Ready to help us transform healthcare? Bring your true colors to blue. The Role The Claims Nurse Reviewer is responsible for reviewing claims, validating coding and medical necessity of the services submitted and pricing the claims according to appropriate guidelines. This position requires strong clinical and medical coding skills to review claims for medical necessity,

Employee status | medical, dental, vision, 401K & direct deposit Make a difference in the lives of our Nation's military Position Requirements Posses a degree in Nursing from an accredited university. Possess current unrestricted license to practice as a registered nurse in one of the fifty states, the District of Columbia, the Commonwealth of Puerto Rico, Guam, or the U.

Coordinate with the Shared Service Manager to provide needed services to all towns. Conduct communicable disease investigation, surveillance, and case management, including investigating outbreaks and DOT Therapy for TB cases. Help deliver health screening programs, wellness clinics, and influenza vaccination clinics. Provide education and information to town residents an

The Respite Weekend Case Manager provides direct services to adult Department of Mental Health clients who are enrolled in short term transitional clinical and rehabilitative services, both in a residential setting and in the community. The Weekend Case Manager assists persons served in setting individual goals for their time enrolled in the respite program and takes all

SC Case Mgt New Bedford , MA Nursing/Nursing Mgt Pay Grade SCN18 Per Diem , Day shift, weekend & holiday rotation , 8 00am 4 30pm Req # 78354 Work for One of the World's Best Hospitals! For Five Consecutive Years, Newsweek named Southcoast Health among the World's Best Hospitals (Charlton Memorial, St. Luke's, and Tobey). In addition, since 2018, Southcoast Health has bee

CLINICAL PRACTICE A. Organization of Patient Care Accountable for assessing, planning, implementing and evaluating a plan of care for a specific patient assignment. Sets priorities when organizing care for patients with varying acuity. Maintain continuity through clear and concise (verbal and written) communication. Demonstrates appropriate knowledge of growth and develop

Registered Nurse (RN) Adult Med/ Surg Oncology/Ortho; 24 hrs/week 7p 7a Job Ref 29529 Category Nursing Location Emerson Hospital, 133 Old Road to Nine Acre Corner, Concord, MA 01742 Department Wheeler 5 Schedule Part Time Shift Eve/Night shift Hours 7 7a Job Summary The Registered Nurse is responsible for utilizing the nursing process to provide comprehensive care appropr

Manage chronic illnesses in a complex elderly population with multimorbid conditions focused on wellness, avoiding unnecessary hospitalizations and ER visits, providing patient education about disease processes, improving overall quality of care, and increasing patient satisfaction in the healthcare system Document timely with an added focus on closing HEDIS quality gap m

As a member of the Interdisciplinary Care Team (IDT), the Registered Nurse (RN) performs physical assessments and completes health histories; monitors the physical and psychological health of the client; interprets patient information; and makes critical decisions about needed actions. This nurse collaborates with the physician and other healthcare providers and educates

Nurse On Call is hiring for a full time Home Health Registered Nurse/RN in Lincoln, RI! The Registered Nurse in Home Health provides and directs provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. The Registered Nurse coordinates total plan of care with other health

Description External McLean Hospital is a comprehensive psychiatric hospital committed to providing easy access to superior quality, cost effective mental health services in the Boston area, Massachusetts and beyond. Since 1811, McLean Hospital has been a world leader in the treatment of mental illness and chemical dependency, research into the cause of mental illness and

Provide patient care according to the philosophy and standards of the Department of Nursing. Utilize appropriate clinical skills to integrate and implement the nursing process with the plan of care. Function as a clinical resource for the patient, consistently providing direction and support to ensure a focus on the team goals and patient driven outcomes. Function within

Schedule Full Time 36 Hours (8 12 hr shifts), Day/Night rotation. Every other weekend and holiday rotation. Newly Licensed Nurses Welcome to Apply! BWFH 6 North is a 36 private bed general medicine/telemetry, progressive care unit. Services are provided to adults and older adults with complex medical and psychosocial conditions. Some of the medical conditions reflect acut

Responsible for educating, problem solving and building relationships with referral sources, obtaining referrals, completing eRehab or LTRAX assessments, and participating in planning, organizing and executing the Business Departmental plan. Frequent day travel with reliable transportation and occasional overnight travel is required. The individual will be responsible for

Function as a consultant to patients, physicians and other members of the interdisciplinary team to assure provision of quality of palliative care including pain and symptoms management as you collaborate with the patients' attending physician. Assure appropriate evaluation , certification, and recertification of terminal prognosis at the time of admission and at the end