7 results (2 new)
Remote
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4d ago
Title: Registered Nurse Contract: 6 Months Location: Remote Job Description: Processing Appeals for Texas Looking for someone who is dedicated, self driven, good with remote work, ability to multitask and handles timelines wellCompact RN LicenseClaims ExperienceTrucare classic, cloud, Interqual experience5+ years
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Contract
40
Remote
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10d 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
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Contract, Third Party
Depends on Experience
Remote
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3d ago
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
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Third Party, Contract
Depends on Experience
Remote
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Today
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
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Contract
Depends on Experience
Remote
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Today
Role: IT Healthcare - Business Analyst (Clinical Analyst & Coding Specialist) Location: Columbia, SC (Remote) Duration: 12+ months Candidate Location: Candidate MUST be a SC resident. No relocation allowed. Job Description: SCOPE OF THE PROJECT: This project is a multi-year effort which primarily focuses on providing consulting services to operations and policy staff for the current Medicaid Management Information System (MMIS). The current position s focus and priority is the continued support
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Contract
Depends on Experience
Remote
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5d ago
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
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Contract
$30 - $35
Remote
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Today
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
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Contract, Third Party
Depends on Experience
