Registered Nurse
3 weeks ago
Registered Nurse Job Summary: Talent Software Services is in search of a Registered Nurse for a contract-to-hire position that can be worked 100% remotely. Primary Responsibilities/Accountabilities:Our Appeals Nurse will examine medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare regulations and policies. In addition, this role will: Utilize clinical knowledge and clinical review judgment to conduct medical review of claim documentation for first-level appeal cases. Provide clear and concise written explanations for reason a specific claim or set of claims cannot be paid as a result of first-level redetermination. Work with and provide direction to Redetermination Representatives to assure all redeterminations, which require a clinical decision, are responded to within CMS quality and timelines standards. Analyze appeals and identify specific high-volume problem issues and relay information to Redeterminations Manager and Senior Analyst. Participate in various workgroups for purposes of Continuous Quality Improvement (CQI) to promote consistent medical review of claim documentation and information. Collaborating with a team of clinicians and non-clinicians. Learning a variety of systems, including but not limited to, the Medicare Appeal System (MAS) which is a content management system for Part A appeals and our Hyland OnBase tool which is our content management system used for Part B appeals. Experience working in an environment that serves our nation's military, veterans, Guard and Reserves, and Medicare beneficiaries. Working in a continuous performance feedback environment. Qualifications:Associate's (ASN) or Bachelor's Degree in Nursing (BSN) Active RN license, applicable to state of practice in good standing Have moved away from direct patient care and want to continue using your nursing knowledge in a new and different way. Excel at analyzing information and critical thinking to make sound medical decisions. Are highly organized and adept at researching and finding answers independently using all available resources. Thrive in a production environment where quality and production metrics are critical to individual and team success. Have strength in technical writing. Desire day hours with no on-call work and holidays off. Are technically strong on computers including MS Outlook, Teams, OneNote, Word, and Excel. Are self-motivated and work with a great degree of independence. Are looking for a full-time, permanent position. Preferred:Experience working in Medical Management (e.g., MDS role), Medical Review, Utilization Management/Review, or Appeals Strong technical writing skills Strong computer skills with experience working in multiple on-line systems including MS Outlook, Teams, OneNote, Word, and Excel. 4 or more years of experience in clinical nursing Experience outside of direct patient care. Experience working with Medicare Part A and Part B Previous experience working for another Medicare Administrative Contractor (MAC) Experience working in a remote work environment If this job is a match for your background, we would be honored to receive your application Providing consulting opportunities to TALENTed people since 1987, we offer a host of opportunities including contract, contract to hire and permanent placement. Let's talk
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RN Registered Nurse
5 days ago
Milwaukee, WI, United States Jackson Nurse Professionals Full timeJackson Nurse Professionals is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Milwaukee, Wisconsin. Specialty: PCU - Progressive Care Unit Shift: nights Employment Type: Travel Hospital We're offering a rewarding position for a Registered Nurse with experience caring for patients that are transitioning between...
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RN Registered Nurse
5 days ago
Milwaukee, WI, United States Jackson Nurse Professionals Full timeJackson Nurse Professionals is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Milwaukee, Wisconsin. Specialty: PCU - Progressive Care Unit Start Date: ASAP Shift: nights Employment Type: Travel Hospital We're offering a rewarding position for a Registered Nurse with experience caring for patients that are...
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Registered Nurse
3 weeks ago
Milwaukee, WI, United States Autumn Lake Healthcare at Greenfield Full timeJoin our wonderful team as a Registered Nurse (RN) today! Autumn Lake Healthcare at Greenfield is an exceptional team-oriented company hiring for Registered Nurse (RN)! We provide our staff with the resources, tools, and training needed to succeed and grow in their current and desired future positions. We pride ourselves on our caring and compassionate...
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Registered Nurse
3 weeks ago
Milwaukee, WI, United States Autumn Lake Healthcare at Greenfield Full timeJoin our wonderful team as a Registered Nurse (RN) Supervisor today! Autumn Lake Healthcare at Greenfield is an exceptional team-oriented company hiring for Registered Nurse (RN) Supervisor! We provide our staff with the resources, tools, and training needed to succeed and grow in their current and desired future positions. We pride ourselves on our caring...
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Dialysis Travel RN
2 weeks ago
Milwaukee, WI, United States Quik Travel Staffing Full timeDialysis Travel Registered Nurse / RN The Dialysis Travel Registered Nurse provides direct patient care for assigned patients and assists in care of other patients as needed. The Dialysis Travel Registered Nurse performs all technical aspects of dialysis procedures including: Assessing patient response to dialysis therapy. Making appropriate adjustments...
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Travel registered nurse care
5 days ago
Milwaukee, WI, United States Cross Country Nurses Full timeCross Country Nurses is seeking a travel nurse RN Intermediate Care for a travel nursing job in Milwaukee, Wisconsin. Intermediate Care ~ Shift: 12 hours, nights ~ Employment Type: Travel Job Description As a registered nurse - intermediate care unit (RN IMC), you will help manage the care for patients who may be experiencing severe, but usually not...
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Registered Nurse
4 days ago
Milwaukee, WI, United States Fresenius Medical Care Full timePOSITION FEATURES: Paid Training provided! No dialysis experience required Full-Time (40 hours per week) RN will work 3-4 shifts per week and e/o Saturday Clinic hours: MWF 4:00am-10:00pm & T,Th,Sat 4:00am-5:30pm Clinic Location: 7701 West Clinton Ave Milwaukee, WI 53223 PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1...
