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Clinical Liaison RN - PAH The Clinical Liaison RN - PAH is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of...

UCLA Outpatient Clinics is seeking a Nursing Analytics Administrative Analyst to support nursing quality and operational initiatives through analytical support. This entry-level role involves coordinating meetings, supporting data collection, and...

Elevance Health is seeking a Nurse Appeals RN to work virtually full-time, with in-person training required. The role involves investigating medical necessity appeals requests and requires a high school diploma and 2+ years of managed care...

Remote Rn – Medical Claims Reviewer At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled...

Team Lead For Specialty Programs Acts as team lead for specialty programs, medical review, utilization management, and case management areas by providing assistance and support to unit supervisor/manager by giving...

# Legal Nurse Consultant## Company DescriptionAt Expert Institute, we are pioneers and disruptors in the legal space. Simply put, we pair attorneys with the perfect expert witnesses to win high-stakes cases and be the hero for the people,...

Medical Review Specialist Scope: The Medical Review Specialist is a Registered Nurse who conducts the Utilization Review process by obtaining medical information and confirming the medical necessity of hospital admissions and/or...

Summary The Registered Nurse (RN) for Remote Patient Monitoring-Home Telehealth (RPM-HT) delivers knowledge-based, patient-centered care to Veterans across the care continuum. The RN provides comprehensive assessment, monitoring, and...

Your RoleThe Clinical Quality Team is responsible for reviewing and abstracting medical records to capture data and to ensure accuracy and completeness. The Clinical Quality Reviewer - Nurse, Senior will report to the Manager, Clinical Quality...

Wellness Nurse Consultant Wellness Nurse Consultant Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office...

Urgent Hiring for "Remote Clinical Review Nurses" Job Description: Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary hospital...

Utilization Management Claims Review Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13077 Salary Range:...

Job Type Full-time Description REMOTE RN MDS CONSULTANT-Full Time Engage Consulting is seeking an experienced Registered Nurse (RN) with strong MDS, Case Mix, and Quality Measure experience to...

Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll...

Job Description UW Medical Center-Montlake - Social Work & Care Coordination has an outstanding opportunity for a Nurse Care Coordinator. WORK SCHEDULE Full time / 100% FTE Day shifts,...

Overview A reputable healthcare facility in Los Angeles is seeking a qualified Nurse to join their team. The position is ideal for Malayalee candidates who have experience in nursing and are looking for a job without the need for English...

Pre-Payment Review Nurse Consultant- Wisconsin 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.

Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +) Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs! Are you looking for an...

Center Nurse Executive The Center Nurse Executive (CNE) will oversee the day-to-day operations associated with nursing practice, direct patient care activities, clinical education, and the continuous improvement (Quality Assurance) of...

Care Management Nursing Consultant Job No: 540542 Work Type: Full-time Location: REMOTE OPTIONS, PHOENIX Categories: Healthcare/Medical Professional Level, Healthcare/Medical Support...

Working Nurse in Los Angeles is seeking a Clinical Policy Nurse RN II. This full-time position involves analytical research and assessment based on legislation affecting healthcare policies. The ideal candidate will translate regulatory impacts...

Bristol Hospice seeks an Admissions RN in Lakewood, CA 90712, who is responsible for building community relationships and facilitating hospice care access. The ideal candidate will possess an RN license in California and demonstrate effective...

Palazzopostacute in West Hollywood is seeking an RN Supervisor to coordinate the administrative and clinical functions for residents. Candidates should have experience in direct care and supervisory roles.This position requires a nursing degree...

Sign On BonusPosition offered with sign-on bonus: $10k for RN & $7k for LVN.Position SummaryThe Inpatient Case Manager is responsible for the assessment, treatment planning, intervention, monitoring, evaluation and documentation on identified...

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...