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A respected healthcare organization is seeking a fully remote Clinical Quality Improvement Support Nurse to provide HQ-level support for CQI projects and clinical pathways. The role requires a minimum of 10 years of clinical and administrative...

JOIN TEAM TRILOGY - At Trilogy, youll experience a caring, supportive community that values each team member. We prioritize meaningful relationships, genuine teamwork, and continuous growth. With the stability of long-term care, competitive pay, and...

BlueCross BlueShield of South Carolina is looking for a qualified applicant to perform medical reviews and support medical claims processing. The role involves reviewing complex claims and documenting decisions based on established clinical...

**This position requires Day shift availability** We offer competitive salary, full benefits package, Paid Time Off, and opportunities for professional...

Description At Bath & Body Works, everyone belongs. We are committed to creating a culture of belonging focused on...

A recruitment agency is seeking a Pre-Certification RN to evaluate clinical conditions and determine medical necessity for services. This remote position requires an active RN license in PA or a Compact license, along with a minimum of 3 years of...

A healthcare technology company is seeking a Care Transition Nurse to join their team remotely. In this role, you will evaluate and improve AI chatbots related to healthcare by providing complex problems and ensuring accuracy. Ideal candidates...

Connexall is seeking a Clinical Informatics Specialist-RN to provide clinical support and professional services during the project lifecycle. Responsibilities include clinical workflow design, data analytics, and user training. The role requires a...

Pluto Healthcare is seeking a local contract nurse RN Home Health for a local contract nursing job in Columbus, Ohio. Job Description & Requirements Specialty: Home Health Discipline: RN Duration: 13 weeks 40 hours per week Shift: 8 hours, days...

Job Description We are looking for a Cardiology Nurse at our Saint Luke's Plaza location for our Cardio Wellness/Hypertension clinic! FT Day 7a-5:30p; 4 days a week, with a rotating day off NO WEEKENDS! NO HOLIDAYS! Opportunity for remote 1 day a...

The Nurse Manager is responsible for assisting the Director of Nursing (DON) in implementing and directing all nursing services. This position interfaces closely with the medical staff, administration, nursing staff, and other departments to achieve...

A company is looking for a Nurse Auditor.Key ResponsibilitiesPerform charge audits and assessments to resolve incorrect or missing chargesMonitor revenue loss reports and identify documentation needs to support charge captureEducate stakeholders...

A healthcare services company is seeking a remote Nurse Educator/Review Coordinator to facilitate provider education related to claim reviews. Responsibilities include identifying billing issues, providing recommendations, and conducting education...

A prominent quality improvement consulting firm seeking an experienced RN Health Care Facility Surveyor to assess compliance across various healthcare facilities. This remote role involves up to 75% travel and requires a nursing degree and...

CVS Health is looking for a highly skilled Utilization Management Nurse (RN) for a remote position. In this role, you will ensure patients receive appropriate healthcare services through reviews of clinical cases and collaboration with...

A health care organization is seeking a Case Manager RN to coordinate a multidisciplinary team, delivering holistic care to a diverse population. The ideal candidate will develop and implement care plans, ensuring members health needs are met...

NEW OPENING!!! Psych NP needed in Columbus, OH!!! 100% outpatient--NO CALL COVERAGE! Part-time to Full time with benefits. Adults or children or a mix. Initial evaluations and medication management! Great support staff for you! Must have OH...

Capital City Gardens - Capital City Gardens located in Columbus OH is currently seeking a full-time LNHA-Nursing Home Administrator to join our wonderful team. Capital City...

A healthcare solutions firm is looking for a Clinical Appeals Nurse (RN) to support revenue cycle operations by reviewing denied claims. This remote position requires an active RN license and 3-5 years of clinical nursing experience.

Knowtion Health is seeking an Appeals Nurse to oversee the review and appeal of claims related to clinical denials from Medicare, Medicaid, and other payers. The ideal candidate will have a valid RN license, experience in an acute care setting,...

RELOCATE TO VIRGINIA OPPORTUNITY Join our esteemed team of healthcare professionals committed to advancing healthcare through cutting-edge research, comprehensive training, and compassionate care. UVA Health is an integrated...

Clever Care is hiring a UM Nurse I - RN to conduct clinical reviews of authorization requests in California. The role involves ensuring compliance with regulatory requirements, documenting medical necessity, and communicating decisions...

Job Title: Clinical Trial Nurse (Remote) Company: Angel City VA Location: Work From Home Pay Rate: $7 USD/hour About Us Angel City VA is a people-first organization specializing in talent acquisition, onboarding, and...

A leading healthcare services provider is looking for a dedicated Registered Nurse to join as a Care Manager. In this remote role, you will be responsible for assessing patients' needs, developing care plans, and providing education through...

A data analytics and solutions company is seeking a Clinical Validation Auditor to ensure accuracy in medical claims coding. This fully remote position requires a Registered Nurse with over 5 years of acute care experience. Responsibilities...