Registered Nurse jobs

Registered Nurse (RN) / Behavioral Health Reviewer

Remote

•

2d ago

Role: Registered Nurse (RN) / Behavioral Health Reviewer Location: Remote USA Mandatory: Minimum 2+ years of Applied Behavioral Analysis (ABA) experienceActive US RN License OR LMHC / LCSW CertificationExperience with Prior Authorization, Clinical Reviews, Appeals, or Behavioral Health servicesKnowledge of Medicaid/Medicare or Health Plan operations preferredJob Responsibilities: Review ABA and Behavioral Health cases for medical necessityHandle prior authorizations and appealsWork with provider

Easy Apply

Contract

Depends on Experience

registered Nurse

San Antonio, Texas

•

8d ago

hope youre doing well! I wanted to share an opportunity for a Registered Nurse (RN) Home Health role with a leading healthcare organization in San Antonio, Texas. Location: San Antonio, TX Facility: Consolidated Home Health & Hospice Schedule: Monday Friday, 8:00 AM 5:00 PMOn-call: Once per monthCoverage Area: San Antonio and surrounding areas Key Responsibilities: Perform patient assessments and develop individualized care plansProvide ongoing nursing care for acute and chronic conditionsCoo

Easy Apply

Contract

45 - 50

RN (Registered Nurse)

Remote

•

15d ago

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

Easy Apply

Contract, Third Party

Depends on Experience

Medical Coder Reviewer

Hybrid in Columbia, South Carolina

•

5d ago

Job Title: Medical Coder/ReviewerDuration: 12 Months (With possible extension)Location: 100% Remote Responsibilities: Initiates annual (and quarterly) updates from CMS of all ICD-10, CPT/HCPCS coding changes. Performs initial review of codes to determine scope of changes. Prepares listings of codes changes to Reference Administration staff and Medicaid Program staff for review and analysis. Conducts meetings with Agency personnel, stakeholders, and process owners. (Future) Participates in DASH (

Easy Apply

Contract

$60 - $75

Looking for Clinical Analyst & Coding Specialist- W2 Only (SC Resident) - 100% Remote

Columbia, South Carolina

•

4d ago

Below are the job details for your reference: Title: Clinical Analyst & Coding Specialist W2 Location: 100% Remote Duration: 12+ Months from projected start date Hrs./Wk.:40 Note: Candidate MUST be a SC resident. No relocation allowed. Scope: This resource will assist with the CPT/HCPCS and ICD-10 code maintenance. An RN is required for the medical coding reviews. However, there is actual NO coding, but more review of coding data received, either by CMS or for internal initi

Easy Apply

Contract, Third Party

Depends on Experience

Utilization Review Nurse

Remote

•

Yesterday

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

Easy Apply

Contract

Depends on Experience

CRNA Locum Need in New York

New York, New York

•

Today

CRNA Locum NeedPandoLogic. Keywords: Certified Registered Nurse Anesthetist (CRNA), Location: New York, NY - 10060

Full-time

RN - Emergency Mid Shifts

Apple Valley, California

•

Today

Description RN - Emergency at Providence St. Mary Medical Center in Apple Valley, CA. This position is Full-Time and will work 12-hour Mid shifts. Our Emergency Department is a fast-paced environment that sees an average of 240 patients per day. We are Level 4 Trauma Certified and a Stroke and STEMI receiving department. Providence St. Mary Medical Center, has been a part of the community of Apply Valley, California since 1956 and is recognized as one of the best regional hospitals in 6 types of

Full-time

USD 56.34 - 85.55 per hour

Stroke Program Coordinator

Augusta, Georgia

•

Today

Overview: Programmatic initiatives for the stroke sub-service line and assure compliance with DNV stroke certification requirements. Serves as the point of contact for stroke treatment throughout the hospital, and works collaboratively with the Stroke Committee and other key stakeholders on all stroke efforts. Functions as a clinician, an educator, a consultant and a researcher with the primary responsibility for promoting quality care for stroke patients. Coordinate care of stroke patients in o

Full-time

Nashville, Tennessee

•

5d ago

Job ID:06-05. RN Days & NightsPosition: Registered Nurse 1Client:TN MHSASLocation:221 Stewarts Ferry Pike Nashville, Tennessee 37214Duration:12+ Months (On-Site)RN - FT Day shift (6:30 am - 7:30 pm)RN - FT Night shift (6:30 pm - 7:30 am)Job Description:72771 Currently licensed as a Registered Nurse and experience equivalent to one year of registered nursing.Or Currently licensed as a Registered Nurse and education equivalent to a bachelor''s or graduate degree in nursing from an accredited col

Easy Apply

Contract, Third Party

50 - 55

Only Current W2 SC Residents may apply: Clinical Analyst/Coding Specialist: Virtual Interview: 100% Remote within SC: $ 84/hr W2

