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Centene Corp. is hiring a Quality Improvement Coordinator II to conduct reviews of delegated entities for quality, service performance and utilization, and to lead clinical quality initiatives across provider sites. The role involves...

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new...

RN Clinical Documentation Integrity Specialist Remote Key Responsibilities: Ensuring Clinical Documentation Meets Quality And Regulatory Standards. Working With Medical...

Global Medical Response is seeking an experienced RN with at least five years in ED/ICU, flight, or ambulance settings to audit medical necessity appeals for air transport and government payors. This is a remote or on-site role in the United...

PIH Health Downey Hospital is seeking an RN Case Manager to guide patients from pre-admission through post-discharge, ensuring smooth transitions and appropriate utilization of hospital services.You will focus on maximizing reimbursement from...

A healthcare network is seeking a full-time Registered Nurse for Pre-Admission Testing (PAT) to work remotely. The role involves conducting comprehensive pre-operative assessments, coordinating with the medical team, and ensuring patient readiness...

Senior Quality Improvement Specialist (RN) Location: NYCLAY (100% remote) Duration: 45 W, 3 D Client: Molina Healthcare 100% remote- candidates can work from anywhere. Will be M-F 8-5pm EST NO OT. Must Have requirements: RN,...

The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing assistance after normal business...

Building Location: St Marys Hospital - Detroit Lakes Department: 3062750 ENDOSCOPY - DL HOSP Job Description: Responsible for organizing and providing nursing care to patients through the process of assessment, planning, intervention, and...

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...

Employment Type: Full time Shift: Night Shift Description: Position Summary: Reviews assigned cases applying specific criteria and payor guidelines and communicates this review to...

Oscar Health is seeking a Utilization Review Nurse to join our team. You will review cases, verify medical records, and consult with care providers to assess treatment appropriateness using Oscar Clinical Guidelines, MCG, and InterQual. The...

Abbott is seeking an Outpatient Sales Representative for the Nutrition Division in the Northern Las Vegas Valley. The role focuses on driving prescriptions by engaging healthcare professionals in outpatient settings and building lasting...

Summary We are currently hiring for a Managed Care Coordinator I to join BlueCross BlueShield of South Carolina. In this role as a Managed Care Coordinator I, you will review and evaluate medical or behavioral eligibility...

Responsibilities: How you'll change lives...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of...

RN, Day Triage - Monday - Friday 8am - 5pm page is loaded## RN, Day Triage - Monday - Friday 8am - 5pmlocations: Washington, DCtime type: Full timeposted on: Posted 30+ Days Agojob requisition id: R259642**It's inspiring to work with a company...

A leading healthcare provider is seeking an Associate RN for a remote role dedicated to acting as a care guide and advocate for patients. The candidate must hold a valid RN license in a compact state or California. Responsibilities include...

A healthcare technology company in the United States seeks a Triage Registered Nurse to provide effective telephone triage for patients. The ideal candidate will have a BSN, strong clinical assessment skills, and at least 2 years experience in...

Job Description Harborview Medical Center's Stroke Center has an outstanding opportunity for a Registered Nurse (RN) - Nurse Navigator. WORK SCHEDULE Full-time, 100% FTE, 40 hours per week...

CVS Health is seeking a remote Appeals Nurse Consultant to review and resolve clinical appeals with sound clinical judgment and regulatory knowledge. The role supports a remote team with standard Monday–Friday hours and occasional on-call.

Stanford Health Care in Palo Alto is seeking an Oncology Nurse Navigator to coordinate care from diagnosis through survivorship. As a licensed RN with oncology experience, you will partner with physicians, social workers, nutritionists, and...

Saint Luke's Hospital of Kansas City in the United States is seeking an experienced Registered Nurse for our Primary Care Shoal Creek location. The role features a Monday through Friday schedule, 8:00 am to 4:30 pm, with no nights, weekends, or...

iMPROve Health seeks an RN Reviewer (Workers' Compensation Utilization Review) to serve as an independent contractor (1099) performing independent external medical reviews remotely on an ad hoc basis. As a peer reviewer, you will apply your...

Working remotely on a full-time basis, the RN Clinical Documentation Improvement Specialist will utilize clinical and coding knowledge to conduct concurrent and retrospective reviews of inpatient medical records, focusing on improving...