Perform concurrent inpatient utilization review using InterQual criteria to determine medical necessity.
Engage in clinical collaboration with physicians and care teams to support appropriate level-of-care decisions.
Maintain documentation, comply with regulations, and ensure quality customer service.
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations serving over 700 clients across 10 industries. With over 66,000 employees across 13 countries and 65 delivery centers, the company combines scale and expertise to create meaningful impact.
Lead multiple Nurse Team Leads and nursing teams to deliver high standards of clinical care and efficiency.
Coach and mentor Nurse Team Leads, setting goals, providing feedback, and fostering accountability.
Champion NCQA-compliant workflows and use data to drive performance and compliance across teams.
Thyme Care is a market-leading value-based oncology care enabler that partners with health plans, providers, and employers to improve outcomes and lower costs for people with cancer. As a tech-native organization of several hundred employees, it combines high-touch human support with technology and AI, fostering a culture of compassion, trust, and growth.
Conducts utilization review to determine medical necessity of admission and continued stay using established criteria.
Communicates with payers to secure authorization and negotiate medical necessity decisions.
Educates providers on documentation requirements and participates in strategies to reduce length of stay and readmissions.
OHSU is Oregon’s only public academic health center, providing patient care and conducting groundbreaking research while training health care professionals. As Portland’s largest employer, it offers a diverse and inclusive culture with opportunities for growth across Oregon and Southwest Washington.
Provide primary teaching responsibilities in NR-228: Nutrition, Health & Wellness, supporting student development in foundational knowledge and patient care application.
Implement the College’s philosophy, curriculum and course objectives through didactic instruction and service to the College, community, and profession.
Monitor clinical agencies and provide direct/indirect supervision and evaluation of nursing students delivering patient care.
Chamberlain University has a 130-year history and the mission to educate, empower, and embolden diverse healthcare professionals. We’re 99,000 strong, with 31,000 students and 68,000 alumni, and we've built a culture where colleagues and students thrive.
Provide patient-focused telehealth clinical triage assessments and health education via phone, video, and chat.
Work independently to make clinical decisions, assess needs, and direct patients to appropriate care levels while documenting interactions.
Monitor performance metrics, participate in coaching sessions, and communicate with clients and team members.
Carenet Health is a behind-the-scenes partner for over 250 of the nation's premier health plans and health systems, providing telehealth and virtual care clinical triage assessments and health education. Named one of America's fastest-growing private companies by Inc. Magazine for eight consecutive years, the company is integrity-driven and focused on compassionate, evidence-based care.
Teaching NR-302 and NR-304 Health Assessment courses with didactic instruction and lab components.
Overseeing student clinical experiences, providing direct or indirect supervision and evaluation.
Serving as a professional role model and mentor for students and new faculty members.
Chamberlain University has a 130-year history and the mission to educate, empower, and embolden diverse healthcare professionals. We’re 99,000 strong, with 31,000 students and 68,000 alumni, and we’ve built a culture through Chamberlain Care® where colleagues and students thrive.
Assess and review individual care packages, providing practical training and clinical supervision to care workers.
Work across community settings including homes, schools, and day centres, coordinating with ICBs and NHS hospitals.
Manage your own diary, with no bank holidays, weekends, or night shifts, ensuring work-life balance.
CCH Group is the largest provider of healthcare services in the UK, delivering bespoke care to adults and children with complex conditions. As a large organization, they prioritize a 'People First' culture and offer career development opportunities.
Conduct follow-up and urgent telehealth assessments on flagged patients, adjusting plans of care and coordinating with providers.
Interpret trend-based insights from the Circadia platform to prioritize high-risk patients and intervene on weekend alerts.
Complete documentation same day using AI-powered tools and provide feedback to improve virtual workflows.
Circadia Health is a growth-stage healthcare AI company dedicated to preventing avoidable hospitalizations and transforming senior-care operations. Our technology touches 40,000+ post-acute patients daily and we are backed by leading healthcare and AI investors, headquartered in El Segundo, CA.
Perform Skilled Nursing Facility (SNF) medical claims audit reviews for Government and Commercial Payers.
Document findings referencing medical review guidelines and support audit findings during the appeals process.
Work collaboratively with the audit team to identify vulnerabilities and improve medical policies and workflows.
Machinify is a leading healthcare intelligence company that delivers value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans and representing more than 270 million lives, the company uses a configurable, AI-powered platform combined with industry expertise to maximize financial outcomes and reduce healthcare costs.
Support implementation of new ER and urgent care facilities, working closely with clinical staff to adopt the Intuitive operating model through coaching and troubleshooting.
Provide detailed observations, recommend solutions, and drive performance improvement while collaborating with facility staff and leadership.
Design and deliver engaging educational materials and lead pre-opening training sessions to ensure operational readiness.
Intuitive Health pioneered the combined emergency room and urgent care model, setting a new standard for innovation in ambulatory care. Partnering with leading health systems nationwide, the company serves over 1 million patients annually and ranks among the top 1% of global retailers in customer satisfaction.