Director, Healthcare Services - REMOTE Molina Healthcare IncDirector, Healthcare Services - REMOTEDes Moines, IARemoteRegistered 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.
Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseIARemote$71,100–$97,800 / yearWork-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Registered Nurse - RN - Local Traveler Sanford HealthRegistered Nurse - RN - Local TravelerIARemote$32–$48 / hourGraduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state.
NewRemote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 3:30p-11p CST IntellaTriageRemote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 3:30p-11p CSTDes Moines, IARemoteUtilizing 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.
NewRemote Call Center Triage Registered Nurse CVS Health CorpRemote Call Center Triage Registered NurseIARemote$26.01–$74.78 / hourThe progression path from Level I to Level II positions within the Triage RN team is a structured path that encourages nurses to widen their knowledge base, take on more responsibility, demonstrate expertise, and reward team members for their proven success and dedication. Role Description: The Clinical Call Center Triage Nurse effectively extends care during and outside of regular Oak Street Health clinic hours by addressing patients' medical, social, and psychological needs telephonically.
Field Care Manager, Nurse Humana IncField Care Manager, NurseIARemote$71,100–$97,800 / yearThe Registered Nurse Care Manager (Care Manager, Telephonic Nurse 2) performs telephonic and face-to-face assessments and evaluations of Moderate to High acuity member's needs and requirements to achieve and/or maintain optimal wellness by guiding members/families toward and facilitate interaction with resources appropriate for the care and well-being of members and their families/caregivers across the lifespan. Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
NewComplex Discharge Planner Centene Corporation GroupComplex Discharge PlannerIARemote$27.02–$48.55 / hourAssists with the facilitation of a smooth transition from the acute care setting to the next level of care and educates members and their families/caregivers on discharge plan to ensure appropriate high-quality transitional care. Assists with providing education to members and their families on discharge plan and utilization processes to ensure high quality appropriate care to members, as applicable.
Nurse Practitioner-Remote Weekend On-Call American Health Companies IncNurse Practitioner-Remote Weekend On-CallDes Moines, IARemoteTruHealth is seeking an advanced practice provider, either a nurse practitioner (NP) or physician assistant (PA) with experience in primary care or internal medicine, preferably with geriatrics focus. If you are an advanced practice registered nurse (APRN or NP) or physician assistant (PA) who enjoys working with the aging population, consider joining the TruHealth team.
Manager, Clinical Quality TriWest Healthcare AllianceManager, Clinical QualityDes Moines, IARemoteFull timeTechnical Skills: Proficient with the Microsoft Office suite of applications; thorough knowledge of TRICARE policies and procedures; comprehensive knowledge of research methodology that supports evaluation of potential quality issues and/or serious reportable events; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria. Responsible for leading and directing a team of clinical and non-clinical staff that provide Clinical Quality Review services and interventions for beneficiaries and providers under the direction of the Director of Clinical Quality Management (CQM).
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorDes Moines, IARemote$75,000–$90,000 / yearThe Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
NewUtilization Review Clinician - Behavioral Health Centene Corporation GroupUtilization Review Clinician - Behavioral HealthIARemote$27.02–$48.55 / hourYou'll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. Candidates with 5+ years of behavioral health experience in a hospital-based, acute care, inpatient psychiatric, or behavioral health inpatient setting are highly preferred.