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Clinical Quality Specialist We are seeking a dedicated Clinical Quality Specialist to ensure regulatory and accreditation compliance. The ideal candidate will maintain alignment with DHCS, NCQA, and CMS requirements through ongoing...

Clinical Documentation Specialist The Clinical Documentation Specialist is responsible for the quality review of all OASIS documents and review of key elements of the Plan of Care to ensure CMS program compliance is met. The Clinical...

Pay: $2,000.00 - $10,000.00 per month Job description: About the Role We are hiring for a remote financial services role focused on life insurance and client education. This is not a clinical position. Candidates...

RN Clinical Manager - Home Health Leadership Opportunity Lead a High-Performing Team. Drive Exceptional Patient Outcomes. Choice Health At Home is seeking a proven Home Health RN Clinical...

Overview REACH Kidney Care, a division of Dialysis Clinic, Inc., is a kidney health management program designed to benefit patients along the continuum of kidney disease through health education, self-management, behavior change counseling,...

Benefits: Competitive salary Flexible schedule Paid time off Vision insurance About the Role: Join APremium Healthcare Solution, LLC as a Remote Transitions...

RN Clinical Liaison Overview: Connect Care. Guide Families. Make Every Day Count. We are seeking an experienced and compassionate Hospice Clinical Liaison to join our team. In this role, you will ensure that...

The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine the...

Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...

Description Location: UCHealth UCHlth Anschutz Inpt Pavilion, US:CO:Aurora Department: Med Surg Progressive Care Work Schedule: Full Time, 72.00 hours per pay period (2 weeks) Shift: Day and Night Rotation Pay: $35.29 - $54.71 / hour. Pay is...

Position Description Base pay is influenced by several factors including a candidate's qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and...

Join the Rising team where our new Legal Nurse plays a critical role in evaluating the medical necessity, appropriateness, and cost of medical services within auto, general liability, and workers' compensation claims. This role combines clinical...

A leading digital health clinic is looking for a remote Nurse Practitioner to deliver compassionate, evidence-based care for patients with substance use disorders. The role involves evaluating and managing patient care, supporting recovery...

Job Description $15,000 Hiring Incentive for eligible rehires and external hires that meet required qualifications and conditions for payment. Our home health and hospice agencies are located throughout California,...

Job Title Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care...

Title: Quality Review Specialist Job Location: 100% Remote job Duration: 6 Months (Possible Extension) This is a M-F shift 40 hours per week, but mandatory to work holidays (rotating scheduled 3-4 holidays per year) and one weekend every 3rd...

Telephonic Triage Rn Answer with Care. Guide with Compassion. Support Every Step. We are seeking a dedicated Telephonic Triage RN to join our clinical call center team. This position is responsible for providing high-quality triage...

The Registered Nurse Care Manager provides case management services that are member-centric and include assessment, planning, facilitation, care coordination, evaluation and advocacy to all members across the healthcare continuum. The Care Manager...

Clinical Operations Specialist (LPN), NC/SC Remote K Health has recently transitioned to a comprehensive care delivery model that will revolutionize patient care and we invite you to join in this expansion as a Clinical Operations...

JOB SUMMARY: *Note: Candidate will be fully remote however needs to travel to members homes around Mystic Valley Elder Services area such as Chelsea, Everett, Malden, Medford, Melrose, North Reading, Reading, Revere,...

Telephonic Care Manager Opportunity Are you an experienced nurse looking for the next challenge in your career? Do you have knowledge of case management or care coordination? Check out this fantastic new opportunity! UPMC Health...

Hours: FT, Mon-Fri 8:30-5p Under the direction of the Care Management Manager, the Health Coach functions as the primary nurse to provide both health coaching and case management services to members across the continuum of...

Denial Prevention Nurse Position at Nuvance Health PART TIME- 20 hours per week- Mon-Fri 8pm- 12am shift- Rotating weekends and holiday coverage expected! Northwell is the largest not-for-profit health system in the Northeast, serving...

Why New Perspective Senior Living? A career with a purpose starts here! On our clinical team, your hours are predictable and manageable, helping you strike a better balance with other parts of your life. You'll become part of...

As an RN Program Coordinator Cardiac Device PRN, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital...