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Are you an experienced nurse who wants to remain clinically involved in patient care without being a bedside nurse? Are you organized, efficient, and able to manage your own work with autonomy? MDS nursing at The Laurels of Walden Park may be just...

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is...

To support clinical auditing efforts, the full-time RN Clinical Auditor will perform retrospective chart reviews on Readmission and Place of Service Claims, utilizing clinical guidelines and proprietary systems while maintaining productivity and...

Focused on Coding and Clinical Chart Validation, the full-time Clinical Auditor Licensed RN will independently audit outpatient and specialty claims, ensuring coding accuracy and medical necessity while utilizing advanced audit tools and...

Job Description The Longitudinal Care Manager provides ongoing care coordination and management for patients over time, ensuring continuity of care, optimal health outcomes, and appropriate utilization of services. This role...

Registered Nurse – Clinic/Wellness/Immunization The Registered Nurse – Clinic/Wellness/Immunization works in a variety of either remote or clinic locations to serve a specific population's health and wellness needs. The Registered...

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...

A prominent healthcare provider in Bellaire is seeking a PRN Utilization Management Review Nurse. This role involves evaluating medical services, ensuring appropriate care levels, and collaborating with healthcare teams. Candidates must hold a...

Job Description The Denials Nurse Auditor works under the supervision of the manager of PFS Denials. The Denials Nurse Auditor is responsible for completing, appealing, tracking, and reporting clinical denial reviews to...

RN Clinical Consultant The RN Clinical Consultant serves as a clinical resource for the investigation and assessment of medical information regarding disability by providing comprehensive medical reviews and analysis of long-term and or...

Palliative NP - Part Time This is a remote position in the Grand Island, NE area. Works independently and in collaboration with physicians to deliver palliative care. The NP provides palliative medical services by managing the...

Utilizing expert knowledge in MS-DRG and APR-DRG coding methodologies, the full-time Minnesota Licensed Clinical Auditor RN will conduct audits of inpatient claims, validate coding accuracy, and identify overpayments while working remotely from...

Registered Nurse – Clinic/Wellness/Immunization The Registered Nurse – Clinic/Wellness/Immunization works in a variety of either remote or clinic locations to serve a specific population's health and wellness needs. The Registered...

Job Title : Hybrid Review & Evaluation RN Location: Harrisburg Pennsylvania 17101 (2 days onsite, 3 days WFH) Training may be onsite! Some travel may be required , and additional details can be discussed further during interviews Work Schedule:...

Utilization Management Nurse I, RN Huntington Beach Office - Huntington Beach, CA 92647 Overview Salary Range $34.98 - $42.85 Hourly Position Type Full Time Description Remote in California only Are...

Remote Registered Nurse (RN) – Principal Care Management (PCM) Elaya Health is a leading provider of endocrinology and specialty care services for nursing home residents. We partner closely with long term care facilities to improve...

Quality Assurance Nurse Location: Remote with travel to facilities as needed. Des Moines, Kansas City, Omaha/Council Bluffs region Position Type: Full-Time Description We are seeking a dedicated Quality Assurance...

Licensed Practical Nurse (LPN) – Hospice Care Location: Central Ohio Schedules to choose from: Offering 36-40 Hours a week / Schedule can consist of 3 - 12-hour shifts from 7p-7a or may work 8 hour...

Remote Registered Nurse (RN) - Principal Care Management (PCM) Join Elaya Health - Improving Specialty Care in Nursing Homes 📍 Remote Position 🕒 Full Time / Part Time Available 💻 Work...

Registered Nurse - REMOTE, NY MUST LIVE IN THE NY TRISTATE AREA AND MUST HAVE VALID NEW YORK RN LICENSE and MULTI-STATE COMPACT LICENSE. Position Overview: The Registered Nurse or RN...

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Description After spending 14 years in healthcare, I finally found my home with Arrow Senior Living. Its home-like environment is not just for the residents but for the team members as...

Description After spending 14 years in healthcare, I finally found my home with Arrow Senior Living. Its home-like environment is not just for the residents but for the team members as...

UnitedHealth Group is seeking an RN Field Clinical Care Coordinator in Natick, MA to engage with members and assess their needs. You will implement individualized care strategies, manage care plans, and provide vital care coordination. Ideal...

JOIN TEAM TRILOGY: At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of...