Remote or Hybrid in Columbia, South Carolina

•

3d ago

Required Skills (rank in order of Importance): 5+ years in healthcare insurance; medical review, program integrity, or appeals. 5+ years working with IT developers/programmers in a payor environment. 5+ years Medical Coding in payer environment. 3+ years clinical experience in a healthcare environment (strong clinical assessment and critical thinking skills.) 5+ years knowledge of ICD/CPT/HCPCS translation and coding methodologies.5+ years knowledge of anatomy, physiology, pharmacology, and m

Easy Apply

Contract

Healthcare Business Analyst (Remote MUST be a SC resident)

Remote or Hybrid in South Carolina

•

Today

REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE): 5+ years in healthcare insurance; medical review, program integrity, or appeals. 5+ years working with IT developers/programmers in a payor environment. 5+ years Medical Coding in payer environment. 3+ years clinical experience in a healthcare environment (strong clinical assessment and critical thinking skills.) 5+ years knowledge of ICD/CPT/HCPCS translation and coding methodologies. 5+ years knowledge of anatomy, physiology, pharmacology, and med

Easy Apply

Contract

Business Analyst (Medicaid/Medicare)

Remote

•

Yesterday

On of our clients is looking for the position of IT Healthcare Consultant - Business Analyst based on following Work Location: Fully Remote Candidate Location: Candidate MUST be a SC resident. No relocation allowed. Required Skills (rank in order of Importance): 5+ years in healthcare insurance; medical review, program integrity, or appeals. 5+ years working with IT developers/programmers in a payor environment. 5+ years Medical Coding in payer environment. 3+ years clinical experience in a

Easy Apply

Contract

Depends on Experience

RN Medical Team Administrator Waushara County Jail

Wautoma, Wisconsin

•

Today

Lead Nursing Care with Independence and Purpose Position: Full Time RN Medical Team Administrator Location: Waushara County Jail ? Wautoma, Wisconsin Schedule: Monday through Friday | 7:00 AM to 3:30 PM Sign On & Retention Bonus Available. Some nursing roles follow routines. Others give you the opportunity to lead. Southern Health Partners is seeking a Registered Nurse Medical Team Administrator to oversee on site medical services at the Waushara County Jail. This full time position offers a uni

Full-time

RN Medical Team Administrator Waushara County Jail

Wautoma, Wisconsin

•

Today

Full-time

Business Analyst-Clinical Analyst & Coding Specialist

Remote

•

Yesterday

Client is looking for an IT Healthcare Consultant - Business Analyst - Advanced - Clinical Analyst & Coding Specialist Interview Process: 1 round, Virtual/Online Duration of the Contract: 12 months Possibility for Extension: Yes Work Location: Fully Remote Candidate Location: Candidate MUST be a SC resident. No relocation allowed. Full job description attached & required/preferred skills are stated below. Required Skills Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN) M

Easy Apply

Contract

Depends on Experience

Clinical Analyst

Remote or Columbia, South Carolina

•

Today

We are seeking an Advanced Business Analyst / Clinical Analyst & Coding Specialist for a long-term contract role. This is a unique opportunity for a Registered Nurse (RN) with strong medical coding expertise to act as a Subject Matter Expert (SME), bridging the gap between clinical policy and IT systems. Note: There is NO actual medical billing or coding in this role. You will be researching code data changes (CMS/ICD-10/CPT) and translating them into business rules and system requirements. Lo

Easy Apply

Contract

Clinical Analyst

Remote

•

5d ago

Job ID: SC-7) Remote Clinical Analyst/Coding Specialist (SC RN/CPC/CCS) with ICD-10/CPT/HCPCS, Optum Encoder, payer/insurance, and claims processing systems, anatomy/physiology/pharmacology experience Location: Columbia, SC (SCDHHS) Duration: 12 Months Required Skills Certification: Must have current, active, and non-restricted licensure by the State of South Carolina Board of Nursing as a Registered Nurse. Education: Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN) C

Easy Apply

Contract, Third Party

Depends on Experience

IT Healthcare Consultant - Business Analyst || 100% Remote || Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN)

Remote

•

4d ago

This position requires an individual with strong analytical skills and experience in: Managing multiple work efforts simultaneouslyMedical Coding NursingTime management skillsCPT/HCPCS and ICD-10 translationAbility to write and understand business and functional requirements.Please ensure that your candidates have strengths in these areas. Please do not submit general Medical Coders with no structured background in business rules or claims processing, preferably Government Operations and Manage

Easy Apply

Contract

$50 - $60

Hospice Clinical Manager

Missoula, Montana

•

5d ago

Job Title: Hospice Clinical Manager Location : MT 59808 Duration: 3+ Months Job Description: The Hospice Clinical Manager has direct responsibility for patient care services provided by the Home Health program. Acts as alternate Nursing service line leadership. This position serves as a pivotal point in communication with field staff, support staff, referral sources, other managers/departments to ensure extraordinary service delivery, and in close coordination with the Director of Clinical Servi

Easy Apply

Contract

Depends on Experience

Filter Results

Job post features

Posted date

Work settings

Employment type

Distance

Employer type

Work authorization

Registered Nurse jobs