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RN - Utilization Review Nurse | 3+ Years of Experience | Remote in IL | Contract Walker Healthforce is seeking a RN - Utilization Review Nurse with 3+ Years of Experience to support a Healthcare Payor Client based out of IL.

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow...

Job Summary The Nursing Home Physician / Nurse Practitioner Regulatory Consultant serves in a non-clinical, advisory consulting role providing physician-level or advanced practice expertise specific to skilled nursing...

A leading healthcare provider is urgently seeking experienced Clinical Documentation Specialists for remote positions. Ideal candidates must be RN graduates from an approved nursing program and possess prior CDI experience, preferably in acute...

To apply you must live in the following States: MA, NH, RI, IA, CO, FL, SC, NC, RI, CT, VA, MD, UT Our Intake Manager is responsible for the day-to-day operations of the Intake department. This includes directly supervising...

Job Description Job Summary Join our team as a Clinical Review Nurse, where you will play a crucial role in supporting the review of medical claims and appeals. You will ensure compliance with state and federal...

Job Title: Utilization Management NurseJob Description As a Utilization Management Nurse - Post Acute, you will be responsible for reviewing and documenting prior authorization and concurrent stay requests, as...

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 recommendations to meet...

Are you our next Change Agent? We are seeking a compassionate and experienced Patient Support Program (PSP) Nurse to deliver exceptional, one-on-one support to patients navigating their treatment journey. You will be part of...

Job Summary Provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical...

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...

Summary We are currently hiring for a Quality Nurse Navigator to join BlueCross BlueShield of South Carolina. In this role as a Quality nurse Navigator, you will monitor/implement quality improvement/management activities,...

Summary Delivers knowledge-based care to assigned clients while developing technical skills. Assesses, plans, implements, and evaluates the effectiveness of the Veteran's care. Serves to support delivery of high quality, timely care to the Veteran...

Join our compassionate team and help us prioritize health! The Utilization Management Registered Nurse plays a crucial role in utilizing clinical nursing skills to aid in the coordination, documentation, and communication of medical...

A healthcare provider is seeking a full-time Clinical Informatics System Analyst, RN, to improve clinical information systems. This role involves optimizing EMR applications, providing user support, and collaborating with clinical staff.

A Quality Improvement Consulting Company is seeking a Remote RN Health Care Facility Surveyor to conduct surveys evaluating compliance with healthcare regulations. Responsibilities include on-site assessments, communication of deficiencies, and...

Job Opportunity at Highmark Inc. This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,...

Job Title: Utilization Review Nurse Location: 100% Remote Duration: 3 Months+ (Possible Extension) Pay Rate: $43/hr. on (W2) Schedule: After 6 weeks of...

*Pay: $28.50/hr (Fixed rates, no opportunity for negotiation)* *Shift: *Monday- Friday- 8-4:30PM EST, MUST have flexibility twice a month to start as early as 7 and end as late as 7PM * * *Overview* We're hiring Clinical Quality...

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...

Leaderstat - Post Acute is seeking a local contract nurse RN Home Health Hospice for a local contract nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty:...

Non State Tested Nursing Assistant First Community Village located in Columbus, OH is an independent living, assisted living and memory care community with a team of health care professionals that is unmatched in the area! We are...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...

In order to have an accurate count of participants, we need you to register for the Recruitment Fair on the District's website. Please select "apply for this position" under the heading to the right labeled "Apply Now". Interviews slots will fill up...