Trabajos clinical review nurse en Glendale, Arizona - Page 2Crear alertas

Job DescriptionDescription: Attention all Registered Nurses, we are calling you to partner with us as independent contractors providing services to our Military Service members. We primarily work weekends, with some occasional weekdays under the Reserve Health Readiness Program (RHRP) in the State of Arizona on an "as needed basis". We provide health readiness services to meet the medical and dental requirements to maintain a deployable military force for the following: • U.S. Army Reserve (USAR), • Army National Guard (ARNG), • U.S. Navy Reserve (USNR), • U.S. Marine Forces Reserve (MARFORRES), • U.S. Coast Guard Reserve (USCGR), • Air National Guard (ANG), • Support Physical Health Assessments of military personnel., • Review health history, service member medical records, and medical questionnaires., • Interview military personnel to determine current and prior medical concerns., • Identify any concerns that need to be addressed immediately, inclusive of Behavioral Health., • Document interview results for readiness classification in the service member’s medical record using the proprietary system.Requirements:, • Completion of an Associate or Bachelor's degree from an accredited registered nursing program., • Certification: Possess a minimum of CPR and BLS (Basic Life Support) certification., • Experience: Minimum of 2 years of recent clinical experience as a Registered Nurse., • State Licensure: Must hold an unrestricted license in a state, territory, or Commonwealth of the United States., • Additional Requirements:, • Resilience: Capacity to handle high-stress situations and work effectively, • Communication: Excellent verbal and written communication skills to effectively interact with patients, team members, and the public., • Team Player: Willingness to collaborate with multidisciplinary teams and demonstrate a positive and supportive attitude. With over three decades of experience, we are a trusted industry leader. Our experienced team of clinicians and logistics professionals are dedicated, and strive to do the right thing for our partners and their members every time. Because of this commitment, we’ve set a new standard of care delivery through our fixed-clinic, mobile treatment center, telemedicine, and portable deployment models. Join our team, and become a part of a bridge for better health. If you are made a conditional offer of employment, you will be required to undergo background check (including criminal record check) and drug screening. We use E-Verify in our hiring process. DOCS Health is committed to ensuring equal employment opportunity. All employment decisions, policies, and practices are in accordance with applicable federal, state, and local anti-discrimination laws. DOCS Health will not engage in or tolerate unlawful discrimination (including any form of unlawful harassment) on account of a person's sex (including pregnancy), age, race, color, religion, national origin, ancestry, citizenship, physical or mental disability, sexual orientation, gender nonconformity, status as a transgender individual, gender identity, genetic information, marital status, family responsibility, armed services, or any other status protected by law.

