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UnitedHealth Group's Optum is seeking a Clinical Review Clinician to act as a subject matter expert in itemized bill reviews and hospital facility bills. You will document and research adjustments for Forensic Reviews for specific clients.

Cambia Health is seeking remote Care Management RNs to provide case, disease, and care coordination from home within Oregon, Washington, Idaho or Utah. This role supports a person-focused health care experience with strong clinical judgment and...

A healthcare organization is looking for a Senior Clinical Reimbursement Analyst to provide analytical guidance across segments. This role requires reviewing Medicare/Medicaid documentation, ensuring accuracy in MDS coding, and training staff on...

St. Louis Children's Hospital is seeking an RN for after-hours triage and nursing support via the Answer Line. The role involves assessing patient needs, guiding care plans, and educating families within established guidelines. Part-time...

MES Solutions is seeking a self-driven RN or LPN to join as Clinical Quality Assurance Coordinator. This 100% remote role focuses on reviewing peer reports, ensuring accuracy, and aligning with client agreements, regulatory standards, and state...

Harris Health is seeking a Nurse Manager to oversee operations and care delivery for one or more clinics or units. You will manage human resources, quality, and financial aspects while aligning with nursing leadership and professional practice...

A healthcare staffing company is seeking a Clinical Review Nurse for Prior Authorization Review. This remote role demands conducting reviews, collaborating with healthcare teams, and ensuring compliance. Candidates need an active RN license and...

Palo Verde Community College District is seeking an experienced Clinical Documentation Integrity (CDI) Specialist (RN) for a fully remote role based in the US. The position supports quality outcomes, reimbursement accuracy, and regulatory...

A healthcare organization is seeking an RN Case Manager to work remotely and facilitate case management activities, evaluating medical needs for overall member wellness. Candidates should have an active RN license, ideally compact, with at least...

EMD Serono is seeking an experienced RN Patient Support Specialist to educate patients, provide product training, and deliver personalized support throughout treatment journeys. This remote role requires clinical nursing judgment and collaboration...

Hospice Telephone Triage RN- FT 6:30a-4p Mon-Fri o wknds (REMOTE) Hospice Telephone Triage RN- FT 6:30a-4p Mon-Fri o wknds (REMOTE) 2 weeks ago Be among the first 25 applicants We invite you to join our growing...

Mist Registered Nurse (Rn) – Position Summary The Multidisciplinary Inbasket Support Team (MIST) Registered Nurse is a highly skilled ambulatory care nurse who provides comprehensive, remote clinical support to primary care patients and...

Qualifications Basic Requirements: English Language Proficiency In accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English Graduate of a school of...

The Registered Nurse provides expert professional nursing care; assesses, plans, implements and evaluates the care rendered to patients with urgent, emergent or potential...

Job Summary Collaborates with Education Consultants, Managers, CNS staff and Physicians to develop, design, deliver and evaluate/improve education strategies and special projects/programs based on clients departmental goals and needs, as well as...

Responsibilities How you'll change lives As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge...

Supplemental Health Care is seeking a local contract nurse RN School RN for a local contract nursing job in Sun Valley, California. Job Description & Requirements Specialty: School RN Discipline: RN Start Date: ASAP Duration: 13 weeks 20 hours per...

Job Description Make a difference every single day! When the work you do every...

Pomelo Care is seeking a Pediatric Triage RN for overnight shifts (9pm–9am ET) to provide patient-centered triage for pediatric cases across the United States. This full-time role involves three 12-hour shifts weekly, with weekend and holiday...

MedPOINT Management is seeking a remote RN/LVN Case Manager to assess, plan, and coordinate patient care across the continuum under the supervision of Leads & RN Clinical Manager for Case Management. You will advocate for patients and coordinate...

Mist Registered Nurse (Rn) – Position Summary The Multidisciplinary Inbasket Support Team (MIST) Registered Nurse is a highly skilled ambulatory care nurse who provides comprehensive, remote clinical support to primary care patients and...

Overview St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who...

National Brain Tumor Society (NBTS) unrelentingly invests in, mobilizes, and unites our community to discover a cure, deliver effective treatments, and advocate for patients and their care partners. NBTS is a leading policy advocacy and research...

Northwell Health is seeking a Registered Nurse CDI Auditor to validate acute inpatient coded charts and ensure documentation substantiates diagnostic information. This remote position in New York requires a NY RN license, a BSN, and strong...

Humana Inc in Illinois seeks a Manager, Care Management to lead a multidisciplinary team responsible for Medicaid care management. You will supervise staff, analyze data, ensure compliance, and collaborate with partners to improve outcomes and...