by Andrea B. MSN, RN, NI-BC, CPC | May 19, 2025
Your career starts now. We are looking for the next generation of health care leaders.At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation’s leaders in health care solutions, we... by Andrea B. MSN, RN, NI-BC, CPC | May 19, 2025
Job Summary The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. This role conducts admission and continued stay reviews,... by Andrea B. MSN, RN, NI-BC, CPC | May 19, 2025
Job Description: Job Title: Clinic Nurse Location: Negotiable (In-person or Remote – Must reside in Missouri within 2 hours of a Burrell location) Department: Same Day Virtual Clinic Employment Type: Full-time Shift: Monday – Friday, 8:00 A.M. – 5:00 P.M. Job Summary:... by Andrea B. MSN, RN, NI-BC, CPC | May 19, 2025
Compensation: $80,000 – $90,000 annual salary Annual bonus Benefits: Flexible work hours based on your schedule Excellent health insurance for you and/or your family Continuing education and professional development opportunities Paid vacation and sick leave... by Andrea B. MSN, RN, NI-BC, CPC | May 19, 2025
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace... by Andrea B. MSN, RN, NI-BC, CPC | May 19, 2025
The Legal Nurse Consultant reviews medical records and billing, applying nursing expertise to prepare a concise medical treatment analysis, opining medical treatment relatedness to an injury. This a part time position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:... by Andrea B. MSN, RN, NI-BC, CPC | May 19, 2025
Company Description: Clearlink Partners is an industry-leading managed care consultancy specializing in end-to-end clinical and operational management services and market expansion initiatives for Managed Medicaid, Medicare Advantage, Special Needs Plans, complex care... by Andrea B. MSN, RN, NI-BC, CPC | May 19, 2025
About the job Company OverviewAt Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading... by Andrea B. MSN, RN, NI-BC, CPC | May 19, 2025
Requirements Description & Requirements Maximus is seeking a dedicated Clinical Review RN or LPN to join our team! In this role, you’ll perform document-based and telephonic reviews to evaluate medical necessity and screen for serious mental illness or... by Andrea B. MSN, RN, NI-BC, CPC | May 19, 2025
About the job Oncology Registered Nurse/AbstracterJob Summary: We are seeking a dedicated and experienced Oncology Registered Nurse (RN) to join our team remotely. The ideal candidate will have a minimum of 2 years of experience in abstraction and a strong oncology...