Licensed Vocational Nurse
4 weeks ago
Licensed Vocational Nurse (LVN)
Responsibilities:
- Responsible for providing timely referral determination by accurate:
- Usage of the Milliman Care Guidelines
- Identification of referrals to the medical director for review
- Appropriate letter language and coding (denials, deferrals, modifications)
- Appropriate selection of the preferred and contracted providers
- Proper identification of eligibility and health plan benefits
- Proper coding to trigger the record to be routed to a different work queue or to trigger the proper determination notice to be sent out
- Responsible for maintaining compliance in turnaround time requirements as mandated by the ICE TAT Standards
- Responsible for working closely with manager to address issues and delays that can cause a failure to meet or maintain compliance.
- Meets or exceeds production and quality metrics.
- Work directly with the provider(s) and plan Medical Director to facilitate quality service to the member and provider.
- Identifies Clinical Program opportunities and refers members to the appropriate healthcare program (e.g. case management, engagement team, and disease management).
- Attend all mandatory meetings and training.
- Maintains and keeps in total confidence, all files, documents and records that pertain to the business operations.
- Collaborates, educates and consults with Customer Service/Claims Operations, Sales and Marketing and Health Care Services to ensure consistent work processes and procedural application of clinical criteria.
- All other job related duties as it relates to the job function or as delegated by the management team.
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Licensed Practical Nurse
3 hours ago
Spencer, United States Miletree Center Full timeBenefits*Nursing Student Loan Debt Repayment and Tuition Assistance*Variable compensation plans*Tuition, Travel, and Wireless Service Discounts*Employee Assistance Program to support mental health*Employee Foundation to financially assist through unforeseen hardships*Diverse, Equitable, and Inclusive (DEI) workplace with DEI committee. DEI is a part of our...
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Licensed Practical Nurse
6 days ago
Spencer, WV, United States Miletree Center - Spencer, WV Full timeBenefits*Nursing Student Loan Debt Repayment and Tuition Assistance*Variable compensation plans*Tuition, Travel, and Wireless Service Discounts*Employee Assistance Program to support mental health*Employee Foundation to financially assist through unforeseen hardships*Diverse, Equitable, and Inclusive (DEI) workplace with DEI committee. DEI is a part of our...
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Travel Nurse RN
3 days ago
Spencer, United States Nurse First Full timeJob DescriptionNurse First is seeking a travel nurse RN Dialysis for a travel nursing job in Spencer, Iowa.Job Description & RequirementsSpecialty: DialysisDiscipline: RNStart Date: 06/10/2024Duration: 15 weeks36 hours per weekShift: 12 hours, daysEmployment Type: TravelNurse First Job ID #50477263. Pay package is based on 12 hour shifts and 36 hours per...
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Nurse - LPN
6 days ago
Spencer, United States Miletree Center - Spencer, WV Full timeBenefits*Nursing Student Loan Debt Repayment and Tuition Assistance*Variable compensation plans*Tuition, Travel, and Wireless Service Discounts*Employee Assistance Program to support mental health*Employee Foundation to financially assist through unforeseen hardships*Diverse, Equitable, and Inclusive (DEI) workplace with DEI committee. DEI is a part of our...
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LPN - Licensed Practical Nurse
7 days ago
Spencer, United States St Luke Lutheran Home Full timeJob DescriptionJob DescriptionRegistered NurseSt. Luke Homes & Services - St. Luke Lutheran Nursing Home in Spencer, IA is looking to hire a full-time LPN (Licensed Practical) to enhance the lives and health of our elderly residents. Are you passionate about caring for others? Do you want a caregiver role where you directly improve the lives of others? Would...
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LPN - Licensed Practical Nurse
1 week ago
Spencer, United States St Luke Lutheran Home Full timeRegistered NurseSt. Luke Homes & Services - St. Luke Lutheran Nursing Home in Spencer, IA is looking to hire a full-time LPN (Licensed Practical) to enhance the lives and health of our elderly residents. Are you passionate about caring for others? Do you want a caregiver role where you directly improve the lives of others? Would you like to work in a...
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Dialysis Travel LPN
1 week ago
Spencer, United States Quik Travel Staffing Full timeDialysis Travel Licensed Practical Nurse / LPN The Dialysis Travel Licensed Practical Nurse provides direct patient care for assigned patients and assists in care of other patients as needed. The Dialysis Travel Licensed Practical Nurse performs all technical aspects of dialysis procedures including: Assessing patient response to...
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Nurse - LPN
6 days ago
Spencer, WV, United States Miletree Center - Spencer, WV Full timeBenefits *Nursing Student Loan Debt Repayment and Tuition Assistance *Variable compensation plans *Tuition, Travel, and Wireless Service Discounts *Employee Assistance Program to support mental health *Employee Foundation to financially assist through unforeseen hardships *Diverse, Equitable, and Inclusive (DEI) workplace with DEI committee. DEI is a part...
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Nursing Home Administrator
3 weeks ago
Spencer, WV, United States Miletree Center - Spencer, WV Full timeGenesis is one of the nation's leading providers of post-acute healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is delivered by bringing together people like you passionate - highly skilled and motivated to make a difference. Why Genesis? We improve the...
