-
Registered Nurse
3 weeks ago
Musckids Chambly, QC, CanadaRegistered Nurse - PRN - Emergency Room page is loaded · Registered Nurse - PRN - Emergency Room · Apply locations Columbia time type Part time posted on Posted 2 Days Ago job requisition id R Job Description Summary · Under general supervision, the Registered Nurse II provid ...
-
Registered Nurse
1 day ago
ELNA Medical Montreal, Canada Full timeCompany description · Our multidisciplinary team of healthcare professionals and our high quality clinical programs allow us to offer our patients the "Elna experience". We foster a fully integrated medical approach, centered on the patient, offering both a quick access to our s ...
-
Registered Nurse
15 hours ago
Floral Long Term Care Montreal, CanadaFloral Long Term Care - Registered Nurse (RN) · Are you interested in relocating to NY or TN? We will assist with relocation and provide you with a great job · Must be Canadian citizen · Registered Nurse (RN) Job Duties: · Assists in defining, maintaining and interpreting standar ...
-
Registered Nurse
3 days ago
Extendicare St. Paul, CanadaJob Description Job DescriptionRESPONSIBILITIES Current registration with the College and Association of Registered Nurses of Alberta.Previous experience in Long Term Care preferred, which includes Complex medical and Dementia.Comprehensive knowledge of nursing and health care pr ...
-
Registered Nurse RN
1 week ago
RT Medical Montréal, QC, Canada Part timeRegistered Nurse Opportunity with RT Medical At RT Medical, we're committed to providing the best quality services to support our patients and customers in their health and wellness needs. This commitment includes supporting all our team members however we can. Registered Nurses ...
-
Registered Nurse
4 days ago
Extendicare St. Paul, CanadaJob Description · Job Description · RESPONSIBILITIES · Current registration with the College and Association of Registered Nurses of Alberta. · Previous experience in Long Term Care preferred, which includes Complex medical and Dementia. · Comprehensive knowledge of nursing and ...
-
Registered Nurse RN
1 week ago
RT Medical Montréal, Canada PermanentRegistered Nurse Opportunity with RT Medical · At RT Medical, we're committed to providing the best quality services to support our patients and customers in their health and wellness needs. This commitment includes supporting all our team members however we can. Registered Nurse ...
-
Registered Nurse Opportunities
2 weeks ago
Musckids Chambly, QC, CanadaRegistered Nurse Opportunities - Procedural Areas RN page is loaded · Registered Nurse Opportunities - Procedural Areas RN · Apply locations Columbia Kershaw time type Full time posted on Posted 27 Days Ago job requisition id R Job Description Summary · *** SIGN-ON BONUSES be ...
-
Registered Nurse/Infirmier.ère autorisé.e
2 weeks ago
Pan Am Clinic Ste Anne, Canada TEMPORARYRequisition ID: 360157 · Competition #: NRS-24-302 · Position Number: N226-02 · Posting End Date: Open Until Filled · City: Ste. Anne · Employer: Southern Health-Santé Sud · Site: Southern Health-Santé Sud · Work Location: Hôpitale Ste. Anne Hospital · Department / Unit: Nur ...
-
Registered Nurse/Infirmier.ère autorisé.e
5 hours ago
Winnipeg Regional Health Authority Ste. Anne, CanadaRequisition ID: 358740 · Competition #: NRS-24-224 · Position Number: N226-10 · Posting End Date: Open Until Filled · City: Ste. Anne · Employer: Southern Health-Santé Sud · Site: Southern Health-Santé Sud · Work Location: Hôpitale Ste. Anne Hospital · Department / Unit: Nu ...
-
Registered Nurse/registerd Psych Nurse
1 month ago
Health Careers in Saskatchewan Lafleche, Canada TEMPORARYJob Details RHA Job Number: GO Number of Vacancies: 1 Profession: Registered Nurse Organization: Saskatchewan Health Authority Facility Name: LAFLECHE & DISTRICT HEALTH CENTRE Department: NURSING Employment Type: Permanent Employment Term: Casual Posting Date: May 6, 2024 Closing ...
-
Registered Nurse
1 week ago
RT Medical Montréal, QC, Canada Part timeRegistered Nurse Opportunity with RT Medical · At RT Medical, we're committed to providing the best quality services to support our patients and customers in their health and wellness needs. This commitment includes supporting all our team members however we can. Registered Nurs ...
-
Registered Nurse/Infirmier.ère autorisé.e
2 weeks ago
Southern Health-Santé Sud Ste. Anne, Canada TemporaryPosition Summary · The Registered Nurse (RN)/Registered Psychiatric Nurse (RPN) (Home Care Services, Personal Care Home and/or Transitional Care) applies the nursing process to support clients/residents/patients in achieving and maintaining their optimum level of health within a ...
