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Description The on-call HEDIS Clinical Audit Coordinator is responsible for conducting clinical quality audits for the Quality Department. The auditor identifies and coordinates clinical audits to determine potential areas...

Overview Contract role - 8/8/23-12/31/23, with possible extension Pay rate: $50-$65 Hourly Location: Remote IL Required License: RN, LCSW, LCPC Basic function: This position is responsible for discharge care...

The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing assistance after normal business...

Telephonic Case Manager 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...

Telephonic Case Manager 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...

What You'll Do: The Bureau of Infectious Diseases is seeking an Immunization Nurse Consultant to serve as the statewide expert on immunizations & vaccine-preventable diseases. This position will monitor & evaluate...

Description Company Overview: For over 30 years, The IMA Group has been dedicated to enhancing the livelihood and productivity of individuals and organizations navigating challenging periods of health, work...

A leading care provider is seeking a Registered Nurse - Quality Assurance to oversee audits and ensure high-quality standards in care. The ideal candidate will hold a valid RN licensure, have at least two years of nursing experience, and possess...

A health care company is seeking a Clinical Care Manager to support Medicaid members during their transition from incarceration. The role involves providing comprehensive care coordination, educating members about benefits, and engaging with...

Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in healing and inspiring the human spirit and to pivot from a job opportunity to an authentic...

Telephonic Case Manager 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...

Job Summary The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies...

Description The Revenue Cycle Auditor is responsible for providing patient focused, standardized, compliant revenue cycle support that will assist Providence St Joseph Health in meeting financial objectives. Responsibilities...

Liberty Healthcare seeks an experienced Registered Nurse leader for an anticipated Clinical Director opening. This is a newly created remote position which will allow you to work from your home office in Massachusetts (residency in...

Summary Demonstrate proficiency in practice based on conscious and deliberate planning. Self-directed in goal setting for managing complex situations. Delivers a fundamental understanding of adult learning principles and a lifelong learner that...

Full-Time Rn Case Manager (Rn) In El Paso, Tx DaVita Integrated Kidney Care (IKC) is looking for a Full-Time RN Case Manager (RN) in El Paso, TX. As a DaVita Integrated Kidney Care Registered Nurse (RN) Case Manager you will support some...

Care Advocate (RN) - Florida Papa is a new kind of care built on human connection. Across the country, health plans and employers look to Papa to provide vital social support by pairing older adults and families with Papa Pals, trained...

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! AccessNurse...

Overview Remote Registered Nurse (RN) – Nurse Triage 16 hours per week Position Summary The RN – Nurse Triage provides high-quality, patient-centered care through telephone triage and clinical assessment. This role...

Registered Nurse As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process...

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest,...

Registered Nurse As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process...

St. Luke's Health System is seeking a Registered Nurse (RN) Clinic Educator for a nursing job in Boise, Idaho. Job Description & Requirements Specialty: Educator Discipline: RN Duration: Ongoing 36 hours per week Shift: 12 hours Employment Type:...

Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying...

JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical...