Oncology Nurse Abstractor (RN) REMOTE, A-Line Staffing
AI Summary: A-Line Staffing Solutions seeks REMOTE Oncology Nurse Abstractors (RNs) with oncology abstraction experience. Main duties include clinical chart abstraction and quality reviews while ensuring compliance with HIPAA regulations. Candidates must have an active RN license and oncology nursing experience, with OCN certification preferred.
Triage Nurse, Medix™
AI Summary: Medix™ is looking for an experienced RN for a remote phone triage role. Responsibilities include providing medical advice and educating patients while documenting interactions in the EMR system. Applicants need an active Oregon RN license and at least 1.5 years of triage experience along with a BSN or equivalent nursing degree.
Commercial Utilization Review Nurse/RN- Remote in VA, Sentara Healthcare
AI Summary: Sentara Healthcare is hiring a full-time Utilization Review Nurse for remote work in VA. Key duties involve prior authorization and concurrent reviews while ensuring medical compliance. A bachelor’s degree and 3 years of acute care experience are required, along with a registered nurse license.
[Hiring] Nurse Consultant @Revecore, Revecore
AI Summary: Revecore seeks a Denial Prevention Nurse Consultant responsible for reviewing medical records to enhance billing claims. The role emphasizes collaboration and communication, requiring an RN with a diploma and 5 years of relevant experience in utilization review. A proficiency with healthcare billing software is essential.
Quality Review Specialist RN (Utilization Management/ Appeals), w3r Consulting
AI Summary: w3r Consulting is hiring a Quality Review Specialist RN to manage member and provider appeals while ensuring compliance with guidelines. Candidates should have at least 5 years of experience in those areas and a bachelor’s degree in nursing to apply for this 7-month contract position.
UR Nurse – contingent, remote, Trinity Health
AI Summary: Trinity Health is offering a part-time UR Nurse position focusing on administrative tasks in a remote setting. A commitment to the organization’s core values is essential, although specific qualifications were not outlined in the ad.
Remote Chronic Care Nurse/ LPN; English/Spanish Bilingual, Bluefish Medical
AI Summary: Bluefish Medical is seeking bilingual LPNs for a remote Chronic Care Management role, offering personalized patient support. The position requires an LPN license and related experience, with compensation starting at $20 per hour.
MD Live-Telehealth RN Supervisor, Anywhere, Cigna Healthcare
AI Summary: Cigna Healthcare is hiring a Telehealth RN Supervisor to lead a clinical nursing team in a fast-paced environment. Candidates should have an RN license and 2-3 years of clinical nursing experience, including supervisory roles, to apply.
Telemetry RN – Rochester, NY, Soliant Health
AI Summary: Soliant Health is looking for a Telemetry RN to work night shifts in an acute care unit focusing on elderly patients. Candidates need an active RN license and at least 1 year of recent nursing experience in telemetry or medical-surgical units.
Grievance and Appeals Nurse (AZ Certified), The Fountain Group
AI Summary: The Fountain Group seeks a Grievance and Appeals Nurse to handle clinical and administrative roles related to grievance and appeal processes for Medicare. Experience in medical necessity appeals is mandatory along with an Arizona nursing license.
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