Job Summary. The Nurse Consultant will provide/gather clinical expertise for areas of compliance which involve medical necessity and/or quality concerns. Utilizes clinical expertise to conduct investigations and seek input from other clinical professionals as required. Acts as a liaison, problem-solver, and negotiator to achieve resolution on member requests and appeals. Responsible for reviewing and analyzing audit related reports and providing ...
NURSE CONSULTANT. Job Locations. US-MN-MINNEAPOLIS. ID. 2024-142198. Line of Business. PharMerica. Position Type. Full-Time. Pay Min. USD $32.69/Hr. Pay Max. USD $35.00/Hr. Our Company. PharMerica. Overview. Join a team of passionate and caring clinicians who make a difference in people's lives. Our nursing group focuses on compassion and meeting the needs of our clients in a variety of settings such as Pharmacy, Home Health, Hospice, Residential...
Duties. Oversee Utilization Management functions. Assesses, plan, monitor, and evaluate patient care through utilization review activities. Review and analyze treatment records to evaluate quality, necessity, and appropriateness of care provided. Identify adverse trends and discrepancies, and reports through appropriate channels to higher level authorities and coordinates with physicians for clarification/correction. Evaluate discharge planning (...
A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Description We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance car...
Full-time position (Monday-Friday 9am-5pm) available for LPN for the Northeast Community Center for Behavioral Health located in the Northeast Philadelphia area for residential/recovery programs for adults diagnosed with chronic mental illness. Duties include: liaising and coordinating with medical and psychiatric services, ensuring medication Policy and Procedures are adhered to (including training of residential staff on medication monitoring),...
Duties. The Medical Qualification team implements medical requirements and makes determinations for CBP positions with a pre-employment medical requirement. As a Nurse Consultant on the Medical Qualification team, you will perform extensive review of medical records of job applicants to CBP. This position starts at a salary of $94,652.00 (GS-12, Step 1) to $123,043.00 (GS-12, Step 10) with promotion potential to $123,043 (GS-12 Step 10). In this ...
Position. Nurse Consultant. Location. Madison, WI. Remote Status. On-Site. Job Id. 590. of Openings. 2. Are you ready for a rewarding flexible. career. Consider joining an elite group of Interim Consultants with Pathway Health. A career where you can make a. noticeable difference. utilize your. skills. do what you. love. and enjoy. flexibility. and. growth. Pathway Health is looking for an experienced registered nurse. (RN). that is interested in...
Urgently Hiring. This individual will assist attorneys by providing nursing analytic support services on complex medical legal files. Nursing degree and prior litigation experience is essential. Reports to. Legal Nurse Consultant Manager. FLSA Status. Exempt. QUALIFICATIONS. To perform this job successfully an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge s...
Shift Hours. 8:00am - 4:30pm. Make a Difference with DHSS. Our mission at the Department of Health and Social Services (DHSS) is to improve the quality of life of Delaware citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. We prioritize personal and family independence by assisting individuals and families in a variety of life areas. We offer numerous career opportunities and are dedica...
Overview. Nurse Consultant - Maine DHHS. . Staffing Solutions Organization LLC (SSO), an affliate company of Public Consulting Group LLC, is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve. Responsibilities. Overview. An overview of the work, briefly summarizing the job, the main purpose, the obje...
Duties. The role of the Nurse (Consultant) will be to serve as a senior specialist while managing a broad array of administrative projects and provide clinical consultative support to the NIH Clinical Center. Preparing clinical PSIs/SOPs of manufacturing protocols including preparing changes to internal manufacturing documents based on information obtained from PIs on changes made for clinical reasons. Managing the clinical documentation on CCE p...
Introduction. Make a Difference. Now offering Recruitment and. Referral Incentives at the Delaware Department of Health and Social Services. (DHSS). $10,000.00 recruitment. incentive for. �. Registered. Nurses. �. Advanced. Practice Nurses. �. Nurse. Consultants. �. Nursing. Supervisors. �. Compliance. Nurses. $7,500.00 recruitment incentive. for Licensed Practical Nurse. $5,000.00 recruitment incentive. for Certified Nurse’s Assistant. �. Referr...
