- Guardian Life (Columbus, OH)
- …comprehensive medical reviews and analysis of long-term disability claims . The RN Clinical Consultant identifies restrictions, limitations and duration ... issues and prioritize the customer experience. **Candidate Responsibilities** The RN Clinical Consultant reviews long-term disability claims to determine… more
- Intermountain Health (Las Vegas, NV)
- …role need to have or obtain their BSN within three years of hire or promotion. Current RN license for state in which the nurse practices. - and - Basic Life ... **Additional Details:** Case management/team lead/coordinator role preferred Job Essentials Clinical Coordination: Evaluates occupational illnesses, injuries, prevention programs, and… more
- The Cigna Group (Bloomfield, CT)
- …customer health outcomes, client growth and retention, and network performance. **OVERVIEW:** The Nurse Executive Clinical Program Sr. Advisor, as part of the ... the health, well-being and sense of security for those we serve. The Clinical Sales and Network Organization, as Champions for affordable, predictable and simple… more
- Corewell Health (Royal Oak, MI)
- …as needed. Qualifications Required + Bachelor's Degree or equivalent in Nursing or related field + LIC- Registered Nurse ( RN ) - State of Michigan + 5 years of ... CHE Join our team at Corewell Health as an RN Clinical Risk Specialist Senior and play...patient related injuries and manage the resolution of pre-notice claims . Essential Functions + Reviews and provides recommendations regarding… more
- MyFlorida (Tallahassee, FL)
- 68063495 - REGISTERED NURSING CONSULTANT Date: Dec 19,...condition of employment. This is an opportunity for a Registered Nurse ( RN ) or an ... Agency for Health Care Administration Working Title: 68063495 - REGISTERED NURSING CONSULTANT Pay Plan: Career Service...administrators. The selected candidate must be a Florida licensed Registered Nurse ( RN ) or Advanced… more
- CareFirst (Baltimore, MD)
- …people. **QUAIFICATIONS:** **Education Level:** High School Diploma or GED. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure And/or ... **Resp & Qualifications** **PURPOSE:** The Clinical Appeals Supervisor ( RN ) directs and...Case Manager Upon Hire Preferred. + LNCC - Legal Nurse Consultant Certified Upon Hire Preferred. **Experience:**… more
- UNUM (Portland, ME)
- …based out of our Portland, Maine and Chattanooga, TN offices only. The clinical consultant is responsible for reviewing, analyzing and interpreting medical ... information. Works collaboratively with claims professionals, on-site physicians and other resources in multiple...with You** + Associate Degree in Nursing and active RN License is required but BS degree strongly preferred… more
- Brookdale Senior Living (Mobile, AL)
- …skilled nursing experience as a Director of Nursing (DON) or District/Regional Nurse Consultant required. Certification in Infection Prevention/Control and RAI ... Overview RN Required Brookdale Travel (DON / Clinical...career with? Join Brookdale!* This is a unique travel nurse opportunity supporting only Brookdale locations same company policies… more
- US Tech Solutions (Chesapeake, VA)
- …healthcare costs and improve healthcare program/operational efficiency involving clinical issues Determines medical necessity/ appropriateness Facilitates optimal ... enable decision making at most appropriate level **Duties:** + Nurse Case Manager is responsible for face to face...policies and programs are comprised of network management and clinical coverage policies. + Through the use of … more
- CareFirst (Baltimore, MD)
- …complications. **QUALIFICATIONS:** **Education Level:** High School Diploma or GED. **Licenses/Certifications:** + RN - Registered Nurse - State Licensure ... Organizes the appeal case for physician review by compiling clinical , contractual, medical policy and claims information...Case Manager Upon Hire Preferred + LNCC - Legal Nurse Consultant Certified Upon Hire Preferred **Experience:**… more
- Defense Health Agency (Fort Drum, NY)
- … Practitioner. Registration/Licensure: Applicants MUST maintain a current, active, valid, unrestricted Registered Nurse license in at least one US State, ... providers as they are covered by the Federal Tort Claims Act (28 USC | 1346(b)) while acting within...Columbia, Commonwealth, territory, or jurisdiction. Certification: The Advanced Practice Registered Nurse will achieve certification by a… more
- State of Nevada (NV)
- …the following requirements: Education and Experience (Minimum Qualifications) Licensure as a Registered Nurse and two years of professional experience providing ... City or Reno NV. The Health Care Coordinator (HCC) Nurse position serves as the clinical expert...required of the selected applicant. Professional licensure as a registered nurse or certification in a medical… more
- Army National Guard Units (Santa Fe, NM)
- …Mexico Army National Guard This National Guard position is for a OCCUPATIONAL HEALTH NURSE , Position Description Number D1234000 and is part of the NM Safety Office, ... with the US Department of Labor (DOL) Regional OHN Consultant , NGB Regional Office of Workers Compensation Program (OWCP)...full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the… more