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Position Summary Compassionate and experienced Registered Nurse with expertise in hospice admissions, patient assessments, and care coordination across hospitals, long-term care facilities, assisted living communities, and home settings.

Program Integrity Clinical Compliance Auditor Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately...

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

Summary The VA Greater Los Angeles Healthcare System (VAGLAHS), Surgery Service, is recruiting for a Nurse Manager to lead the Referral Coordination Program. The incumbent provides first-line supervisory oversight of clinical referral...

Fully Remote: Clinical Documentation Specialist Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers. Perform concurrent and retrospective reviews of medical...

Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

Location: Torrance, California Type: Travel Job 17789408 Apply Now Acute Hospital Experience by Specialty Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert...

Summary The VA Greater Los Angeles Healthcare System (VAGLAHS), Surgery Service, is recruiting for a Nurse Manager to lead the Referral Coordination Program. The incumbent provides first-line supervisory oversight of clinical referral coordination...

Direct Jobs is seeking a Nurse Manager for the Emergency Service Administration in Houston, Texas. The Nurse Manager will be responsible for operational management and the delivery of quality patient care across the clinic. With oversight of...

Clinical Review Nurse II (US) Clinical Review Nurse II Anticipated Job Posting End Date: 08/31/2026. Location: This role enables associates to work virtually full-time, with the exception of required in-person training...

Registered Nurse Navigator - Cancer Center Exams - 10 Hour Days Do you have a passion for the highest clinical quality and patient happiness? Would you like to use your expert clinical competencies with an organization known nationally...

Care Coordinator This is a work-from-home position with travel required within Cherokee, SC County territory/community. Mileage is reimbursed for travel. The (RN) On-site Care Coordinator is a Registered Nurse who provides care...

PUBLIC HEALTH NURSE / EMERGENCY APPOINTMENT Print ( Apply  PUBLIC HEALTH NURSE / EMERGENCY APPOINTMENT Salary $105,247.44 - $157,542.24 Annually Location Los Angeles County, CA Job...

Building Location: Support Services Building Department: 1007190 PRE-SERVICE AUTHORIZATION - EH SS Job Description: Conducts Managed Care Programs in...

Guidehealth is seeking a Utilization Management Registered Nurse (RN) for a fully remote, full-time position. The role involves applying medical necessity criteria to reviews, documenting findings, and interfacing with providers and members to...

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...

We are so glad you are interested in joining Sutter Health! Position Overview: Aids patients in obtaining the correct level of care with the appropriate provider at the right time. Provides advance clinical telephone support to...

Work From Home Nurse Practitioner – Telehealth Women's Health | $125K+2 days ago Be among the first 25 applicantsThis range is provided by NPHire. Your actual pay will be based on your skills and experience — talk with your recruiter to learn...

Description There's nothing more exciting and rewarding than being able to make a significant, positive difference in someone's life. At UCLA Health, you'll experience this joy every day while also enjoying the positive, supportive,...

Job Title Job Description Duties and Responsibilities include but are not limited to: Provides administrative and clinical leadership for the Referral Coordination Program (RCP), ensuring effective coordination of...

We are looking for a L&D Nurse to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model. Physicians & Advanced Practice...

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 to ensure member progress...

Clinical Quality Assurance Specialist (Remote) Contract-to-Hire | RN: $28.50/hr | LPN: $26.50/hr (Non-Negotiable) Location: 100% Remote About the Role Network Medical Review Company is seeking an entry-level Clinical...

Job Description The Regulatory Coordinator II prepares and submits protocols and supporting documents to regulatory bodies such as PPC, PRMC, IBCS, Cedars-Sinai IRB, External IRB, IACUC and any research committee involved in...

Air Evac Lifeteam seeks a licensed RN to write clinical insurance appeals and support medical necessity justifications for air transport evaluations. The role involves processing and submitting appeals, ensuring timely updates, and protecting...