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Job Description: Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical...

Job Objective: Provide health related assistance to physicians and patients, ensuring quality management of patient questions and inquiries. As well as providing quality patient care throughout endoscopic procedures...

Compliance Nurse 2, Long-Term Care Unit The Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people. DCH serves as the lead agency for...

Job Title : Hybrid Review & Evaluation RN Location: Harrisburg Pennsylvania 17101 (2 days onsite, 3 days WFH) Training may be onsite! Some travel may be required , and additional details can be discussed further during interviews Work Schedule:...

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About Ergotron: Ergotron, Inc. is a global leader in designing ergonomic solutions that connect people and technology to enhance human performance, health and happiness. Through its 40+-year history, Ergotron has led the...

Nursing Board Compliance Agent Organization: Nursing Board Agency Contact Name and Information: Joseph J. Fanell Unposting Date: Jun 8, 2026, 3:59:00 AM Work Location: AB Graham Building 8995 E Main St Reynoldsburg...

Senior Consultant Press Ganey is the leading experience measurement, data analytics, and insights provider for complex industries—a status we earned over decades of deep partnership with clients to help them understand and meet the...

Medical Analyst We are seeking Medical Analysts with experience in preparing Medicare Set Asides and Medical Cost Projections. This includes reviewing records, preparing the narrative and an appropriate allocation for medical treatment...

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...

Medical Review Nurse (RN) Remote position, however, candidates must reside in the State of TX or State of IL This position is a contract for about 9 months. Pay: $41/hour RN working in the insurance or managed care...

WE ARE TITANIUM HEALTHCARE Titanium is a healthcare company that puts heart and compassion above all else. Millions of Americans just aren't getting the medical care they need. We're on a mission to change that. For patients that means...

Regional MDS / PDPM / CMI / RAI Consultant Are you ready to make a change? We are seeking an experienced Regional MDS / PDPM / CMI / RAI Consultant to provide remote reimbursement, MDS, PDPM, Case Mix Index, and RAI support to our...

Job Description Job Description Nurse Case Managers EagleOne is a family owned Nurse Case Management company that has been in business for 33 years and counting. Our expertise and commitment to excellence allows us to cater to the unique needs...

Clinical Quality Assurance Nurse Auditor Fully Remote • Redding, CA 96002 Overview Salary Range $34.00 - $35.00 Hourly Position Type Full Time Travel Percentage None Description Are you a Registered Nurse...

Triage Visit Registered Nurse - Home Care Hours: Part-time, Weekend Days - We are looking for an RN to be available every weekend or every other weekend to take calls and triage patients, but also be available to make a visit if there is...

RN Clinical Consultant The RN Clinical Consultant serves as a clinical resource for the investigation and assessment of medical information regarding disability by providing comprehensive medical reviews and analysis of long-term and or...

Overview: MS/MSN required Minimum 6 years of nursing experience required 1.0 fte/40 hours per week Job Description Summary: The Professional Development Education Nurse Specialist develops tools,...

RN Clinical Manager / Clinical Consultant (RN or MSW) – California Pay Rate: $52.50–$53.00/hr Position Type: Special Projects – 12-Month W2 Contract (renewal based on performance, project continuation, and health plan needs)...

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 join a...

Company Description Lumen Solutions Group Inc. is a technology consulting Services Company based in Florida. We provide a wide array of experienced business and IT professionals supporting clients from solution design to...

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...

Wellness Nurse Consultant Wellness Nurse Consultant Sign on Bonus: $5000 Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role...

Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...

Job Title: Staff Nurse Location: [Hospital Name], [City] Employment Type: Full-time / Part-time / Contract Job Summary We are...