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Seeking a part-time Licensed Peer Reviewer to work remotely in the United States, who will review medical records for standard of care determinations and provide quality improvement recommendations based on clinical expertise in an outpatient...

To support the education of future healthcare leaders, the part-time Arizona Licensed Nurse Educator will teach Advanced Pathophysiology and Pharmacology online, delivering high-quality instruction while maintaining compliance with accreditation...

To support the growth of a mobile IV therapy team, a part-time to full-time Registered Nurse Recruiter will source and recruit qualified nurses, manage talent pipelines, and ensure a positive candidate experience in a remote work environment.Key...

Ohio RN Clinical Finance Specialist is a full-time remote position responsible for implementing clinical finance strategies, securing pre-authorizations, and managing clinical denials.Key ResponsibilitiesImplement and support clinical finance...

Providing telephonic care and support, the part-time Telephonic Nurse Practitioner - OH, MO, WI, IN Licensed will manage patient assessments, coordinate care, and ensure quality documentation while working remotely with flexible scheduling,...

To support financial objectives, the full-time California Licensed Revenue Cycle Auditor RN will provide patient-focused, standardized revenue cycle support remotely while ensuring compliance and efficiency in processes.Key responsibilitiesConduct...

Overseeing hospice intake compliance, the full-time remote Hospice Clinical Compliance & Audit Associate Director will manage clinical audit activities to ensure documentation accuracy, regulatory compliance, and claim readiness while...

Leading the RN-led Complex Care Management program, the contract-to-hire RN Case Management Director will oversee strategy, clinical workflows, and operational performance in a remote setting, ensuring adherence to NCQA standards and driving...

Working remotely in a full-time capacity, the Registered Nurse Clinical Auditor will conduct clinical audits and reviews related to fraud, waste, and abuse, while collaborating with various Health Plan departments and utilizing fraud detection...

To maximize client savings, the full-time Illinois Licensed Nurse Auditor will remotely review medical bills, ensuring appropriate billing, coding, and treatment while maintaining compliance with fee schedules and identifying erroneous charges.Key...

Managing project-related activities, the full-time Operations Manager - Medical will oversee medical and non-medical appeals decisions, develop standardized project information sharing methods, and facilitate team meetings while working remotely...

Utilizing advanced clinical and coding expertise, the full-time Registered Nurse Clinical Documentation Specialist will ensure the integrity of clinical documentation through extensive record review, education, and consultation, all performed...

A company is looking for a Utilization Management RN to ensure efficient healthcare resource use while promoting quality patient care.Key ResponsibilitiesCoordinate with healthcare teams to assess and monitor the delivery of healthcare...

To support patient care initiatives, the full-time Bilingual LPN Care Coordinator will manage outbound phone calls to patients, addressing healthcare needs and facilitating access to resources in a fully remote environment.Key...

Providing advanced clinical appeal services, the full-time Remote Clinical Financial Case Manager RN will manage complex patient account denials, conduct clinical reviews, and assist in developing denial prevention strategies while supporting the...

To support a growing healthcare service, the full-time LPN Care Coordinator (Spanish) will manage inbound clinical phone calls from patients, assist in triaging clinical issues, and engage with patients through various communication channels in a...

To support clinical auditing efforts, the full-time RN Clinical Auditor will perform retrospective chart reviews on Readmission and Place of Service Claims, utilizing clinical guidelines and proprietary systems while maintaining productivity and...

A company is looking for an Associate Manager US Clinical Operations RN.Key ResponsibilitiesManage shift operations and ensure adherence to service level agreementsOversee team performance through coaching, performance reviews, and development...

Focused on Coding and Clinical Chart Validation, the full-time Clinical Auditor Licensed RN will independently audit outpatient and specialty claims, ensuring coding accuracy and medical necessity while utilizing advanced audit tools and...

Supporting high- and rising-risk patients, the part-time Nightingale RN Care Coordinator will leverage clinical expertise for comprehensive care coordination and chronic disease management while working remotely between 8:00 AM and 4:30 PM.Key...

To support a 24/7 Occupational Health triage call center, full-time Telephonic Registered Nurses will manage a high volume of incoming calls, provide assessments using proprietary algorithms, and document interactions while working remotely during...

Utilizing medical knowledge and patient care experience, the part-time RN Clinical Sales Specialist will guide interested individuals seeking innovative healthcare solutions, working remotely with a flexible schedule to assist clients in making...

Providing remote patient monitoring and support, the full-time Telehealth Nurse (LPN/LVN) will conduct regular phone visits to educate members on managing chronic conditions such as hypertension and diabetes while ensuring accurate documentation...

Leading a team of Utilization Management Nurses, the full-time California Licensed Utilization Management Nurse Lead will review inpatient and prior authorization requests, ensuring timely processing and high-quality medical outcomes while working...

Bilingual Nurse Patient Access Specialist (RN), a full-time remote position responsible for facilitating patient access to therapy by conducting benefit investigations, verifying insurance eligibility, and providing ongoing patient support and...