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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...

School Based Health Center Registered Nurse This 0.8 FTE role provides safe, high-quality clinical care in a primary care setting located within a school building. The RN plays a vital role in delivering primary care services directly 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 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...

A company is looking for a RN Call Center Obstetrics - Remote from a Compact State.Key ResponsibilitiesConduct telephonic assessments with obstetric patients and provide care coordinationEducate patients and families about treatment and services,...

Registered Nurse (RN) 100% FTE. This is a salaried paid position. Monday through Friday. Hours are based off the operational needs of the department. This is a remote position. Be part of something remarkable! Join the #1 hospital in...

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...

A company is looking for a Clinical Reviewer, Inpatient RN.Key ResponsibilitiesProvide utilization management activities for members in an inpatient settingDetermine medical necessity and reimbursement methodology for inpatient admissions and...