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Detail-oriented and experienced, the remote Registered Nurse Auditor will support revenue integrity efforts by performing charge audits and billing validation, ensuring accurate and compliant billing practices while collaborating with clinical and...

Banner Health Corporate is looking for an RN Quality Measure Specialist to join their Digital Transformation team. This remote position focuses on validating and abstracting clinical quality measures and supporting regulatory submissions.

Optum is seeking a Discharge Care Manager to implement telephonic case management interventions for high-risk members. This role involves evaluating discharge needs, collaborating with clinical teams, and ensuring seamless transitions of...

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Fertility Providers Alliance is seeking a Manager for MN Clinical Operations in Los Angeles, California. This role includes overseeing daily operations, staff development, and compliance with regulatory requirements. Candidates should hold a...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Health Advocates Network is currently seeking a Licensed Vocational Nurse to work at a facility in Downey, California. These are registry positions with our company. Pay Rate: $30 /...

WHO WE ARE We are VITAS Healthcare, the nation s leading end-of-life care provider since 1978. Our hospice organization kickstarts careers in caring, promotes from within, and provides a nationally recognized best-in-class...

NURSE NAVIGATOR - RN Training Class starts in June** **ONLY NIGHT SHIFTS AVAILABLE** **12-hour ROTATING shifts** Location: On-Site in Lewisville, TX NOTE: No direct patient care involved Join Our Innovative Healthcare Team...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Job SummaryWorks collaboratively with an assigned panel of physicians to manage the patient's specialized needs. The managing team differs according to the chronic disease. Duties include assessment to identify member needs and the development of...

Ambulatory Oncology RN – Hematology/Oncology Shift: 5x8s, Monday–Friday (shift start/end times may vary by department needs) Requirements: Active RN license required at time of submission Minimum 2 years...

Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...

RN Operating Room - Ambulatory at Providence Saint Johns Health Center in Santa Monica, CA. This position is Full Time and will work 10-hour, Day shifts. Join Providence Saint John's Health Center, recognized as one of the best regional hospitals in...

About Atria: The Atria Health Institute is a membership-based primary and specialty health care practice with a focus on prevention and longevity. We bring together a multidisciplinary team of renowned physicians to provide...

About USC Street Medicine USC Street Medicine, housed within the Division of Street Medicine and the Department of Family Medicine of the Keck School of Medicine, provides full‑service primary care to people experiencing unsheltered homelessness...

Vocational Nursing Opportunities Employer: Glendale Unified School District Salary: $4,437.33 - $5,558.80 Monthly Location: District-wide/Various School Sites, CA Job Type: Open Competitive Job Number: 2374...

Job Description Health Advocates Network is currently seeking a Registered Nurse to work at a facility in Los Angeles, California. These are registry positions with our company.

UnitedHealth Group is looking for a Registered Nurse to provide care in various clinical areas with opportunity to work remotely from anywhere in the U.S. This role requires at least 6 months of clinical experience and a current Texas RN license.

Providence Health Plan Group is seeking a Clinical Program Manager RN for a full-time evening shift. This important role will act as a liaison with providers and Ministry Care Coordination teams, ensuring patients are transitioned to appropriate...

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...

Would you like to join an international team working to improve the future of healthcare? Do you want to...

Job Opportunity Seeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready to expand their impact beyond the traditional clinical setting. This position offers the...

A health care provider organization is seeking a Case Management Nurse to coordinate care for members. This role requires a Nursing Diploma and direct clinical experience, along with the current Michigan RN license. Responsibilities include...

Prior Authorizations, Case Manager (LVN/RN)#UHM-5092West Hills, California, United StatesWork Model On-SiteJob Description Position Summary:The role of the Prior Authorization Review Nurse, LVN/RN is to promote the quality and cost effectiveness...