Clinical Review Nurse Specialist
3 weeks ago
Prior Authorization Reviewer Role
As a Prior Authorization Reviewer with Centene Corporation, you will play a critical role in ensuring that our members receive the necessary care and services. Your primary responsibility will be to analyze all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage.
Key Responsibilities:
- Analyze prior authorization requests to determine medical necessity of service and appropriate level of care
- Review and evaluate requests in accordance with national standards, contractual requirements, and a member's benefit coverage
- Provide recommendations to the appropriate stakeholders, including the Authorization, Clinical, Nurse, Medical Director, and Healthcare teams
Requirements:
- Strong analytical and problem-solving skills
- Excellent communication and interpersonal skills
- Ability to work in a fast-paced environment and meet deadlines
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Clinical Support Specialist
4 weeks ago
Latham, Kansas, United States Community Care Physicians Full timeThe Clinical Support Specialist will provide clinical support to the organization as part of a centralized clinical team, based on the ever-changing needs of CCPs clinical practices.The main concentration of this position will be to provide direct clinical care either in office or via telemedicine to cover leaves of absence throughout the organization as...
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Nurse Specialist
3 weeks ago
Latham, Kansas, United States Cny Fertility Ctr Full timeJob Title: Nurse SpecialistReports to: Nurse ManagerFLSA Status: Non-ExemptSummary: As a Nurse Specialist at Cny Fertility Ctr, you will perform patient-specific duties in the area of fertility, including patient care, teaching, triage, procedures, and protocol in an operating room setting under the direction of the physician. Your responsibilities will...
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Licensed Practical Nurse
3 weeks ago
Latham, Kansas, United States Community Care Physicians Full timeUrology Care Specialist OpportunityCommunity Care Physicians is seeking a skilled Licensed Practical Nurse (LPN) to join our urology care team. As a key member of our medical practice, you will be responsible for providing high-quality patient care and support to our patients.Responsibilities:• Administer and record vaccines as directed by the provider.•...
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Clinical Operations Nurse
4 weeks ago
Latham, Kansas, United States Summit Foot and Ankle Full timeJob SummaryWe are seeking a skilled Licensed Practical Nurse to support our clinical operations at Summit Foot and Ankle. The ideal candidate will have a strong background in patient care and be able to work effectively in a fast-paced environment.Key Responsibilities:Assist with patient care activities, including taking vital signs and preparing treatment...
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Nurse Infusion Specialist
4 weeks ago
Latham, Kansas, United States Community Care Physicians Full timeJob SummaryWe are seeking a skilled and compassionate Infusion RN to join our Rheumatology Infusion Care team. As a key member of our interdisciplinary team, you will be responsible for providing high-quality infusion therapy to patients with various medical conditions.Key ResponsibilitiesAdminister infusion therapy to patients, ensuring accurate medication...
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Clinical Nurse II
4 weeks ago
Latham, Kansas, United States Albany Medical Center Full timeJob Summary:The Registered Professional Nurse assesses, coordinates, plans, directs, implements and manages the needs of assigned patients throughout the episode of care with a focus on progress toward discharge, including during transitions within the acute care stay. This role requires a skilled nurse to provide high-quality patient care and ensure that...
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Accounts Payable Specialist
3 weeks ago
Latham, Kansas, United States Scarlet Knife Full timeJob SummaryWe are seeking an experienced Accounts Payable Specialist to support the financial operations of Scarlet Knife. The ideal candidate will have a strong understanding of accounting principles and practices, as well as excellent organizational and communication skills.ResponsibilitiesReconciling credit card and bank statements to ensure accuracy and...
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Nurse Case Manager
4 weeks ago
Latham, Kansas, United States Elevance Health Full timeCare Management SpecialistWe are seeking a skilled Care Management Specialist to join our team at Elevance Health. As a key member of our care management team, you will be responsible for assessing, developing, implementing, and evaluating care plans for members with complex and chronic care needs.Key Responsibilities:Conduct thorough assessments to identify...
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Licensed Practical Nurse
3 weeks ago
Latham, Kansas, United States Memorial Health University Medical Center Full timeJob SummaryWe are seeking a skilled Licensed Practical Nurse to join our team at Memorial Health University Medical Center. As a Licensed Practical Nurse, you will be responsible for providing high-quality patient care in an ambulatory care setting.Key ResponsibilitiesCollects and documents patient data, including physical, psychological, and educational...