Job Description At The CORE Institute, we are dedicated to taking care of you so you can take care of business! Our robust benefits package includes the following: • Competitive Health & Welfare Benefits, • Monthly $43 stipend to use toward ancillary benefits, • HSA with qualifying HDHP plans with company match, • 401k plan with company match (Part-time employees included), • Employee Assistance Program that is available 24/7 to provide support A Case Manager/Utilization Review Nurse, in collaboration with patients/families, physicians and the interdisciplinary team, provides leadership and advocacy in the coordination of patient-centered care across the continuum to facilitate optimal transitions and progression in care. • Conduct concurrent and retrospective reviews of patient medical records to verify the medical necessity of services provided., • Assess admission criteria and length of stay, applying standardized clinical guidelines such as InterQual or MCG to justify care levels., • Issue pre-authorizations for procedures, medications, and durable medical equipment by providing clinical information to insurance carriers., • Collaborate with physicians and other healthcare providers to discuss patient care plans and ensure alignment with coverage policies., • Facilitate communication between medical staff and payers to resolve issues related to treatment plans and reimbursement., • Identify and refer cases to case management or social work for complex discharge planning needs., • Prepare and submit clinical appeals to insurance companies when services are denied, providing documentation to support medical necessity., • Associate Degree in Nursing (ADN) required,, • Three to five years of clinical experience in a direct patient care setting within an acute care hospital required., • A current and unrestricted Arizona Registered Nurse (RN) license., • Medical Necessity Analysis: This skill involves a detailed evaluation of patient medical records. The nurse must critically assess the documented clinical information to determine if the proposed treatments, procedures, and services are medically appropriate and necessary according to established standards., • Payer-Provider Liaison: Acting as a crucial communication link, the nurse must effectively mediate between healthcare providers and insurance payers. This requires translating clinical information into the language of insurance requirements to resolve discrepancies and pre-emptively address potential denials., • Patient Assessment: Conduct comprehensive assessments of patients' medical, emotional, and social needs to develop individualized discharge plans that ensure continuity of care., • Care Coordination: Collaborate with healthcare providers, including doctors, nurses, and therapists, to create an integrated plan of care that addresses clinical needs, equipment, home care, and other requirements., • Discharge Planning: Determine the appropriate discharge disposition based on factors such as living situation, mobility, cognitive status, and available support systems. This includes deciding whether patients can return home with services or require care in a facility., • Arranging Services: Coordinate necessary post-discharge services, such as home health care, rehabilitation, and durable medical equipment, ensuring that these services are in place after the patient leaves the hospital., • Communication: Maintain clear communication with all parties involved in the patient's care, including insurance providers, to secure coverage for post-discharge services and ensure that receiving providers are informed of the patient's needs and changes in their condition., • Ability to work in a high-stress, fast-paced environment., • Ability to develop relationships with providers, staff, patients, families, and payors., • Ability to work cooperatively and professionally in a team environment.

Own the full lifecycle of new account onboardingfrom application review to transfer completion.

With Restore's continued growth and success, we are excited to hire a Registered Nurse to join one of our locations in the(. We are looking for a positive, energetic individual with a passion for wellness and helping people! As a Registered Nurse at Restore you will be responsible for the administra

Through the use of clinical tools and information/data review, conducts an evaluation of member’s needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. Our embedded customer-dedicated service and clinical pods allow maxim

Restore is seeking an outgoing, experienced Nurse to join our team of wellness professionals on a mission to help people feel better so they can do more of what they love. Our nurses have described working for Restore as "the most fun you can have at a nursing job while still helping people in a mea

Minimum one year of recent experience in medical, surgical or critical care as a professional nurse. Strong clinical assessment skills.

Two years of experience as a registered nurse, hospice experience preferred. Your position perks as a Hospice Registered Nurse / RN Case Manager. How you'll make an impact as a Hospice Registered Nurse / RN Case Manager.

To excel as a Full-Time Registered Nurse Case Manager with American Premier Home Health, candidates must possess a combination of education, clinical experience, and essential skills. Active RN licensure in Arizona is mandatory, alongside at least two years of clinical nursing experience, ideally wi

Clearwater Mayo Blvd is a premier luxury senior living community in Phoenix, AZ and is looking for a Licensed Vocational Nurse to join the team!. The LPN Nurse will be dynamic, eager to learn, have great communication skills, and a passion to serve. The Nurse administers quality nursing services to

Minimum one year of recent experience in medical, surgical or critical care as a professional nurse. Strong clinical assessment skills.

Tenet-AZ Region is seeking a Registered Nurse (RN) Case Manager, Clinical Support Specialist for a nursing job in Avondale, Arizona. Posted job title: Registered Nurse (RN) - Case Manager.

Handles case assignments, draft service plans, review case progress and determine case closure. Helps patients make informed decisions by acting as their advocate regarding their clinical status and treatment options. Proven working experience in case management, including as a nurse, medical, menta

Full Time or Part Time Advanced Practice Provider (APP) - Nurse Practitioner in Peoria, AZ. The Nurse Practitioner will do Home Visits and treat our Adult patients in their homes. Board Certified Nurse Practitioner.

