Utilization Management Nurse Consultant This exciting role is WAH for anyone in EST, or in CST that is willing to work EST hours! Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. Requires an RN with unrestricted active
Case Manager RN Full time telework opportunity open to candidates across the country. Nurse Case Manager is responsible for telephonically assessing, planning, implementing and coordinating all case management activities with members to evaluate the transplant member's needs and to facilitate
Self-Directed Personal Care Registered Nurse - Milwaukee County TMG by Magellan Health is seeking a Self-Directed Personal Care Registered Nurse who lives in Milwaukee County (or bordering counties), Wisconsin. Self-Directed Personal Care RN's are responsible for providing self-directed
Appeals RN, Denial Resource Center Location: Dallas, Texas US Requisition Number19007663 The Denial Resource Center (DRC) RN is responsible for Company denial management functions. The DRC is responsible for receiving claim denials and appealing to payors to promote
Utilization Review Nurse - Work From Home i San Antonio Novare San Antonio, TX, USA Benefits OfferedDental, Medical, Vision Employment TypeFull-Time Novare is looking for a Utilization Review Nurse to join our team! Position Summary: To perform utilization review for workers'
Medical Policy Analyst Sr. - any Anthem location or remote PS28016 United States Your Talent. Our Vision. At Company, it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our
WORKERS' COMPENSATION FIELD NURSE CASE MANAGERS We are looking for highly competent, self-motivated, registered nurses (RN) who have experience with workers' compensation nurse case management or are bilingual in Spanish. Full-Time and Part-Time positions available for experienced Nurse Case
Nurse Counselor Remote FONEMED's Registered Nurses provide telephone triage and health nurse advice to callers across North America remotely; from the comfort of their own home office. We use computerized Schmitt Thompson triage protocol guidelines to assist in assessing patients' symptoms. In