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Registered Nurse Home Health
1 week ago
Milwaukee, WI, United States Ascension at Home Together with Compassus Full time*Company:* Ascension at Home Together with Compassus *Our Home Health RNs make an impact everyday on health care and patient’s lives. As a part of the interdisciplinary team, you will directly assess patients and their physical, psychosocial, and living environments to provide the best health care in the comfort of their own homes.* The primary functions...
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Travel Nurse RN
5 days ago
Milwaukee, WI, United States Jackson Nurse Professionals Full timeJackson Nurse Professionals is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Milwaukee, Wisconsin. Job Description & Requirements Specialty: PCU - Progressive Care Unit Discipline: RN Start Date: ASAP Duration: 10 weeks Shift: nights Employment Type: Travel Setting: Hospital We're offering a rewarding...
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Travel Nurse RN
5 days ago
Milwaukee, WI, United States Jackson Nurse Professionals Full timeJackson Nurse Professionals is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Milwaukee, Wisconsin. Job Description & Requirements Specialty: PCU - Progressive Care Unit Discipline: RN Start Date: 06/02/2024 Duration: 13 weeks Shift: nights Employment Type: Travel Setting: Hospital We're offering a...
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Travel Nurse RN
5 days ago
Milwaukee, WI, United States Jackson Nurse Professionals Full timeJackson Nurse Professionals is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Milwaukee, Wisconsin. Job Description & Requirements Specialty: PCU - Progressive Care Unit Discipline: RN Start Date: ASAP Duration: 13 weeks Shift: nights Employment Type: Travel Setting: Hospital We're offering a rewarding...
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Travel Nurse RN
3 days ago
Milwaukee, WI, United States Jackson Nurse Professionals Full timeJackson Nurse Professionals is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Milwaukee, Wisconsin. Job Description & Requirements Specialty: PCU - Progressive Care Unit Discipline: RN Start Date: 06/03/2024 Duration: 10 weeks Shift: nights Employment Type: Travel Setting: Hospital We're offering a...
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Travel Nurse RN
3 days ago
Milwaukee, WI, United States Jackson Nurse Professionals Full timeJackson Nurse Professionals is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Milwaukee, Wisconsin. Job Description & Requirements Specialty: PCU - Progressive Care Unit Discipline: RN Start Date: 06/02/2024 Duration: 8 weeks Shift: nights Employment Type: Travel Setting: Hospital We're offering a...
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Travel Nurse RN
3 days ago
Milwaukee, WI, United States Jackson Nurse Professionals Full timeJackson Nurse Professionals is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Milwaukee, Wisconsin. Job Description & Requirements Specialty: PCU - Progressive Care Unit Discipline: RN Start Date: 06/03/2024 Duration: 13 weeks Shift: nights Employment Type: Travel Setting: Hospital We're offering a...
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Travel Nurse RN
3 days ago
Milwaukee, WI, United States Jackson Nurse Professionals Full timeJackson Nurse Professionals is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Milwaukee, Wisconsin. Job Description & Requirements Specialty: PCU - Progressive Care Unit Discipline: RN Start Date: 06/03/2024 Duration: 8 weeks Shift: nights Employment Type: Travel Setting: Hospital We're offering a...
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Registered Nurse
4 days ago
Milwaukee, WI, United States Fresenius Medical Care Full timePOSITION FEATURES: No dialysis experience required as we provide extensive on-the-job PAID training Full-Time (40 hours per week) RN will work 3-4 shifts per week and e/o Saturday Clinic Address: 7795 W. Appleton Ave Milwaukee, WI 53222 PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation...
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Registered Nurse
4 days ago
Milwaukee, WI, United States Fresenius Medical Care Full timePOSITION FEATURES: No dialysis experience required as we provide extensive on-the-job PAID training! Full-Time (40 hours per week) Our RNs work 4 shifts per week and e/o Saturday Clinic hours: MWF 5:00am-8:30pm & TTHS 5:00am-4:00pm Clinic Location: 400 W Estabrook Blvd Glendale, WI 53212 PURPOSE AND SCOPE: The professional registered nurse...
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Registered Nurse
4 days ago
Milwaukee, WI, United States Fresenius Medical Care Full timePOSITION FEATURES: Training in dialysis provided! Full-Time (40 hours per week) RN will work 4 - 10 hour shifts per week and e/o Saturday Clinic hours: Monday-Saturday 5:00AM-4:00PM Clinic address: 377 W Riverwoods Pkwy Ste 111 Glendale, WI 53212 PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level...
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Milwaukee, WI, United States Cross Country Nurses Full timeCross Country Nurses is seeking a travel nurse RN GI Lab for a travel nursing job in Milwaukee, Wisconsin. Specialty: GI Lab ~ Shift: 8 hours, days ~ Employment Type: Travel Job Description As a registered nurse - gastroenterology (RN), also called an endoscopy nurse, you'll provide care for patients receiving treatment for Crohn's disease, colon...
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Baylor Registered Nurse Home Health
1 week ago
Milwaukee, WI, United States Ascension at Home Together with Compassus Full time*Company:* Ascension at Home Together with Compassus At Ascension at Home, Together with Compassus, we know that caring for our teammates is the first step in caring for our patients. We are committed to providing *Care for Who You Are *and *What You Need *to *balance work and life *including *flexible scheduling *, *a **supportive **family-focused culture...
