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Registered Nurse As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process...

Clinical Documentation Manager - Clinical Documentation Integrity (CDI) FT - M-F - Remote Work with On-Site Presence Requirements. Newark, DE ChristianaCare Hospital in Newark, DE, is seeking a Clinical Documentation Manager to lead the Clinical...

Registered Nurse - House Supervisor Job Type: Full Time Shift: Days 40 hour weeks (Monday - Friday 7 am - 3:30 pm) $10,000 Sign-On bonus paid over 2 years. Columbus Springs Dublin is part of Lifepoint Health, a diversified healthcare delivery network...

A national risk management solutions provider seeks a remote Utilization Review Case Manager in California to assess patient admissions and treatment. Responsibilities include certifying medical necessity and collaborating with healthcare teams.

Registered Nurse As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process...

Remote position, however, candidates must reside in the State of TX or State of IL. This position is a contract for about 9 months. Pay: $41/hour Job Responsibilities: RN working in the insurance or managed...

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 of...

AI Trainer - Registered Nurses (Remote) Prolific is building the biggest pool of quality human data in the world. Over 35,000 AI developers, researchers, and organizations use Prolific to gather data from paid study participants with a...

Company Overview: Join an innovative startup health plan based in Wisconsin that is revolutionizing healthcare and empowering companies to combat the relentless rise in healthcare costs. Our mission is to provide accessible, high-quality...

A leading insurance firm is seeking a Medical Bill Review Senior Nurse in Schaumburg, IL. The role involves reviewing complex medical bills for compliance, managing litigation issues, and ensuring customer satisfaction. Candidates must have at...

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through...

Job description: Immediate opportunity for a Nurse Teacher (SNT) Full Time in Cranston, RI OR Per Diem in Providence, RI . Position Details: Location: Cranston OR Providence RI 25/26 school year Hours: Monday - Friday, 7:00 AM - 3:15 PM Pay Rate:...

Care Navigator Position at Healthmap Solutions Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations. Healthmap Solutions...

Find your calling at Mercy! Under the direction of the primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a...

Experienced Nurse For Home Health Or Case Management SSM is looking for an experienced nurse with Home Health or Case Management experience that has a dynamic personality with a ton of energy and passion for Home base care. Someone with...

A prestigious university health system in California is seeking a skilled nurse to provide patient care in a dynamic environment. Candidates should possess a BSN or MSN, a California RN License, and BLS certification. The role requires a minimum...

Full-Time Rn Case Manager (Rn) Opportunity DaVita Integrated Kidney Care (IKC) is looking for a Full-Time RN Case Manager (RN) to join us in Fresno, CA. As a DaVita Integrated Kidney Care Registered Nurse (RN) Case Manager you will...

Registered Nurse (Specialty Phone Triage) - Remote Opportunity Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas' largest professional medical groups with...

FlexCare is a nationwide leader in the staffing of travel nurses and clinicians. With access to thousands of facilities around the country, our mission is to deliver premier travel staffing solutions with integrity and transparency. FlexCare's...

Registered Nurse As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process...

Telephonic Case Manager 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...

Telephonic Case Manager 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...

Business (Non-Clinical) General Summary: Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered. Combines clinical, business,...

Provide support to all units within Claims to ensure all clinical components are met for CMS, NCQA, URAC, DOL, DOI, and all other State and Federal entities. Identify business priorities and necessary processes to triage and deliver work. Use...

Telephonic Case Manager 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...