About the job RN Case Manager, Hospice (In-Home).Strong Force Staffing: Building Stronger Teams for a Stronger Tomorrow.Hey there, healthcare heroes! Welcome to Strong Force Staffing, where we're not just a leading Recruitment Process Outsourcing (RPO) firmwe're your career matchmakers.Consider us y

The Registered Nurse (RN) Case Manager works within an interdisciplinary team to facilitate the patient plan of care throughout the continuum of care by ensuring appropriate utilization management, care coordination, resource utilization, and clinical documentation. The RN Case Manager will function

Current Registered Nurse (RN) license in the state of practice. Strong clinical assessment and critical thinking skills. Responsibilities include managing a caseload of hospice patients, performing clinical assessments, collaborating with interdisciplinary teams, and ensuring compliance with care st

Your position perks as a Hospice Registered Nurse / RN Case Manager. How you'll make an impact as a Hospice Registered Nurse / RN Case Manager. Hospice Registered Nurse / RN Case Manager Requirements.

Reviews and analyzes third-party payer denials for in house patients, and communicates to attending physician , Case Management, Manager, Utilization Management Medical Director, and Utilization Management Nurse as per department protocols. Reviews the patient daily for appropriate patient status ,

Clinical License and Specialty Certifications mandated by State.

Minimum one year of recent experience in medical, surgical or critical care as a professional nurse. Strong clinical assessment skills.

Incorporates into the utilization review process the ability to access and interpret clinical information against the designated review criteria to reach correct admission status determinations. Reviews record including physician orders and documents admission, concurrent discharge reviews and retro

The Registered Nurse (RN) Case Manager works within an interdisciplinary team to facilitate the patient plan of care throughout the continuum of care by ensuring appropriate utilization management, care coordination, resource utilization, and clinical documentation. The RN Case Manager will function

Registered Nurse in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance company.

Must have hands on experience with in pharmacy billing, prior Authorization, appeals, and peer-to-peer review. The base salary offered will be contingent on assessment of candidate education level, background, and experience relative to the requirements of the position they are being considered for,

Requisition Closing Date: Open Until Filled; Applications Reviewed Daily Make An Impact With DCS At the Arizona Department of Child Safety ("DCS"), we call ourselves "Compassioneers" because everything we do is done with a compassionate heart.

For further information, please review the Know Your Rights notice from the Department of Labor.

Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern). Strongline Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern). Founded in New Mexico in 1908, we are the state's large

Registered Nurse with Bachelors of Science in nursing (BSN) degree or Registered Nurse with Associates degree in nursing (ADN) plus five years utilization review or case management experience required. Masters degree in nursing plus 5 years utilization review or case management experience required;

Registered Nurse with Bachelors of Science in nursing (BSN) degree or Registered Nurse with Associates degree in nursing (ADN) plus five years utilization review or case management experience required. Masters degree in nursing plus 5 years utilization review or case management experience required;

Are you ready to explore new places while building your resume? At AB Staffing, we specialize in placing Travel Nurses in facilities throughout the United States.

Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern). Ensures that care delivery is within quality and utilization guidelines and is directed toward the achievement of desired clinical outcomes for the disease state. Precepts newly hired

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Delivering with Uber is an alternative to a part-time or full-time job and can get you earning cash quickly.Delivering with Uber allows you to earn quick cash while maintaining the flexibility your schedule requires (gig, part-time, full-time, seasonal, hourly, or temporary).With Uber, you can cash

Delivering with Uber is an alternative to a part-time or full-time job and can get you earning cash quickly.Delivering with Uber allows you to earn quick cash while maintaining the flexibility your schedule requires (gig, part-time, full-time, seasonal, hourly, or temporary).With Uber, you can cash

Delivering with Uber is an alternative to a part-time or full-time job and can get you earning cash quickly.Delivering with Uber allows you to earn quick cash while maintaining the flexibility your schedule requires (gig, part-time, full-time, seasonal, hourly, or temporary).With Uber, you can cash

National Case Management certification preferredRN IMM Case Management IIRegistered Nurse with Bachelors of Science in nursing (BSN) degree or Registered Nurse with Associates degree in nursing (ADN) plus five years utilization review or case management experience required. RN IMM Case Management IV

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