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Medical Professional Wanted for Ambulatory Care
3 weeks ago
Latham, Kansas, United States Community Care Physicians Full timeJob Summary:We are seeking a highly skilled and dedicated medical professional to join our team at Community Care Physicians. As a Physician Assistant or Nurse Practitioner, you will play a vital role in providing high-quality patient care in our ambulatory setting.Responsibilities:Practice medicine with physician supervision, including conducting...
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Medical Professional for Ambulatory Care
3 weeks ago
Latham, Kansas, United States Community Care Physicians Full timeJob SummaryWe are seeking a part-time Nurse Practitioner or Physician Assistant to join our team at Community Care Physicians. The ideal candidate will have a strong background in ambulatory healthcare and be able to work effectively with physicians to manage patient care.Responsibilities Conduct examinations and write prescriptions under physician...
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LPN - Latham NY
4 weeks ago
Latham, Kansas, United States Community Care Physicians Full timeLPN Opportunity at Community Care PhysiciansLatham Medical Group is seeking a skilled LPN to join their team. This is a large family practice located in a new building, offering a collaborative environment with Behavioral Health Consultants, Clinical Pharmacists, Certified Diabetes Educators, and Population Health Specialists.This position provides...
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LPN - Latham NY
3 weeks ago
Latham, Kansas, United States Community Care Physicians Full timeWe are seeking a skilled Licensed Practical Nurse to join our team at Latham Medical Group. This is a large family practice located in a new building, offering a collaborative environment with Behavioral Health Consultants, Clinical Pharmacists, Certified Diabetes Educators, and Population Health Specialists.This position provides opportunities for clinical...
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Dialysis Patient Care Specialist
3 weeks ago
Latham, Kansas, United States Dialysis Clinic Full timeOverviewDialysis Clinic, Inc. is a nonprofit organization dedicated to providing individualized care for patients with chronic kidney disease. Our mission is to prioritize patient care and well-being, and we seek motivated and compassionate individuals to join our team. As a Dialysis Patient Care Technician, you will play a vital role in delivering...
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Dialysis Nurse Manager Position
3 weeks ago
Latham, Kansas, United States Dialysis Clinic Full timeAbout the RoleDialysis Clinic, Inc. is seeking a skilled Dialysis Nurse Manager to oversee the management of our dialysis facilities and supervise nursing personnel. This role is responsible for ensuring safe and efficient dialysis treatments for all patients.Key ResponsibilitiesSchedule patients and staff, providing direct patient care when neededDevelop...
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Dialysis Nurse Manager Position
4 weeks ago
Latham, Kansas, United States Dialysis Clinic Full timeOverviewDialysis Clinic, Inc. is a leading nonprofit organization dedicated to providing exceptional care to patients with chronic kidney disease. We are seeking a highly motivated and compassionate Nurse Manager to join our team.ResponsibilitiesSchedule patients and staff, providing direct patient care when neededEnsure all hemodialysis treatments follow...
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Dialysis Nurse Manager Position
3 weeks ago
Latham, Kansas, United States Dialysis Clinic Full timeOverviewDialysis Clinic, Inc. is a leading nonprofit organization dedicated to providing individualized care for patients with chronic kidney disease. Our mission is to prioritize patient care and well-being, and we seek motivated and compassionate individuals to join our team.ResponsibilitiesSchedule patients and staff, and provide direct patient care when...
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Nurse - Skilled Care Specialist
1 month ago
Latham, Kansas, United States Quality Talent Group Full timeAbout the JobAt Troy Center for Rehabilitation and Nursing, we are seeking a dedicated and compassionate Registered Nurse (RN) to join our team. As a Registered Nurse, you will play a vital role in providing high-quality care to our residents, promoting their health, well-being, and dignity.Key ResponsibilitiesProvide expert nursing care to residents,...
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Dialysis Patient Care Specialist
3 weeks ago
Latham, Kansas, United States Dialysis Clinic Full timeOverviewDialysis Clinic, Inc. is a leading nonprofit organization dedicated to providing individualized care for patients with chronic kidney disease. Our mission is to prioritize patient care, and our team embodies this purpose in every interaction. We seek motivated individuals to provide top-notch patient care and offer paid training, competitive pay,...
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Healthcare Professional
4 weeks ago
Latham, Kansas, United States Hueman Risk Adjustment Solutions Full timeJoin Our Team of Healthcare ProfessionalsHueman Risk Adjustment Solutions is actively seeking skilled Nurse Practitioners and Physician Assistants to complete in-home Health Risk Assessments (HRAs) for Medicare and Medicaid members in the Latham, NY area.This unique opportunity offers a flexible schedule, allowing you to achieve your professional goals on...