Utilization Review Nurse

We are seeking a detail oriented and experienced Registered Nurse (RN) to join our PIONEER TEAM as a Virtual Utilization Review Nurse. You'll be responsible for reviewing medical records and clinical documentation to determine the medical necessity, appropriateness, and efficiency of healthcare services provided. You'll work closely with physicians, case...

Access Healthcare is looking for REGISTERED NURSE to join our growing team.You'll be ensuring the completion of assigned patient cases by doing roll calls, processing concurrent and retro clinical reviews, work processing surgery authorizations, as needed. Responsibilities :Perform advanced level work related to clinical denial and utilization...

Job descriptionWe are hiring Staff Nurse for our senior's residence RainTree Care Services & Senior Residences in Pasay City.We are under German management and operate on German healthcare standards.RESONSIBILITIES AND DUTIES:Manage and Implement nursing care for our residentsManage chronic illnessConsult and collaborate with physicians, head nurse, and...

We are looking for a highly skilled and experienced Virtual Nurse Supervisor to lead our team of Virtual Triage Nurse Associates. This role is crucial for ensuring the highest standards of patient care, operational efficiency, and team development.Key Responsibilities:1. Team Leadership & Supervision:Performance Management: Supervise, mentor, and coach a...

Job descriptionWe are looking for a highly skilled and experiencedVirtual Nurse Supervisorto lead our team of Virtual Triage Nurse Associates. This role is crucial for ensuring the highest standards of patient care, operational efficiency, and team development.Key Responsibilities:1. Team Leadership & Supervision:Performance Management: Supervise, mentor,...

Position Goals* Providing professional and continuous nursing care with the following goals:* Promotes and restores resident's health by completing the nursing process.* Respecting the self-care abilities, self-determination, desires and habits of the residents, with appreciation and consideration of the abilities and wishes of relatives regarding the care.*...

Job Description: Houseparent / Utility WorkerPosition Title: Houseparent / UtilityDepartment: Elderly Care / Home OperationsReports To: Home Administrator / Head of CarePosition SummaryThe Houseparent / Utility Worker provides day-to-day support to elderly residents by ensuring a clean, safe, and caring home environment. The role combines caregiving...

We are seeking an experienced Registered Nurse to serve as Team Leader for our Virtual Utilization Review Team.This leadership role involves supervising a team of UR nurses, ensuring clinical quality, compliance, and productivity, and acting as a liaison between clinical staff, clients, and internal stakeholders. The ideal candidate will have a strong...

Job Highlights:NCLEX Sponsorship (Review, Exam, and Licensing Support)Work-from-home review setup, with required onsite reportingCompetitive Allowance2-Year Employment BondLong-term career opportunityJob Description:We are looking for qualified and committed Registered Nurses to join our NCLEX Sponsorship Program. This opportunity is ideal for nurses seeking...

OverviewMOA - Telecare USRN (Illinois) role at VXI Global SolutionsIt's fun to work in a company where people truly BELIEVE in what they are doingWe're committed to bringing passion and customer focus to the business.ResponsibilitiesHandles all Telecare Triage Phone Responses (70%)Utilizes Physician-approved protocols for the assessment and management of a...