Outpatient Utilization Review Nurse

Who you are:As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed care, utilization review, and verbal/written communication skills to make a difference in our members' lives. Your in-depth knowledge of the appropriate levels of care make you a valuable resource to our members when...

Description:**Required Skills / Certs /:**- Years of Experience: 2 YearsTraveler Experience:- Unit welcomes first-time travelers- Locals Accepted**Rate Difference:** Yes**Skills:**- Circulate- Neuro- Robotics- General- GYN- UrologyCerts:BCLS**Preferred Skills / Certs /:**-**EXP:**- Scrub- *Vascular- EENT- Trauma experienceJOB :- 1:1Shift: 3X12 HR NIGHTS No...

Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. What awaits you: Work-life balance - This is a hybrid role requiring you to work 1 day per week in the Hanover, MD...

Seeking Family Practice/Addiction Medicine Nurse Practitioner or Physician Assistant Part-Time for Hanover, Pa. Outpatient Facility​_Highlights of the position:_ Competitive compensation Student Loan Repayment Assistance Covered Malpractice Insurance Outpatient Setting​Pinnacle Treatment Centers is a nationally recognized leader in addiction treatment...

We Are Hiring a Compassionate Nurse Practitioner for Palliative CareAbout the Job:We are looking for a caring Nurse Practitioner to join our respected non-profit healthcare organization, well-known for providing top-notch coastal outpatient palliative care. In this role, you will have the chance to have a significant positive impact on patients and families...

About NHRMCNHRMC, established in 1967 in Wilmington, NC, is recognized as a preeminent healthcare organization focused on leading our community to outstanding health. We have an 855 bed network of hospitals and multi-specialty physician group practices with more than 200 physicians. With a network of primary, specialty, neighborhood clinics and regional...

SUMMARY: The Dietary Manager is responsible for partnering with the Dietitian to plan, organize, develop and direct the overall operation of the Dietary Department in accordance with current, federal, state, and local standards, guidelines and regulations governing our facility, and as may be directed by the Administrator, to assure that quality...

About the Position:We are in search of a caring Nurse Practitioner to become part of our well-known non-profit healthcare organization, recognized for its top-notch coastal outpatient palliative care services. In this role, you will have the chance to have a meaningful influence on patients and their families who are dealing with end-of-life difficulties....

Job Description We offer our Psychologists:At clinicians preference able to have or add psychotherapy to their caseload. Flexible work schedules: Full-time - set your own schedule hybrid schedule- onsite & remote work 100% outpatient work. No nights, no hospital calls, no weekends. Compensation with unlimited/uncapped earnings Full benefits package: health,...

Source=AYA;SourceID= ;Status=Open;Association=Aya Healthcare MSP ;Client=Novant Health New Hanover Regional Medical Center Crisis Response ;City=Wilmington ;State=NC ;Zip=28401 ;Start=7/1/2024;End=9/30/2024;Duration=91;Cert=Registered Nurse ;Specialty=PCU Float ;Unit=957- CNRO MS/PCU/Neuro Float - Electronic ;Shift=Night 3x12-Hour (18:4- 07:15);# of...

Source=AYA;SourceID= ;Status=Open;Association=Aya Healthcare MSP ;Client=Novant Health New Hanover Regional Medical Center Crisis Response ;City=Wilmington ;State=NC ;Zip=28401 ;Start=7/1/2024;End=9/30/2024;Duration=91;Cert=Registered Nurse ;Specialty=Medical Surgical ;Unit= S Medicine - RN ;Shift=Night 3x12-Hour (18:4- 07:15);# of...

Liberty Cares With Compassion At Liberty Hospice we understand the unique needs of our patients and families facing terminal illness. That is why Liberty Hospice provides our hospice patients with state-of-the-art care and pain management services, delivered by our specially trained staff with emphasis on strength, dignity and compassion. We are currently...

Job SummaryReporting to the Chief Medical Officer, the Director of Complaints, Grievances, and Appeals (CG&A) is responsible for directing CG&A operations, providing leadership and oversight for all lines of business. The Director will oversee key CG&A functions including the processing of member appeals, provider appeals, and payment disputes. In addition,...

Start Date: ASAPAya Locums has an immediate opening for a 13-week locum Certified Registered Nurse Anesthetist (CRNA) job in Carthage, TN paying $195/hr - $205/hr.Job ResponsibilitiesPrepare and administer anesthesia.Provide patient care before, during and after surgery.Participate in diagnostic and therapeutic procedures.Provide trauma stabilization and...

Tact Staff is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Wilmington, North Carolina.Job Description & RequirementsSpecialty: PCU - Progressive Care UnitDiscipline: RNStart Date: 07/01/2024Duration: 13 weeks36 hours per weekShift: 12 hoursEmployment Type: TravelREQUIRED SKILLS / CERTS / EXP: Minimum Years of Experience:...

Start Date: ASAPAya Locums has an immediate opening for a 13-week locum Occupational Medicine Nurse Practitioner job in Hanover, PA paying $80/hr - $90/hr.Job ResponsibilitiesConduct physical exams, diagnose illnesses and develop patient care plans.Prescribe medication and perform therapeutic interventions.Collaborate with physicians and other healthcare...

We are hiring for:Deaf and Hard of Hearing Therapist / DHHType:RegularIf you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team at RHA Health Services...

Secure our Nation, Ignite your FutureDiscover an exciting new opening dedicated to upholding national security through the provision of exceptional, mission-oriented IT services within a dynamic and thriving program. ManTech is currently seeking a committed Lead Test Engineer who embodies ambition and a customer-centric approach to join our esteemed team....

Job DescriptionDescriptionAbout NHRMCNHRMC, established in 1967 in Wilmington, NC, is recognized as a preeminent healthcare organization focused on leading our community to outstanding health. We have an 855 bed network of hospitals and multi-specialty physician group practices with more than 200 physicians. With a network of primary, specialty, neighborhood...

Overview: Job Summary: Leave Representative works in a call center environment acting as the main resource for leave and disability intake, administration, claim processing, and leave education. Responsibilities: Essential Functions: Provide world class customer service in a call center environment receiving both heavy call and email volume acting as Case...