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Travel Nurse RN
4 days ago
Spencer, IA, United States Nurse First Full timeNurse First is seeking a travel nurse RN Dialysis for a travel nursing job in Spencer, Iowa.Job Description & RequirementsSpecialty: DialysisDiscipline: RNStart Date: 06/10/2024Duration: 15 weeks36 hours per weekShift: 12 hours, daysEmployment Type: TravelNurse First Job ID #50477263. Pay package is based on 12 hour shifts and 36 hours per week (subject to...
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Registered Nurse
1 week ago
Spencer, United States INTEGRIS Health Full timeINTEGRIS Health is seeking a Registered Nurse (RN) Med Surg for a nursing job in Spencer, Oklahoma. Job Description & RequirementsSpecialty: Med SurgDiscipline: RNDuration: OngoingEmployment Type: Staff INTEGRIS Health Spencer Mental Health, Oklahoma's largest not-for-profit health system has a great opportunity for a Registered Nurse in Spencer, OK. In this...
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Registered Nurse
1 week ago
Spencer, United States INTEGRIS Health Full timeINTEGRIS Health is seeking a Registered Nurse (RN) Pediatrics for a nursing job in Spencer, Oklahoma. Job Description & RequirementsSpecialty: PediatricsDiscipline: RNDuration: OngoingEmployment Type: Staff INTEGRIS Health Spencer Mental Health, Oklahoma's largest not-for-profit health system has a great opportunity for a Registered Nurse in Spencer, OK. In...
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Registered Nurse
1 week ago
Spencer, United States INTEGRIS Health Full timeINTEGRIS Health is seeking a Registered Nurse (RN) CVOR for a nursing job in Spencer, Oklahoma. Job Description & RequirementsSpecialty: CVORDiscipline: RNDuration: OngoingEmployment Type: Staff INTEGRIS Health's Heart Hospital at Baptist Medical Center, Oklahoma's largest not-for-profit health system has a great opportunity for a Registered Nurse -...
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Registered Nurse
1 week ago
Spencer, United States INTEGRIS Health Full timeINTEGRIS Health is seeking a Registered Nurse (RN) Neurology for a nursing job in Spencer, Oklahoma. Job Description & RequirementsSpecialty: NeurologyDiscipline: RNDuration: OngoingEmployment Type: Staff INTEGRIS Health Southwest Medical Center, Oklahoma's largest not-for-profit health system has a great opportunity for an RN in Oklahoma City, Oklahoma. In...
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Registered Nurse
1 week ago
Spencer, United States INTEGRIS Health Full timeINTEGRIS Health is seeking a Registered Nurse (RN) Hospice for a nursing job in Spencer, Oklahoma. Job Description & RequirementsSpecialty: HospiceDiscipline: RNDuration: OngoingEmployment Type: Staff INTEGRIS Health Hospice House, Oklahoma's largest not-for-profit health system has a great opportunity for a Registered Nurse in Oklahoma City, Oklahoma. In...
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Registered Nurse
1 week ago
Spencer, United States INTEGRIS Health Full timeINTEGRIS Health is seeking a Registered Nurse (RN) Cardiac Cath Lab for a nursing job in Spencer, Oklahoma. Job Description & RequirementsSpecialty: Cardiac Cath LabDiscipline: RNDuration: OngoingEmployment Type: Staff INTEGRIS Health's Heart Hospital at Baptist Medical Center, Oklahoma's largest not-for-profit health system has a great opportunity for a...
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Registered Nurse
1 week ago
Spencer, United States INTEGRIS Health Full timeINTEGRIS Health is seeking a Registered Nurse (RN) Psychology for a nursing job in Spencer, Oklahoma. Job Description & RequirementsSpecialty: PsychologyDiscipline: RNDuration: OngoingEmployment Type: Staff INTEGRIS Health Spencer Mental Health, Oklahoma's largest not-for-profit health system has a great opportunity for a Registered Nurse in Spencer, OK. In...
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Registered Nurse
1 week ago
Spencer, United States INTEGRIS Health Full timeINTEGRIS Health is seeking a Registered Nurse (RN) PCU - Progressive Care Unit for a nursing job in Spencer, Oklahoma. Job Description & RequirementsSpecialty: PCU - Progressive Care UnitDiscipline: RNDuration: OngoingEmployment Type: Staff INTEGRIS Health Baptist Portland Ave, Oklahoma's largest not-for-profit health system has a great opportunity for an RN...
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Registered Nurse
4 days ago
Spencer, United States Novant Health Full timeOverviewThe Registered Nurse serves as a leader of the healthcare team at Novant Health by establishing an authentic personalized relationship with the patient and their chosen support system, collaborating with physicians and other team members to assess, plan, implement, and evaluate an individualized plan of care that promotes optimal health or supports a...
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Registered Nurse
4 days ago
Spencer, United States Novant Health Full timeOverviewThe Registered Nurse serves as a leader of the healthcare team at Novant Health by establishing an authentic personalized relationship with the patient and their chosen support system, collaborating with physicians and other team members to assess, plan, implement, and evaluate an individualized plan of care that promotes optimal health or supports a...