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Explore a World of Opportunity with the State of Georgia! We are the force that drives Georgia! Georgia State Government is a large enterprise, composed of various agencies and entities with a common goal to improve the lives of...

Medica is seeking a Clinical Quality Review Nurse III to conduct medical record reviews and audits across its network in a remote capacity. The role requires an active RN license and a certified coding credential, along with experience in data...

Join Our Team HealthView Home Health Services is a pillar for providing care to the community of San Bernardino, CA. We approach every day with one goal: To improve the lives we touch through high-quality healthcare and extraordinary...

Licensed Professional Nurse A licensed professional nurse directly under the supervision of the Director of Nursing Services that provides care and services to residents in a long-term care setting. Qualifications: •...

POSITION SUMMARY The purpose of your job position is to provide each resident with routine daily nursing care in accordance with current federal, state, and local standards that govern the facility and as directed by your...

MEDLOGIX, LLC is seeking a Precertification Nurse-LPN/RN for a full-time remote position in NJ/PA. The role involves determining medical necessity for services related to Auto No-Fault injuries, with training to be conducted at the Hamilton, NJ...

At R1, we're transforming how healthcare works by combining nearly two decades of revenue cycle expertise with advanced technology, including analytics, AI, intelligent automation and workflow orchestration. We pair that technology with the...

MES Solutions is seeking a self-driven RN or LPN to join our remote Clinical Quality Assurance team. You will oversee peer review reports, ensure alignment with client agreements and regulatory standards, and maintain high-quality documentation...

Registered Nurse 5% FTE, day/evening shift. Varied shifts between 07:45am and 9:00pm, this position including a weekend and holiday rotation. Must work at least 18 hours in a 6 week period, with minimum of 5 hours being on the weekend or...

Overview California Rehabilitation Institute *A Joint Venture with Cedars, UCLA, and Select Medical* Century City - Los Angeles, CA Registered Nurse (RN) / Full Time – Days 7:00am...

Call 4 Health is seeking an experienced Registered Nurse (RN) for a remote triage role in a 24-hour call center supporting patients and providers nationwide. You will conduct telephone triage, document interactions in EHRs, and provide...

Cincinnati Children's is seeking an experienced Utilization Review professional for a remote role in the United States. The position supports case management, authorization, compliance, and education within the Utilization Review department.

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the...

American Health Plans Franklin, TN 37067, USA Description American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors...

Remote Licensed Practical/Vocational Nurse- California Work Arrangement: Fully Remote Patient Population: California Role Overview PharmD Live is seeking a Licensed Vocational Nurse (LVN) to support...

AvonRisk Utilization Review Nurse AvonRisk is the nation's leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers' compensation, liability, managed care, and risk management across 32...

A-Line Staffing Solutions LLC is seeking a Clinical Review Nurse to support remote members in the Central Time Zone. This role focuses on concurrent reviews, care appropriateness, and discharge planning, with collaboration across medical affairs...

Mosaic Life Care in Utah is seeking a CDI RN to perform basic to intermediate clinical documentation integrity reviews, submit queries, and participate in first and second level appeals alongside the physician advisor. This role includes mortality...

Overview When: Wednesday, November 11th, 10:00am to 3:00pm Appointments Required. This is an invite-only event. For consideration, please apply to this...

Dialysis experience required Western Regional Float, MULTI-STATE travel required PURPOSE AND SCOPE: The professional...

We are seeking to hire Registered Nurses to join our team! We are a skilled nursing facility looking for dynamic associates to join our clinical team and provide our residents with a best-in-class care experience! Whether you are just starting...

Summary Home Telehealth Care Coordinator (HTCC) Registered Nurse (RN) demonstrates leadership - experience - and creative approaches to management of complex patient care. The HTCC is responsible for coordination of health care for a...

Overview Remote Registered Nurse (RN) - DH Direct Triage Part-Time, 22 hours per week, Weekend Evenings Position Summary The RN - DH Direct Triage provides high-quality,...

Our client, a Health Insurance company, is looking for a Registered Nurse-Review Analyst for their Remote location. Responsibilities: Perform prospective, concurrent, and retrospective review of inpatient,...

WNS, part of Capgemini, seeks a remote Utilization Review Nurse to perform medical necessity reviews and collaborate with providers to ensure compliant patient care. The role emphasizes adherence to HIPAA, state and federal regulations, and a...