Pre-Certification Review Nurse Specialist

About the RoleThe Pre-Certification Review Nurse - Pharmacy is a critical member of our clinical team, responsible for reviewing and processing coverage determinations and utilization management reviews for specialty medications. This role requires a strong working knowledge of clinical processes and workflows, as well as employer benefit plans.Key...

About the RoleAt Quantum Health, we're seeking a highly skilled Pre-Certification Review Nurse - Pharmacy to join our team. As a key member of our clinical team, you'll play a critical role in reviewing and processing coverage determinations and utilization management reviews for specialty medications. Your expertise will help ensure that our members receive...

About the RoleThis position is a key member of our clinical team, responsible for reviewing and processing coverage determinations and utilization management reviews for specialty medications. The successful candidate will have a strong background in nursing and experience with clinical processes and workflows. They will work closely with Medical Directors...

Job SummaryWe are seeking a highly skilled Loan Review Specialist to join our team at Morris Bank. As a Loan Review Specialist, you will be responsible for reviewing all loans for completion of loan documentation and adherence to internal policies and approvals.Key Responsibilities:Perform thorough reviews of consumer and commercial loans to ensure...

Job OpportunityWe are seeking a skilled Roofing and Gutter Installation Specialist to join our team at Gutter Guards America.About the JobThis is a 1099 position that requires the installation of our patented gutter cover system. As an independent contractor, you will be provided with pre-sold jobs and the necessary knowledge to complete the...

Job Title: RN SpecialistMount Carmel Health is seeking a skilled RN Specialist to join our team in the Department of Radiology. As a key member of our healthcare team, you will provide high-quality patient care, coordinate nursing services, and collaborate with physicians and technologists to ensure exceptional patient outcomes.Responsibilities:Assess and...

About the RoleWe are seeking a skilled and compassionate Nurse Specialist to join our team at Columbus Springs - Dublin. As a key member of our healthcare team, you will play a vital role in providing high-quality patient care and support.Key ResponsibilitiesDeliver Quality Patient Care: Coordinate and deliver general and psychiatric nursing care to...

Job DescriptionAstorg & Jones CPAs AC INC is a well-established accounting firm known for providing comprehensive tax, accounting, and advisory services to a diverse clientele. Our commitment to excellence and integrity has earned us a reputation for delivering high-quality services and building long-term client relationships.We are currently seeking an...

About the RoleWe are seeking a highly skilled Medical Care Specialist to join our team at Wellpath. As a key member of our healthcare team, you will play a vital role in providing high-quality medical care to our patients.Key ResponsibilitiesConduct daily sick call and provide emergency care for identified medical emergenciesPerform minor surgical...

Job SummaryWe are seeking a skilled and compassionate Registered Nurse to join our team in the Imaging Department at Mount Carmel Dublin. As a Nurse Specialist, you will provide high-quality patient care, coordinate nursing services, and collaborate with healthcare professionals to ensure exceptional patient outcomes.Key ResponsibilitiesAssess and evaluate...

Job SummaryThe Licensed Practical Nurse (LPN) will function as a member of the Teamlet and/or support for specialty clinic(s) within the Community Based Outpatient Clinic (CBOC). The Teamlet is comprised of the Primary Care Provider, RN Care Manager, Clinical Associate (LPN, MA, or Health Tech) and clerk working within the Patient Aligned Care Team (PACT)...

Job SummaryWe are seeking a skilled and compassionate Registered Nurse to join our team at Mount Carmel Dublin's Imaging Department. As a Nurse Specialist, you will provide high-quality patient care, collaborate with interdisciplinary teams, and contribute to the growth and development of our department.Key ResponsibilitiesAssess and evaluate patient care...

About the RoleKurzSolutions is seeking a skilled Nurse Specialist to join our team. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and support.ResponsibilitiesObtain patient history and pertinent family history.Assess patient and plan appropriate nursing care.Document plan of care and care given in...

Job SummaryWe are seeking a skilled and compassionate Registered Nurse to join our team in the Imaging Department at Mount Carmel Dublin. As a Nurse Specialist, you will provide high-quality patient care, coordinate nursing services, and collaborate with healthcare professionals to ensure exceptional patient outcomes.Key ResponsibilitiesAssess and evaluate...

**About Us**Midwestern Auto Group is a leading provider of premium new and pre-owned European automobiles. With over 40 years of experience, our team of professionals has maintained a solid commitment to our clients by delivering exceptional vehicles and services.**Job Summary**We are seeking a highly motivated and customer-focused European Automotive Sales...

About the RoleWe are seeking a highly skilled Fire Sprinkler Installation Specialist to join our team at Johnson Controls International. As a key member of our fire protection systems team, you will be responsible for the installation, service, and repair of fire protection systems, including wet, dry, pre-action, deluge, and foam suppression systems, as...

Job SummaryWe are seeking a highly skilled Licensed Practical Nurse (LPN) to join our team at the Veterans Affairs, Veterans Health Administration. As a key member of our Patient Aligned Care Team (PACT), you will provide exceptional care to our patients in a dynamic and supportive environment.ResponsibilitiesMonitor and capture workload credit, develop...

Job SummaryWe are seeking an experienced Account Security Specialist to join our team at Gainwell Technologies. As a key member of our security team, you will be responsible for providing expert-level security guidance and support to our clients.Key ResponsibilitiesProvide strategic security guidance and support to clients, including risk assessments, policy...

Job DetailsJob Title: Travel Nurse RN Home Health SpecialistJob Type: Travel NursingSpecialty: Home HealthDiscipline: Registered Nurse (RN)Contract Length: 13 weeksHours per Week: 40 hoursShift: 8 hours, daysEmployment Type: TravelJob RequirementsActive RN License: OH or CompactExperience: 1+ year of recent geriatric Home Health experienceSkills: Homecare...

Job Title: Clearance SpecialistSoleo Health is seeking a highly skilled Clearance Specialist to join our team. As a Clearance Specialist, you will play a critical role in processing new referrals, verifying patient eligibility, and coordinating benefits.Key Responsibilities:Verify patient eligibility and benefits for infusion servicesProcess new referrals,...