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Evaluating and managing catastrophic episodes of illness, the full-time remote South Carolina Licensed Stop Loss RN will facilitate cost estimates for underwriting, consult on claims, and provide case management oversight.Key...

OverviewCarenet Health is not authorized to hire in certain states due to internal business considerations: CA, CO, NY, NJ, NV, OR, WA, MD, RI, WV, AK, HI, CT, DE, VT, or Puerto Rico.Are you a compassionate, self‑motivated registered nurse with...

Registered Nurse I The position is full-time and 40 hours a week. The shift will be five 8-hour shifts between the hours of 9AM-5PM EST Monday through Friday. While the organization will do its best to keep you in your scheduled shifts,...

Infection Control Preventionist Job Category: QA - Quality Control Requisition Number: 01INF004409 Full-Time Remote Brunswick, GA 31520, USA Description Essential Responsibilities: This description of job...

Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit...

Clinical Documentation Improvement Specialist Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness,...

Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) 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...

At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults-and we're looking for passionate people to help us do it. As a national leader in value-based care, we offer senior living...

Job Description Registered Nurse - Full Time - Home Health (Florence County) *$15,000 with 2 years commitment Sign On Available! Responsibilities ...

Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes,...

Job Summary: The CDI Specialist performs clinically based initial, concurrent, and retrospective review of inpatient medical records to evaluate documentation as it correlates to the utilization of acute care services. ...

City/State Suffolk, VA Work Shift First (Days) Overview: Sentara Obici Hospital is hiring a Clinical Nurse Manager for our Med-Surg/Oncology Specialty in Suffolk, VA! The RN Clinical Manager for Med-Surg/Oncology Specialty can expect 25 direct...

Scheduled Hours 40 Position Summary Coordinates the care of patients for a designated service throughout the continuum of care; serves as a clinical resource in area of specialty or...

Part-Time Remote RN Concentra has an immediate need for an experienced and passionate Part-Time remote RN for our client's site in New York. This position offers an opportunity to work with a dynamic worksite and make an impact on...

Job Title: RN Case Manager - Medicare Advantage (Telephonic, Hybrid) Job Description This role offers an experienced RN the opportunity to provide telephonic case management for Medicare Advantage members in Florida. You will...

Overview Open Doors to Care. Guide First Steps. Transform the Hospice Experience. Are you a compassionate, experienced RN who loves making personal connections and helping patients understand their...

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...

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Provides clinical administrative nursing care coordination in...

Job Description Saint Luke's Home Care & Hospice is seeking a Transitional Care Nurse to join our team!! FT; M-F Flexible scheduling one weekend every 1-2...

Join UnitedHealthcare At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.

Cancer health Scope of work With principal investigator oversight, prepares, evaluates and implements research studies to enhance the advancement of clinical practice. Serves as primary coordinator /...

Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +) Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs! Are you looking for an...

Overview Connect Care. Guide Families. Make Every Day Count. We are seeking an experienced and compassionate Hospice Clinical Liaison to join our team. In this role, you will ensure that intake and referral processes...

Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes,...

City/State Virginia Beach, VA Work Shift First (Days) Overview: Sentara is hiring a Registered Nurse (RN) at Sentara Princess Anne Hospital's Ortho/Joint/Spine Post Surgery Unit in Virginia Beach, Virginia. Sign on Bonus up to $15,000 offered for...