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Registered Nurse, Quality Assurance Reviewer The Registered Nurse, Quality Assurance Reviewer will work in conjunction with the Quality Manager and will be responsible for completing quality reviews for the Clinical Services and Provider...

Caring. Connecting. Growing Together At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for...

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...

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...

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and...

HJ Staffing is partnering with Impresiv Health, a specialized healthcare consulting partner, to find a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN). This critical...

HEDIS Nurse Abstractor Location: Remote About Us: Known for "Delighting the Client" through performance, innovation, and an employee-centric culture, S2Tech is a fast-growing IT...

Research Nurse (Per Diem) - Lexington, MA Illingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include mobile research...

What You Should Know About the RN Care Manager: This is a driving position serving Franklin county This is a full-time position, 40 hours/week: 8:00A-4:30P with weekend rotation every 6-7 weeks, and...

Current Employees: If you are currently employed at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process. Job Category: Academic Staff...

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...

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,...

GoTo Telemed seeks experienced, certified CRNAs for remote anesthesia consultation, patient education, and post-operative follow-up services. This 1099 independent contractor position provides flexibility while supporting surgical teams across...

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...

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Senior Clinical Review Nurse - REMOTE. In this role, you will leverage your nursing expertise to make a significant impact in the healthcare...

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving...

Carries out communicable disease surveillance, prevention, and control measures for the City of Boston. Investigates reports of communicable diseases including pathogens of public health importance, reported outbreaks, or other...

*Employment Type:* Full time *Shift:* Day Shift *Description:* *NEW PAY RATES *Nurse - RNII –Cardiology Office – Phone Triage - Albany, NY – Full Time - Hybrid remote* If you are looking for a phone triage RN II position in a busy Cardiology...

Aesthetics Injectables Registered Nurse Injector - Dublin, Ohio Job#16761113 Join a premier aesthetics practice in central Ohio, where advanced cosmetic innovation meets exceptional patient care in a state-of-the-art facility. As...

Part-Time Lead LPN/RN Night Shift - (Urbana, OH) Part-Time Lead LPN/RN Night Shift in Champaign, OH BASIC FUNCTION: To provide quality nursing services to consumers based on each consumer's Medical needs...

About the Role: The Home Health RN Case Manager plays a critical role in delivering high-quality, patient-centered care within the comfort of patients' homes. This position involves comprehensive assessment, planning,...

Overview Our client is a trusted leader in healthcare services, dedicated to improving outcomes for patients and providers through innovative solutions and high-quality care. Join a team committed to making a meaningful difference in the...

ED Care Coordinator RN Central Ohio Primary Care Physicians is seeking an ED Care Coordination RN for our Hospitalists group located within the Mount Carmel St. Ann's Hospital in Westerville, OH. This position is directly involved in a...

Job Description INTEGRIS Health Portland, Oklahoma's largest not-for-profit health system has a great opportunity for a Manager, Nursing Virtual Care in Oklahoma City, OK. In this position, you'll work days with our Clinical...

Job Profile Summary Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to...