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Working remotely in a full-time capacity, the Registered Nurse Clinical Auditor will conduct clinical audits and reviews related to fraud, waste, and abuse, analyzing care services, coding requirements, and resource utilization while collaborating...

Job Title: RN Admissions Nurse – In-Home Care Company: Home Health Care, Inc. Compensation: $150 - $200 per visit + mileage reimbursement! Apply by emailing Tori at [email protected] with a summary of your admissions...

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...

Overview Performs inpatient chart review to determine appropriate DRG assignment and assures appropriate documentation in the chart to support clinical care provided, including severity of illness and risk of mortality which...

The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nations top hospital systems for best...

We are recruiting for a mission-driven RN Educator, Clinical Documentation Integrity - Must Reside in Colorado to join our team! We're with you for life's journey. At Denver Health, purpose isn't just something we believe in-it's something...

Emory Healthcare Utilization Review Specialist Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership...

Adventist Health in Los Angeles seeks a qualified RN Nursing Supervisor. Located in Boyle Heights, you will oversee nursing operations, ensure staff quality, and manage patient care across departments. The role requires strong nursing supervision...

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...

POSITION SUMMARYThe RN Certified Diabetes Care and Education Specialist has experience in diabetes care and education. The RN will contribute to developing, reviewing, and revising all diabetes education material. The RN promotes self-management...

As an integral part of the interdisciplinary team, the Registered Nurse utilizes the nursing process to provide therapeutic care to patients. Provides nursing care in accordance with departmental policies and procedures and established standards of...

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...

Ssbv Clinical Claims Review Rn Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting...

Kindred Hospital South Bay, a long-term acute care hospital offers the same in-depth care you would receive in a traditional hospital, but for an extended recovery period. We partner with your physician and offer 24-hour clinical care seven days a...

Nurse 3 Job Number: 364864 Category: Administrative Description: Job Title: Nurse 3 Location: Redondo Beach, CA Zip Code: 90278 Pay Rate: Up to $65.09/hr. Schedule: 9x80 A Start Date:...

An Infusion Nurse II is a licensed registered nurse who coordinates and provides intermediate direct patient care to patients in the home, or in an alternate infusion suite, to ensure patient safety with continuity and compliance under a physicians...

Post-Discharge Patient Outreach Coordinator Inspire health. Serve with compassion. Be the difference. Responsibility for initiating phone contact with discharged patients from specified units, conducting query on patient experience...

Nurse Consultant - Remote in California It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know...

Become a key member of a world-class healthorganization! To provide nursing care to patients and their families in the MPU. Under direct supervision, the primary responsibilities of the Clinical Nurse includes the direct nursing care of patients,...

Behavioral Health Case Manager Responsible for providing telephonic and e-referral case review and authorization of services utilizing established mental health and substance abuse medical necessity criteria to provide quality care...

Roze Room is a leading provider of Hospice and Palliative Care, celebrating 25 years of service to Southern California communities. Be the Nurse Who Makes Every Moment Matter. Full-Time Hospice RN Case Manager (RNCM) Field Based. San Gabriel Valley...

Job Description Pre-Authorization RN Compensation Salary Range: $90,000 - $108,000 per year Bonus / Commission (if applicable): This role is eligible...

Description: Job Summary: Kaiser Permanente nurses are guided by an integrated nursing model that places patients and families in the center. The Staff Registered Nurse (RN) II - Virtual Care/Telehealth practices professional...

Ocean State Job Lot is seeking an RN for Utilization Management in Los Angeles, CA. This role involves coordinating care submissions and documentation for patient admissions, focusing on high-quality care and efficiency. Candidates must hold an...

Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...