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Evaluating medical necessity and appropriateness for claims, the full-time State Licensed Legal Nurse will review liability demand packages, analyze medical records, and support negotiation and litigation efforts in a remote environment.Key...

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...

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...

To support the Medical Management department, the full-time RN Telephonic Care Manager will coordinate care and provide health education for adult Health Plan members through telephonic collaboration, primarily working remotely during standard...

Passionate about shaping future health care leaders, the part-time Adjunct Nursing Research and Evidence Based Practice Faculty will deliver engaging online instruction, maintain accreditation compliance, and facilitate meaningful classroom...

Responsible for securing and evaluating clinical sites for the School of Nursing, the full-time remote Clinical Coordinator will manage relationships with healthcare facilities, support student clinical placements, and assist with...

Working remotely, the part-time Call Center Nurse RN will manage triage calls after hours and on holidays, providing high-quality, patient-focused care while ensuring timely documentation and coordination with on-call nurses.Key...

To ensure effective treatment of patients, the full-time virtual Tennessee or Virginia Nurse Practitioner Manager will oversee clinical program operations, manage patient caseloads, and provide direction to Nurse Practitioners while working Monday...

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...

Working remotely, the Senior RN Clinical Quality Auditor will support care management products by reviewing processes for compliance, conducting audits, and collaborating on quality improvement initiatives.Key responsibilities:Participate in audit...

To enhance nursing education initiatives, the full-time New York Licensed Clinical Nurse Educator will assess, plan, implement, and evaluate educational programs while providing direct patient care and support in a hybrid role across various...

Focusing on hiring RN New Grad roles, the full-time Talent Acquisition Consultant will collaborate with hiring managers and HR teams to develop recruitment strategies, execute talent acquisition initiatives, and ensure a positive candidate...

A company is looking for a Part-Time Faculty in Nursing.Key ResponsibilitiesTeach undergraduate and/or graduate courses and facilitate student engagementProvide timely feedback on student submissions and conduct live lecturesAssist with curriculum...

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...

A company is looking for a Perioperative Coordinator - Regional.Key ResponsibilitiesSchedule and coordinate a variety of pediatric and adult surgical and specialty/joint replacement proceduresCollaborate with Perioperative Directors and Clinic...

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...

Seeking a remote California RN/LVN Utilization Management professional, the full-time nurse will review prior authorization requests for medical necessity across inpatient and outpatient services, applying CMS guidelines and Milliman Care...

Directing the standardization of clinical workflows, the full-time Remote Director of Nursing Practice will enhance operational efficiency and improve clinical outcomes through evidence-based practices and data-driven decision-making.Key...

Remote Nurse Patient Access Specialist (RN/LPN), this full-time role serves as the primary contact for patients and providers, facilitating access to therapy through benefit investigations, insurance verification, and support for prior...

Referral Authorization Specialist is a full-time position responsible for processing and documenting referral or prior authorization requests, providing customer support for clinical areas and patients.Key ResponsibilitiesOversee data entry and...

To shape future health care leaders, the part-time Arizona Licensed Nursing Adjunct Faculty will teach the Applied Evidence-Based Project and Practicum online, delivering engaging instruction and facilitating meaningful classroom discussions while...

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...

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...

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...

Massachusetts Licensed Graduate Nursing Faculty is a full-time, remote, tenure-track or contract position responsible for teaching graduate nursing courses, managing curriculum delivery, and overseeing student experiences.Key ResponsibilitiesTeach...