NewDirector of Sales & Business Development Harris Computer SystemsDirector of Sales & Business DevelopmentRIRemote$80,000–$110,000 / yearYou'll work alongside experienced professionals, including a professional services team comprised of Registered Nurses and former perioperative staff, who bring deep clinical expertise and a customer-centric perspective to every challenge. About Picis: Join Picis, a global leader in perioperative and critical-care information systems, where you'll be part of a team that is genuinely pleased with their colleagues and thrives in a positive, comfortably fast-paced environment.
Nurse Care Management - RN Care Manager Thundermist Health CenterNurse Care Management - RN Care ManagerWest Warwick, RIRemoteThundermist Health Center is looking for an RN Care Manager to carry a caseload of moderate to high-risk adults - providing comprehensive screening, assessment, disease education, self-management support, and care coordination in a community primary care setting. You're organized enough to manage a complex caseload, clinical enough to interpret labs and educate on medication regimens, and compassionate enough to sit with a patient who's struggling and help them find a path forward.
NewNurse Case Manager II - Alabama Apidel TechnologiesNurse Case Manager II - AlabamaPlease note: Actual location may vary., RIRemoteContractorThe Care ManagerRegistered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health (SDoH) needs. Additionally, the Care Manager develops and implements individualized care plans, monitors member progress, advocates for necessary services, and collaborates with the interdisciplinary care team to ensure optimal health outcomes.
NewClinical Claim Review RN UnitedHealth Group Inc.Clinical Claim Review RNBoston, MARemote$29–$52 / hourThe Clinical Claim Review RN will be responsible for performing compliance reviews of medical and administrative documentation to identify instances of healthcare fraud and/or wasteful and abusive conduct by health care providers who submit claims for payment. Preferred Qualifications: Clinical or administrative experience in long term care, for example, nursing facility care delivery/administration and/or community-based LTC service programs like Home Health.
Assistant/Associate Professor of Practice & Clinical Simulation Learning Specialist Simmons UniversityAssistant/Associate Professor of Practice & Clinical Simulation Learning SpecialistBoston, MARemote$85,196–$116,716 / yearInterested candidates should submit the following electronically with their application: (1) a letter of application addressing teaching experiences, (2) teaching philosophy, course or content interests, and clinical/professional interests and expertise; and (3) curriculum vitae. Simmons is committed to creating, developing, promoting, and enhancing inclusive hiring practices-at all levels, for all positions-ensuring diverse talent pools and the delivery of a consistent positive candidate experience.
Nurse Case Manager II - Pennsylvania Apidel TechnologiesNurse Case Manager II - PennsylvaniaPlease note: Actual location may vary., RIRemoteContractorThrough the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individuals benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
New*Nurse Case Manager II - Pennsylvania Apidel Technologies*Nurse Case Manager II - PennsylvaniaPlease note: Actual location may vary., RIRemoteContractorThrough the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individuals benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorBoston, MARemote$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.
Bilingual (Spanish/English) Virtual Urgent Care/Acute Care Advanced Practice Provider (NP or PA) Devoted Health ServicesBilingual (Spanish/English) Virtual Urgent Care/Acute Care Advanced Practice Provider (NP or PA)MassachusettsRemotePerforming Care OnDemand (acute care) visits including evaluating and diagnosing acute illnesses, ordering/interpreting diagnostic testing, establishing care plans including prescribing appropriate medications, and assessment for quality of care (STARS/HEDIS) interventions as well as social and home health/DME needs. Work closely with the member’s care team including their PCP, specialists, and other Devoted team members including pharmacy, clinical nursing, and social work as well as interfacing with family members and caregivers in order to coordinate care for the member and deliver a collaborative care plan.
Licensed Vocational Nurse-LPN Apidel TechnologiesLicensed Vocational Nurse-LPNRemote, RIRemoteContractorThe Licensed Practical Nurse is a graduate of a school of Practical or Vocational Nursing, approved by the State Agency and/or accredited by the National League for Nursing (Accrediting Commission (NLNAC)) at the time the program was completed by the applicant. 1. Do you currently hold an active, unrestricted LPN/LVN license Yes No. 2. Do you have 2%2B years of RECENT hands-on prior authorization experience (not scheduling, DME, surgery or procedure referrals, or intake) Yes No.
Family Nurse Practitioner Apidel TechnologiesFamily Nurse PractitionerRemote, RIRemoteContractorYou will work in collaboration with a dedicated team of professionals as you independently provide holistic, evidenced based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients ranging in age 18 months and above. Complete necessary tasks for clinic operations, including but not limited to taking inventory, following up on lab results, receiving incoming phone calls, ordering supplies and maintaining clinic cleanliness.