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Public Health Nursing Consultant - Behavioral Health and Prior Authorization Job No: 536826 Work Type: Full-time Location: REMOTE OPTIONS, PHOENIX Categories: Healthcare/Medical...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff...

Overview Performs inpatient chart review to determine appropriate DRG assignment and assures appropriate documentation in the chart to support clinical care provided, including severity of illness and risk of mortality which...

Job Overview Are you ready to use your nursing skills and continue making a difference while not having to be full time or needing to face the physical demands of a hospital or clinic nurse role? On the Telephone Triage...

The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine accuracy of billed charges. This is a remote position. ESSENTIAL...

Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local...

Hybrid Role , Candidate must be local to TN USC / Green Card only Public Health Nursing Consultant 2 Position Description: The Healthcare-Associated Infections and...

Manage your own work schedule while earning up to $36 per hour as a State Tested Nursing Assistant (STNA) in Delaware, OH (and nearby areas). At our...

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With...

A healthcare provider is seeking a Registered Nurse to work directly with Contact Center agents assessing health concerns via phone. This role requires a degree from an accredited nursing school and a minimum of five years of clinical experience.

A healthcare organization in California is seeking an RN, Clinical Care Manager I to enhance member care through assessment and coordination. Applicants should have a Bachelor's Degree in a health-related field and an active RN license. The role...

Per Diem Emergency Department Based Rn Case Manager This position is a per diem role, providing department coverage and cross trained to cover utilization review and discharge planning as needed. It is eligible for the per diem...

Company Description Are you looking to join an organization that is growing and dynamic? What about a high-energy, collaborative environment that rewards hard work? J.S. Held is a global consulting...

Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The...

The position is work from home with field visits. JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include...

A healthcare consulting firm is seeking a Clinical Lead Consultant to join their team in Toledo, Ohio. This full-time, remote role involves consulting services for nursing facilities and includes responsibilities like MDS completion, auditing, and...

Description As a Hospice Registered Nurse Case Manager (RN) you will be called to care when you're needed most. As part of Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our...

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.

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions...

Immediate need for a talented Admissions RN Telehealth Virtual Care (In-Person). This is a fulltime opportunity with long-term potential and is located in Augusta, Georgia(Onsite). Please review the job...

Job Description Are you a registered nurse ready to take your career in an exciting new direction-one where your expertise truly makes a difference? Join Pennsylvania's premier Quality Improvement Organization and step into a...

Overview Ensuring Compliance. Streamlining Authorizations. Supporting Patient Care. The Clinical Authorization Nurse plays a key role in supporting our authorizations department by reviewing clinical...

A leading health insurance provider is seeking a Managed Care Coordinator I to join their team. This fully remote position requires you to review and evaluate medical eligibility regarding benefits and clinical criteria. Candidates must have an...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to...

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...