-
Registered Nurse/registerd Psych Nurse
3 weeks ago
Health Careers in Saskatchewan Lafleche, Canada Part timeJob Details RHA Job Number: GO Number of Vacancies: 1 Profession: Registered Nurse Organization: Saskatchewan Health Authority Facility Name: LAFLECHE & DISTRICT HEALTH CENTRE Employment Type: Permanent Employment Term: Part Time Posting Date: May 21, 2024 Closing Date: May 31, : ...
-
Registered Nurse/registerd Psych Nurse
1 month ago
Health Careers in Saskatchewan Lafleche, Canada TEMPORARYJob Details RHA Job Number: GO Number of Vacancies: 1 Profession: Registered Nurse Organization: Saskatchewan Health Authority Facility Name: LAFLECHE & DISTRICT HEALTH CENTRE Employment Type: Temporary Employment Term: Part Time Posting Date: May 13, 2024 Closing Date: May 23, : ...
-
Registered Nurse RN
1 week ago
RT Medical Montreal, CanadaRegistered Nurse Opportunity with RT Medical · At RT Medical, we are dedicated to providing top-quality services to assist our patients and customers with their health and wellness requirements. Our commitment extends to supporting all team members in every way possible. Register ...
-
Musckids Chambly, QC, CanadaREGISTERED NURSE OPPORTUNITIES for EXPERIENCED RN or LPN - Columbia and Kershaw page is loaded · REGISTERED NURSE OPPORTUNITIES for EXPERIENCED RN or LPN - Columbia and Kershaw · Apply locations Columbia Winnsboro Kershaw time type Full time posted on Posted 30+ Days Ago job re ...
-
Registered Nurse Class B
1 week ago
Vitalité Health Network Dieppe, Canada OTHERDEPARTMENT: Primary Health Care Integrated Network - Dieppe · BARGAINING UNIT: NBNU · JOB TYPE: Permanent full-time · SCHEDULE: Day, 8 and 12-hour shifts. Work schedule may be changed to meet operational needs. · LANGUAGE REQUIREMENTS: French essential and spoken English · NOTE: ...
-
Surgical Technologist, Labor and Delivery
2 weeks ago
Boone Health Chambly, QC, Canada Part timeSurgical Technologist, Labor and Delivery - Part Time - 16 Hrs page is loaded · Surgical Technologist, Labor and Delivery - Part Time - 16 Hrs · Apply locations Columbia - Boone Hospital Center time type Full time posted on Posted 8 Days Ago job requisition id R-3824 Job Descr ...
-
Infirmière gestionnaire
1 week ago
BIO Inviva, McKesson Pharma Care Network Corporation / La Corporation Inviva, Reseau de soins pharmacologiques McKesson (SUCCESSOR) Montreal, Canada Full timeMcKesson requires new employees to be fully vaccinated for COVID-19 as defined by Health Canada, subject to applicable, verified accommodation requests. · McKesson touche la vie des patients en œuvrant dans pratiquement tous les secteurs des soins de santé dans le but d'améliore ...
Registered Nurse - Saint-Bruno-de-Montarville, Canada - TALENT Software Services
3 weeks ago
Description
Job Summary:
The Medi-Cal Member Appeals and Grievances team is responsible for clinically reviewing member appeals and grievances that are the result of either a preservice, post-service or claim denial.
The Medi-Cal Appeals and Grievances RN Senior will report to the Appeals and Grievances Manager. In this role, you will perform accurate and timely clinical reviews of Member-initiated appeals.The RNs perform first-level appeal reviews for members utilizing the National Coverage Determination (NCD) guidelines, Local Coverage Determination (LCD) Guidelines, Milliman Care Guidelines, and nationally recognized sources such as NCCN and ACOG.
The successful RN candidate will review both inpatient and outpatient Medicare member appeals for benefits, medical necessity, coding accuracy and medical policy compliance.
In this role, you will also perform Clinical oversight of all Medi-Cal grievances.In this process, the candidate will work with the medical directors and coordinators to identify any Potential Quality Issues (PQI), Quality of Service (QOS) cases and/or Quality of Care (QOC) Esses to ensure member's clinical needs are addressed appropriately within days or hours if the request is deemed expedited.
Required Skills (top non-negotiables):
. Knowledge of Medi-Cal benefits and reviews
. Requires years of health insurance or related experience
. Demonstrate the ability to act independently using sound clinical judgement
Preferred Skills (nice to have)
. Works well in a fast paced team environment
. Excellent communication skills
&v=024){kind=logo}