two years of clinical nursing experience, an active RN license, and knowledge of medical coding and claims processes.
Registered Nurse, Remote Telehealth, ER, Emergency Triage, Weekends, ChenMed
AI Summary: The Registered Nurse in Telehealth provides remote clinical assessments and patient care advice through telephonic communication. Daily duties include health monitoring, patient education, and collaboration with primary care providers. Candidates should have an RN license, a minimum of three years of clinical nursing experience, and familiarity with telehealth practices.
100% Remote RN Care Navigator (Kentucky), Healthmap Solutions
AI Summary: The Care Navigator manages case management for kidney health patients, promoting high-quality care outcomes. Responsibilities include coordinating care, conducting member assessments, and developing care plans. An active RN license and a Bachelor’s degree are required, along with three years of case management experience preferred.
[Hiring] Nurse Case Manager @The Cigna Group, The Cigna Group
AI Summary: The Nurse Case Manager advocates for patients to ensure coordinated care and high-quality outcomes. Key tasks include developing care plans, engaging with providers, and tracking patient progress. Requires an active RN license, at least two years of patient care experience, and strong communication skills.
1:1 Weekday Nurse RN (1281), Accucare Nursing
AI Summary: Accucare Nursing is seeking a 1:1 Weekday Nurse RN to provide individualized care for patients in their homes. Responsibilities include managing health needs and maintaining documentation. Candidates must have a valid NYS Nursing license and complete orientation and training.
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