Registered Nurse (RN) – Clinical Quality Reviewer ** 100% Remote for CA residents **, Amerit Consulting
AI Summary: The Registered Nurse (RN) Clinical Quality Reviewer will work remotely to investigate and review potential quality of care issues. Responsibilities include analyzing quality concerns, executing follow-up actions, and preparing cases for physician committees. A relevant nursing degree and clinical experience are required, along with organizational skills and proficiency in Microsoft Office.
Utilization Management Registered Nurse (RN) – Remote, Guidehealth
AI Summary: The Utilization Management Registered Nurse will conduct utilization review, analyzing clinical information to ensure compliance with regulations. Key duties include documenting determinations and collaborating with healthcare providers. An active RN license, three years of healthcare experience, and strong organizational skills are necessary for success.
Telephonic Critical Support Nurse (RN), Evening Shift – Accredo – Remote, The Cigna Group
AI Summary: The Telephonic Critical Support Nurse will support a clinical call center, handling various incoming calls related to patient care and medication administration. Responsibilities include triaging calls and troubleshooting issues with infusion devices. A valid RN license, five years of relevant experience, and proficiency in Microsoft Office are required.
Clinical Quality Reviewer – REMOTE – RN – US Citizen Required, Lynn Rodens
AI Summary: The Clinical Quality Reviewer will review medical records to identify quality and utilization issues while supporting peer review initiatives. The role requires at least three years of clinical experience and the ability to write detailed case summaries. Candidates must possess a valid RN license and U.S. citizenship, along with analytical skills.
[Hiring] Population Care Nurse / Registered Nurse (RN) @Sentara Health, Sentara Health
AI Summary: The Population Care Nurse will manage health outcomes for individuals in specific communities, delivering preventative care and health education. Responsibilities involve working with interdisciplinary teams and a focus on chronic condition management. A Bachelor’s degree in nursing and two years of nursing experience are required.
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