Claims Examiner - Commercial Healthcare Core Specialty Insurance ServicesClaims Examiner - Commercial HealthcareCincinnati, TexasRemoteGather and analyse information necessary to make an accurate evaluation of the claim by delivering effective resolution of claims, make decision within established authority levels and identifying settlement issues. Proactively expanding and maintaining awareness of the current market/industry and attend continuing educations programs when available.
Diagnostic Radiologist, Hybrid, Remote and Onsite, Board Certified Greenberg-Larraby, Inc. (GLI)Diagnostic Radiologist, Hybrid, Remote and Onsite, Board CertifiedCincinnati, OHRemoteThis position offers the flexibility of working from home while maintaining occasional presence onsite to collaborate with the clinical team and participate in patient care activities. Greenberg-Larraby, Inc. (GLI) is seeking a Board Certified Diagnostic Radiologist for a hybrid role combining remote and onsite work.
Director, Healthcare Services - REMOTE Molina Healthcare IncDirector, Healthcare Services - REMOTECovington, KYRemoteRegistered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). At least 8 years of health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
Registered Nurse (Ohio) Tuesday HealthRegistered Nurse (Ohio)Cincinnati, OHRemoteAs a key member of the multidisciplinary team, the RN is responsible for developing individualized care plans and leading care coordination efforts through active participation in internal and joint rounds. A dynamic and inclusive team environment where you can lean on your teammates, offer candid feedback, bring your true self to work each day, and deliver tremendous impact while having fun along the way.
Answering Service Registered Nurse TriHealth IncAnswering Service Registered NurseNorwood, OHRemoteAppropriately triage patient calls utilizing Nurse Triage, accurately documents all nursing/medical advice rendered, accurately documents patient concerns and actions taken on behalf of a patient in the patient''s medical record. Adheres to handle time goal average of 6 Mins 30 Sec's, telephone guidelines such as privacy and phi review checking name, DOB, phone number and address and follows Scheduling and Messaging Protocols.
Registered Nurse, Remote Triage, Emergency, ER Telehealth mornings ChenMed LLCRegistered Nurse, Remote Triage, Emergency, ER Telehealth morningsCincinnati, OHRemote$64,583–$92,262 / yearThe Registered Nurse, Telehealth is responsible for providing telephonic triage directional patient care advice for general and specific illnesses, health related issues, client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. Aids in enhancing the quality and effectiveness of the organization's telehealth practices and professional nursing practice through successful utilization and improvement of outcomes that demonstrate program effectiveness.
Registered Nurse, Remote Telehealth, ER, Emergency Triage, Weekends ChenMed LLCRegistered Nurse, Remote Telehealth, ER, Emergency Triage, WeekendsCincinnati, OHRemote$64,583–$92,262 / yearThe Registered Nurse, Telehealth is responsible for providing telephonic triage directional patient care advice for general and specific illnesses, health related issues, client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. Aids in enhancing the quality and effectiveness of the organization's telehealth practices and professional nursing practice through successful utilization and improvement of outcomes that demonstrate program effectiveness.
Remote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CST IntellaTriage, Inc.Remote Hospice Triage RN PT 3p-12a + rotating Sat & Sun 7:30a-4p CSTCincinnati, OHRemoteUtilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.
Remote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 9:30a-4p CST IntellaTriage, Inc.Remote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 9:30a-4p CSTCincinnati, OHRemoteRead more about being a nurse at IntellaTriage, and the reward: https://intellatriage.com/telehealth-solutions-media/2024-nurse-of-the-year/. Utilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care.
(RN) Care Review Clinician - Weekend Role (REMOTE) Molina Healthcare Inc(RN) Care Review Clinician - Weekend Role (REMOTE)Covington, KYRemoteResponsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.