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Join a forward-thinking healthcare technology firm as a Nurse Consultant, where your clinical expertise will drive improvements in patient care and cost efficiency. You'll play a vital role in analyzing patient data, fostering relationships with...

A major healthcare provider is seeking a Clinical Advisor, RN for a remote position. This role involves analyzing population health data, delivering impactful presentations to clients, and making strategic recommendations to improve healthcare...

CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah Position Overview: Aids patients in obtaining the correct level of care with...

Leaderstat - Post Acute is seeking a local contract nurse RN Hospice for a local contract nursing job in Gahanna, Ohio. Job Description & RequirementsSpecialty:...

Research Nurse (Per Diem) - Lexington, MA Illingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include mobile research...

Pyramid Consulting (Travel) is seeking a local contract nurse RN Care Manager for a local contract nursing job in Philadelphia, Pennsylvania. Job Description & Requirements Specialty: Care Manager Discipline: RN Start Date: 02/23/2026 Duration: 26...

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

Revolution Healthcare Services is seeking a travel nurse RN Clinical Document Improvement Specialist for a travel nursing job in Rochester, Minnesota. Job Description & Requirements Specialty: Clinical Document Improvement Specialist Discipline:...

Job Type Full-time Description WESTSIDE IS LOOKING FOR A NURSE / RN TO JOIN THE VIRTUAL NURSE TEAM! SIGN ON BONUS OFFERED! LOAN PAYOFF PROGRAMS...

Job Type Contract Description Job Type Contract Description Clinical Nurse Consultant-RN Engage Consulting is seeking an experienced Clinical...

Job Type Full-time Description Gateway Rehab Center (GRC) has an outstanding opportunity for a Nurse Liaison Gateway Rehab who will be responsible for the pre-admission case management, ASAM level of care assessment, and...

*Employment Type:* Full time *Shift:* 12 Hour Night Shift *Description:* Qualified applicants may submit a resume to Senior Talent Acquisition Partner, Tonya Globlek at ...@mchs.com for expedited consideration. *Position Purpose: * The...

Description Who we are Founded in 1999 and headquartered in Central Ohio, w e're a privately-owned , independent healthcare navigation organization . We believe that no one should have to navigate the cost and complexity of healthcare alon e, and w...

Capital City Hospice is proud to be Ohio-made. Every decision we make about hospice care is made with patients and families in mind. Our team is rooted in the communities we serve and are dedicated to delivering the highest quality of care...

Fully Remote: Clinical Documentation Specialist Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers. Perform concurrent and retrospective reviews of medical...

A national health insurance company is seeking a Prior Authorization RN to review clinical appropriateness of prior authorization requests. This role is pivotal in ensuring compliance with Medicare and Medicaid criteria, while improving the...

Employment Type: Full timeShift: Day Shift Description: Job Description Summary At MercyOne, health care is more than just a doctor's visit or a place to...

Job Description Job Summary Join our team as a Clinical Review Nurse, where you will play a crucial role in supporting the review of medical claims and appeals. You will ensure compliance with state and federal...

Registered Nurse, Quality Assurance Reviewer The Registered Nurse, Quality Assurance Reviewer will work in conjunction with the Quality Manager and will be responsible for completing quality reviews for the Clinical Services and Provider...

The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. Essential Duties and...

Bridge Nurse Requirements Normal 0 false false false EN-US X-NONE X-NONE Graduate of an accredited school of nursing required. Licensed as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) in the State of Ohio required. A minimum of one-year...

Job Summary Provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical...