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A company is looking for a Complex Discharge Planner (RN).Key ResponsibilitiesDevelops and coordinates complex discharge plans for high-risk members based on needs assessmentsInteracts with providers and community agencies to ensure safe and...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover...

A company is looking for a Registered Nurse Senior Director Academic Practice Partnership.Key ResponsibilitiesLead the strategic design of academic partnerships to develop a sustainable nursing workforceCultivate relationships with universities...

A company is looking for a Senior Care Manager (RN) to assess, plan, and implement complex care management activities for members.Key ResponsibilitiesDevelops and continuously assesses care plans/service plans, collaborating with providers to...

As an NP at OhioHealth, you will receive the support needed to balance your personal and professional goals and impact on our mission of improving the health of those we serve in Central OH. Ideal for new those with strong RN critical...

A company is looking for an RN Call Center.Key ResponsibilitiesProvide nursing support and guidance to callers in a remote settingAssess patient needs and facilitate appropriate care optionsDocument interactions and maintain accurate patient...

A company is looking for a Nurse Auditor.Key ResponsibilitiesPerform charge audits and assessments to resolve incorrect or missing chargesMonitor revenue loss reports and identify documentation needs to support charge captureEducate stakeholders...

A company is looking for a Clinical Audit Specialist - Utilization Management.Key ResponsibilitiesConduct retrospective and targeted audits of medical necessity determinationsAnalyze audit findings to identify trends and systemic issues in...

A company is looking for an RN Educator, Clinical Documentation Integrity who must reside in Colorado.Key ResponsibilitiesFacilitate improvement in the quality and accuracy of medical record documentation through education and trainingDevelop and...

A company is looking for a Clinical Review Nurse - Correspondence.Key ResponsibilitiesDrafts correspondence letters based on clinical review outcomes in accordance with NCQA standardsInvestigates denials and provides supplemental information to...

A company is looking for a Utilization Management Director - RN Required - Remote.Key ResponsibilitiesOversee day-to-day operations of the Utilization Management Department to ensure compliance with payer requirements and regulatory...