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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 Review Clinician Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...

Clinical Research Registered Nurse (RN) Infusion Registered Nurse (RN) to support the execution of clinical trials in a fast-paced research environment. This role combines direct patient care with clinical research responsibilities,...

Registered Nurse - Hybrid Cardiac Study Center, Tacoma, WA We are currently offering a $7,500 sign-on bonus! Who We Are At Cardiac Study Center, our mission is to...

Nurse Navigator Join an innovative startup health plan based in Wisconsin that is revolutionizing healthcare and empowering companies to combat the relentless rise in healthcare costs. Our mission is to provide accessible, high-quality...

Nurse Reviewer - Itemized Bill Review It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know...

Nurse Reviewer – State of Illinois Location: Remote with on-site visits across Illinois We are currently seeking Nurses who reside in Central Illinois - preferably in McLean and Sangamon Counties. Position Overview...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement The base pay for this position is $80,000 Must be able to work Full-time on-site at DKH - Day Kimball Healthcare in...

Personal Health Nurse CCCS uses a holistic approach to medical management. The Personal Health Nurse (PHN) works within a team to move the member through the continuum of medical management with the goals of facilitating quality health...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local to New England States for...

Prime Healthcare is looking for a Clinical Supervisor at Centinela Hospital Medical Center in Inglewood, California. The successful candidate will oversee department functions, manage staff performance, and ensure patient care quality. Candidates...

Remote Rn – Medical Claims Reviewer At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled...

The University of Southern California (USC), founded in 1880, is the largest private employer in the City of Los Angeles. As an employee of USC, you will be a part of a world-class research university and a member of the "Trojan Family," which is...

Registered Nurse Remote Triage Professional Guideway Care is The Patient Activation Company™. We don't just "engage" patients; we activate them. By utilizing our proprietary Motivational Patient Guidance (MPG) model and AI-powered...

Harris Health System is seeking a Utilization Management Review Nurse (UMRN) to assess the necessity and appropriateness of medical services. The UMRN utilizes clinical expertise to ensure care aligns with industry standards, works with healthcare...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Exempt Hiring Range:...

Join Equum Medical and be a driving force in revolutionizing acute care telehealth. As an innovative leader in the healthcare technology industry, Equum Medical is dedicated to transforming how patients access critical medical services.

Job Type Full-time Description Soleo Health is seeking a Full-time Infusion Nurse to support our infusion patients in the San Francisco, CA and surrounding areas. Join us in Simplifying...

Nurse Investigator- Atlanta Conduct investigations (clinical mortality review) of deaths of individuals with developmental disability services. Interview witnesses, complainants, and persons of interest to obtain information...

Description: The Organization San Gabriel/Pomona Regional Center (SG/PRC) is a private, nonprofit agency contracted with the California Department of Developmental Services (DDS) to provide services and...

Appeals Analyst We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests including...

Emory University School Of Nursing Administrative Coordinator Emory University is a leading research university that fosters excellence and attracts world-class talent to innovate today and prepare leaders for the future. We welcome...

Full-Time Remote RN Clinical Documentation Integrity Specialist Southwest Healthcare is seeking a Full-Time Remote RN Clinical Documentation Integrity Specialist position. This position provides clinically based concurrent and...

Description Location: UCHealth Eastview Medical Center, Colorado Springs, CO Department: EV ASC OR All Specialties Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $42.90 - $66.50 / hour. Pay is dependent on...

RN Utilization Mgmt Full-Time Day POSITION SUMMARY The RN Utilization Management (RN UM) functions as a support liaisons for a variety of UM functions which may include: the e-TAR process, denials management,...