The Medicare Medical Review RN will primarily be responsible for conducting clinical reviews of medical records during the course of fraud investigations. This position applies Medicare and Medicaid guidelines in making clinical determinations as to the appropriateness of payment coverage. You will be a critical contributor to improved healthcare delivery.
The Patient Support Nurse will facilitate a successful patient journey to and while on therapy by providing care coordination, education, and psychosocial support, provide medication and disease state education, and provide clinical feedback to enhance the clinical portion of patient support programs.
As a Nurse Coach, you will join our team on a journey to help eliminate barriers for patients, increase their access to medications, and help them receive lifesaving treatments while working in an environment that nurtures you. The Nurse Coach will provide supervision of the work in the coordination of program services, quality assurance and personnel services within the department, facilitate a successful patient journey to therapy by providing care coordination and education, provide medication and disease state education, and provide clinical feedback.
This is a contract position for a Part-Time Psychiatric Nurse Practitioner who is passionate about reaching individuals who need mental healthcare. Conduct initial Psychiatric Diagnosis Interview Examinations for new patient referrals and Evaluation & Management sessions for established patients. Use the Talkspace platform to conduct video call sessions with patients and submit clinical documentation.
The Utilization Management Nurse is responsible for managing requests providing a multi-faceted approach to managing requests for medical services while ensuring the services are medically appropriate and necessary. This role requires a multi-faceted approach, utilizing evidence-based clinical guidelines and input from healthcare providers to achieve high-quality, cost-efficient medical outcomes for patients.
This role provides interim nursing leadership at Acadia Healthcare facilities across the country, serving as the interim CNO or DON at facilities experiencing a leadership vacancy. The Project DON will provide extended onsite support to interim leaders when needed and facilitate a smooth transition during the onboarding of permanent nursing leadership. This role is responsible for planning, directing, coordinating, and overseeing the delivery of high-quality behavioral health nursing services.
Support a high-need Medicaid population through proactive, whole-person care as a Bilingual RN Care Manager. The role involves delivering integrated medical, behavioral, and social support to individuals with complex needs and serving as the primary point of contact for a panel of high-risk members, contributing clinical expertise to build trust, address health disparities, and coordinate care across settings.
Provide virtual therapy to college students as a New York Licensed Psychiatric Nurse Practitioner. Conduct high-quality, culturally competent virtual psychiatric evaluations and medication management appointments. Conduct biopsychosocial intakes focused on whole-person care with clear diagnostic assessments.
Responsible for managing the day-to-day operations of the hospital's Occupational Health clinic and supervising staff with a focus on developing the professional practice environment and ensuring the clinic operates efficiently and provides excellent customer service. This position is a licensed advanced practice provider providing leadership and support to Occupational Health clinical staff and consultation for complex cases.
Medically manage assigned caseload and, by applying clinical expertise, ensure individuals receive appropriate healthcare in order to return to work and normal activity in a timely and cost-effective manner. Caseload may include catastrophic/complex medical/disability cases, lost time, and/or medical only claims. Also act as a clinical resource for field claim partners.