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Appeals Nurse The Appeals Nurse examines medical records and claims information for first-level appeal cases to determine whether services provided were medically necessary and meet Medicare coverage guidelines in accordance with Medicare...

Utilization Review Nurse Auditor Fully Remote • Mount Laurel, NJ 08054 Salary Range $33.00 - $46.00 Hourly Position Type Full Time Travel Percentage 10% ExamWorks is looking for a Utilization Review Nurse Auditor to join...

Licensed Vocational Nurse - Home Health Excell Home Care is actively recruiting for LVN Case Manager. Our innovative company is focused on the best possible outcomes for our patients, outstanding and highly personalized patient care, and...

Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost-effective care to the members. Providence caregivers are not simply...

Monterey Park Hospital, a 101-bed acute care facility located in the San Gabriel Valley of Los Angeles County, is seeking a Case Manager for our Utilization Review Department . This is a full-time, 8-hour day shift position reporting to the Chief...

description: 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,...

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

Nurse Advisor (RN) This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Nurse Advisor (RN) based in the United States. As a Nurse Advisor, you will play a...

Travel Case Manager Nurse This Case Manager travel nurse job in Downey, California, with Advantis Medical is a 13-week Travel Case Manager Registered Nurse (RN) contract at PIH Health - Downey Hospital. This role pays $2,697 per week and...

52272794 Overview Remote Registered Nurse (RN) DH Direct Triage Part-Time, 20 hours per week Position Summary The RN - DH Direct Triage provides high-quality,...

Mercy seeks an RN II for Advanced Primary Care to provide virtual care and ongoing chronic disease management. You will work with a multidisciplinary team to build patient relationships, monitor vital signs, and conduct visits between regular...

At UK St. Claire, our staff is our greatest asset in the mission to create a healthier and more prosperous population. We strive to foster the talent and potential of our employees and prioritize safe working conditions and equal compensation...

Primary City/State: Virtual Arizona Category: Case Management Shift: Day Department: Case Management Seeking Applicants That Can Work at Least 8 Shifts per Month...

Case Manager Care Coordinator The Case Manager Care Coordinator coordinates the care and service of patient populations from admission through discharge. The Care Coordinator clinically assesses, plans, implements, coordinates, monitors,...

Job Description The Case Manager Care Coordinator coordinates the care and service of patient populations from admission through discharge. The Care Coordinator clinically assesses, plans, implements, coordinates, monitors,...

IV Infusion Specialist Assessment Nurse The IV Infusion Specialist Assessment Nurse is responsible for identifying current and future patient care needs; being able to recognize normal versus abnormal body physiology. The role requires...

Nurse Advocate Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris...

Overview: Dane Street is seeking highly motivated candidates to join our team as a Clinical (RN) QA Specialist, specializing in Disability. We offer an exciting work environment, competitive compensation, and strong growth...

A nonprofit healthcare organization near West Hollywood, CA is looking for a dedicated LVN/LPN Case Manager. This full-time or part-time role requires a minimum of 2 years of case management experience in acute or outpatient settings and an active...

Job Title This is a remote, PRN position but will need onsite training in Mishawaka Indiana. Shift: Days - 8 hr shift LOCAL CANDIDATES ONLY! Why Choose Saint Joseph Health System? At Saint Joseph Health System, our values...

Registered Nurse We are seeking a registered nurse embedded in our partner assisted living communities as the familiar face residents, families, and facility staff see every week. RN positions primarily focus their workload on wound care,...

Benefits: 401(k) 401(k) matching Dental insurance Health insurance Vision insurance Wellness resources Summary Under the direct supervision of the Leads & RN Clinical Manager for Case Management, the...

JOIN OUR FULLSHIFT STAFFING TEAM!Facility Information:Our facilities are Intermediate Care Facilities for individuals with disabilities (ICF/DD-H and ICF/DD-N)Caregiver (DSP) to people supported ratio is usually...

LPN Hospice Job Title: LPN Hospice Location: Independence Facility: Business Operations Center Department: Hc Hospice Field Staff-Center for Connected Care Shift: Days Schedule: 8:00am-4:30pm Job...

LPN/LVN Utilization Management Nurse Integra is looking for a LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual will play a key...