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Job Description: Participates in the development and ongoing implementation of QM Work Plan activities. Improve quality products and services, by using measurement and analysis to process, evaluate and make...

Make a Difference on Your Own Schedule and Terms! Hiring Registered Nurse Travels in Iowa Additional Job DescriptionApply Now and Receive up to $6k in Travel Bonuses! (state specific)Start Your New...

JOB DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives...

Full-time Description About Aspirion At Aspirion, our mission is simple and meaningful: to help healthcare providers get paid accurately, quickly, and transparently for the care they deliver. By combining deep human expertise with...

Optum NY, is seeking a RN Post-Acute Liaison to join our team in Poughkeepsie, NY. Optum is a clinician-led care organization that is changing the way clinicians work and live. If your skills, experience, and qualifications match...

Registered Nurse Remote within IL, TX, TN, NM, OK, MT Registered Nurse responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote effective...

Job Title: Medical Claim Review Nurse Location: 100% Remote Duration: 3 to 6 months ( Opportunity for ext. / based off performance/evaluation and team needs/budget) Schedule: 40hr- Must work PST hours. Once trained and working independently,...

A-Line Staffing is now hiring an RN Care Manager. The role would be working for a major healthcare company and has career growth potential. This would be full time / 40 hours per week. If you are interested in this position, please contact Chris...

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 people with the care, pharmacy benefits, data...

Clinical Claim Review Nurse 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 people...

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 Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients' severity of illness is accurately portrayed in the medical record for specificity of...

Integrated Nurse Case Manager Sentara Health Plans is currently hiring an Integrated Nurse Case Manager in Petersburg, Dinwiddie and Chester the area of Virginia Status: Full Time (40 hrs/wk) Shift: Day (8am-5pm)...

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting...

Were looking for Nurse Care Managers for our Care and Case Management team, who are passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading interventions. As a telephonic...

Patient Advisory Team Registered Nurse ***Position requires 6 months of in-office training prior to being remote. The office is located in Champaign, IL*** $5,000 sign-on bonus - external candidate only The Patient Advisory...

Duration: 3+ Months Contract Only - No End Date Job Description: Hour/Schedule: Monday through Friday, 8:30 am -5:00 pm. Two late shifts until 8:00 pm per month, 11:30 am - 8:00 pm, no late shifts on...

Registered Nurse (RN) - Clinical Documentation Specialist (Part Time) Remote The Clinical Documentation Specialist is responsible for the evaluation of physician documentation utilizing their clinical expertise to ensure the patients'...

Become a part of our caring community $10,000 SIGN ON BONUS We are excited to expand our leadership team and are seeking experienced, motivated Clinical Managers to join our growing home health branches in Westbury, Hauppauge, and Riverhead, NY!

Registered Nurse Utilization Managers (RNUM) Spectrum Healthcare Resources has a potential need for Registered Nurse Utilization Managers (RNUM). These will be completely remote positions, working entirely from the Nurse's home. The Nurse...

Job Description Ready for More Autonomy as an RN? Join Guthrie Home Health as an Admissions Nurse - Up to a $25,000 Sign-On Bonus! Guthrie Home Health is seeking a...

Host Healthcare is seeking a local contract nurse RN Case Management for a local contract nursing job in Paramount, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 06/29/2026 Duration: 13 weeks 40...

Fully Remote : Clinical Documentation Specialist Job Description Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers.

A-Line Staffing is now hiring a RN Clinical Case Manager – Medicaid Long Term Care. This will be full time. RN Clinical Case Manager – Medicaid Long Term Care Location: Candidates must reside in one of the following Florida counties: Orange,...

Job Id: 65711 Public Health Nursing Consultant 1 Location: Hybrid, 7th Floor Andrew Johnson Tower Nashville, Tennessee 37243-0000 Client: TN DOH Duration: 12 Months Job Description: The Neonatal Abstinence Syndrome (NAS) Surveillance Program...