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Overview The Legacy/OHSU Interventional Radiology practice provides services at four locations (EMC, GSMC, MHMC and MPMC) including ambulatory clinics at each site. The IR team cares for both adult and pediatric patients with...

Medical Analyst The Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking an experienced Registered Nurse to serve as a Medical Analyst in its Syracuse office. Medical Analysts support the...

Clinical Nurse Specialist At Aspirion, our mission is simple and meaningful: to help healthcare providers get paid accurately, quickly, and transparently for the care they deliver. By combining deep human expertise with advanced...

Nurse Manager 2 The Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people. DCH serves as the lead agency for Medicaid, oversees the State...

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health...

Job Description - RN Care Manager / Field Case Manager Location: Hybrid - Remote & Field-Based in Northeast Ohio (Loraine, Medina, Lake, Cuyahoga areas) Duration: 6 Months + Possibility for extension or conversion...

Duration: 12+ Months Job Summary The Clinical Reviewer is a licensed professional -a Registered Nurse preferred- that is expected to function independently in her / his role and is responsible for managing...

We're looking for Nurse Care Managers for our Care and Case Management team, who are passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading interventions. As a telephonic...

Appeals Analyst We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests including...

Location: Torrance, California Type: Travel Job 17789408 Apply Now Acute Hospital Experience by Specialty Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert...

Job Category: Executive Leadership, Revenue Cycle Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. ...

After Hours - Hospice Nurse Case Manager PRN | Philadelphia, PA Overview: Interested in learning about hospice, seeking more money as a second job and/or love working in the night? Read on!

Provides excellent patient care by assisting in the collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient, family, nurse, physicians, multidisciplinary team and...

This position will be located near the Dallas area. Must have CA RN license or be open to obtaining. Relocations assistance is available. We're hiring for 3 shifts, 7am, 7md, 7pm. The Emergency Prospective Review (EPR) / Transfer Center RN has the...

About Ergotron: Ergotron, Inc. is a global leader in designing ergonomic solutions that connect people and technology to enhance human performance, health and happiness. Through its 40+-year history, Ergotron has led the...

Denials Case Manager, RN The Denials Case Manager, RN appeals all denials using InterQual criteria and medical necessity. Collaboratively works with all members of the revenue cycle team and all types of payers to resolve denials,...

Job Description: Job Summary: Responsible for patient focused programs which may include but is not limited to: collaborating with health care team in providing direction for maintaining high quality...

LVN Case Manager Job Location: Riverside CA Shift: 8:00 AM to 4:00 PM Job Duration: 13+ Weeks [With potential to convert into FTE] Responsibilities: Coordinates and monitors patients through the...

Evolve Adolescent Behavioral Health in Los Angeles is seeking a full-time nurse to provide care for teens aged 12 to 17. Responsibilities include direct patient care, triage medical concerns, and medication management. The position demands a valid...

Title: Family Nurse Practitioner Base Salary Range: $142,000 - $145,000 plus benefits FTE: Full -Time - Exempt We are seeking a dynamic and experienced Family Nurse...

We're growing - join our award winning culture as we serve members in your area! This is a float position with a focus in Fond du Lac county, potential travel up to 2 hours in the service region.

Care Review Clinician Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively.

Urgent Hiring for "Remote Clinical Review Nurses" Job Description: Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary hospital...

The position is work from home with field visits. JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include...

Job Description UW Medical Center-Montlake - Social Work & Care Coordination has an outstanding opportunity for a Nurse Care Coordinator. WORK SCHEDULE Full time / 100% FTE Day shifts,...