Virtual Clinical Appeals Nurse

Looking for a challenging career in healthcare?Clinical Nurse Case Manager RoleWe are seeking an experienced and skilled Registered Nurse (USRN) to manage medical management review activities. The successful candidate will be responsible for conducting UM pre-service, concurrent, retrospective, out of network, and appropriateness of treatment setting...

Overview Nezda Technologies Inc. is currently hiring for Clinical Nurse Case Manager - USRN. Salary: P 50,000 - P 68,000 (with Perks and benefits). Work Set up: Work From Home This position is offered through partnerships with multiple companies; you have an option to choose the company that fits you best. This is a direct employment opportunity with no...

Job Title:Clinical Support SpecialistJob Summary:The Clinical Support Specialist provides direct support to the Director of Nursing in overseeing clinical operations for home care services. This role is responsible for assisting with documentation, compliance, scheduling, and care coordination to ensure the program runs efficiently and in alignment with...

Job Title: Skilled Nursing Facility Billing SpecialistThe role of a Skilled Nursing Facility Billing Specialist is crucial for ensuring accurate and timely reimbursement for services rendered.Key Responsibilities:Billing Management: Oversee the billing process for Medicare, Medicaid, and other third-party insurance claims, ensuring compliance with government...

Job Description Duties and Responsibilities:Monitor patient's condition and assess their needs to provide the best possible care and advice Observe and interpret patient's symptoms and communicate them to physicians Collaborate with physicians and nurses to devise individualized care plans for patients Perform routine procedures (blood pressure...

Expert Triage Specialist SoughtWe are seeking a highly skilled Clinical Triage Specialist to join our team. The ideal candidate will have a strong background in nursing and experience in triage, case management, or behavioral health.

Job Title: Clinical Review SpecialistThis position requires a licensed clinical professional with expertise in behavioral health documentation and insurance requirements.Main Responsibilities:Conduct peer reviews, case consultations, and interact with insurance providers to secure continued authorization.Review comprehensive client files prior to peer...

HIRINGWe are currently seeking a Clinic Vaccinator to join our dedicated team (Animal Bite Center).COMPETITIVE SALARYQualifications:Must be a Registered Nurse (newly licensed individuals are welcome to apply)Experience is an advantage but not requiredMust be willing to work on-siteMust be open to training.Applicant must be located within the city of the...

Fatima University Medical Center (FUMC)is a premier healthcare institution dedicated to providing exceptional patient care and fostering medical innovation. We are seeking a highly motivated and skilled CLINICAL PHARMACIST to join our dynamic team and contribute to our mission of enhancing health and wellness in our community. QUALIFICATIONSEducational...

We are seeking a detail-oriented and proactive Healthcare Sourcer to support our healthcare staffing team. The ideal candidate will play a key role in identifying and qualifying top nursing talent for travel, acute care, and ambulatory assignments.Key Responsibilities:Source nurses for hospitals, clinics, and ambulatory care settings.Screen candidates based...