Healthcare Professionals - On-Site at Multiple Locations Across US

Job Description: Must: Registered Nurse License, active and unencumbered state license in the state where job duties are performed isBSN preferred. 2. Four (4) years of clinical practice nursing experience in at least one of the following areas: medical-surgical nursing, surgical nursing, intensive care or critical care nursing.Duties: Utilization Management: Conducts and monitors clinical review cases to ensure medical necessity of inpatient and outpatient services, diagnostic procedures, out-o

Job Title: Utilization Management - RN/LPN (Care Management) Location: Baltimore, MD Duration: 12 Months+ Purpose: Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination and quality of care. Essential Functions: 35% Performs member or provider related administrative support which may include benefit verification, authorization creation and management, claims i

Company Description Lumen SolutionsGroupInc. is a technology consulting Services company based inFlorida. Weprovidea wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, EnterpriseTransformation. Role:Utilization Review Nurse Location: Baltimore MD(Remote) Type:Contract Job Descrip

Job Title: RN (Registered Nurse) Case Manager Location: Remote Duration: 12 months Description: The Case Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and social needs. They serve as the single point of contact for members, caregivers, and providers using a variety of communication channels including phone calls, emails, text messages and the Client