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Position: Virtual Nurse-RN Department: Virtual Nursing Facility: Premier System Support Shift: Full-time 7:00am-7:30pm/ 72 Hours Per Pay *This is...

Find your calling at Mercy! Under the direction of the primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a...

Registered Nurse-Utilization Review Job ID #2038951 | Share About this Role As a Utilization Review Registered Nurse (RN) supporting a health plan or insurance organization, you will use your...

Sixty million Medicare seniors live with chronic disease. The care system sees most of them twice a year. Cadence is building the infrastructure to support them every day. Cadence is a clinical AI company that delivers continuous, proactive...

Job Description: Job Summary: Responsible for patient focused programs which may include but is not limited to: collaborating with health care team in providing direction for maintaining high quality...

Job Category: Executive Leadership, Revenue Cycle Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. ...

What You'll DoMake outbound calls to eligible Medicare patientsExplain Shield Health's care management programs in a clear, patient-friendly mannerAnswer patient questions and address common concernsBuild rapport and trust with patients over the...

Registered Nurse Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. The Center for...

Foundation Health in Alaska is hiring a professional to enhance nursing practice through developing and conducting education and training for clinical services staff. The role includes the development of strategic training initiatives, seamless...

The Clinical Quality Specialist (RN) plays a key role in advancing the quality, safety, and effectiveness of the member experience at Included Health. This position focuses on evaluating and improving how members engage with care across all...

Sharoncarela in Los Angeles is seeking a Part-Time Minimum Data Set Assistant to enhance resident care. You will be responsible for conducting and coordinating the completion of the resident assessment following state requirements. Ideal...

Job Title This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to...

RN – Utilization Review Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift: Day 5x8-Hour (08:00 - 16:30) Shift Notes: Days (5×8) | 08:00 – 16:30 PAY DETAILS (72 HOURS / 2 WEEKS) Pay Rate: $65/hr...

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...

The LVN Care Manager participates in a continuum of care from pre-admission through post-discharge for assigned patients. Assure that patients and families proceed...

Job DescriptionMake a difference every single...

Job DetailsPosition SummaryThe Quality Assurance Registered Nurse is a professional responsible for all quality activities of the organization. The role includes accountabilities for the monitoring, implementation, and evaluation of processes and...

Job Title Job Description Duties include, but are not limited to: Interacts regularly with the Executive Leadership Team to coordinate and plan Clinical Process Improvement. Works with the Quality Chief,...

CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...

Position is Hybrid serving the EAST VALLEY (Time spent in the field, working from home and occasionally in the office for meetings or training) For those who want to invent the future of health care, here's your opportunity. We're going beyond...

Clinical Documentation Improvement Specialist - RN Job Category: Outpatient Nursing Requisition Number: CLINI017160 Full-Time Remote Hourly Range: $28.71 USD to $40.19 USD Description Job Overview: Day-to-day...

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...

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...

Are you a person who believes in providing great care? Do you believe in having a positive impact on other people's lives? Are you a team-player, quick-thinker, and ready to be a part of an organization that supports your growth?WHAT WE'RE ABOUTWe...

Description The Quality Management Nurse is responsible for conducting comprehensive facility site reviews (FSRs) to ensure compliance with healthcare standards and regulations. This role involves evaluation clinical practices, identifying areas...