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*Job Summary and Responsibilities* As our Critical Care/Emergency Educator, and in accordance with our mission and core values of integrity, compassion, collaboration, and excellence, you will serve as a consultant and resource professional by...

RN - Quality & Safety Improvement Consultant V, Patient SafetyOnsite in Downey, CA. Travel: Yes, 10% of the time.Patient Safety Officer RN in acute care hospital setting. You will attend national safety goal monitoring committees, sit on nursing...

SRN This position represents 5 openings. Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in...

Peraton's SafeGuard Services seeks a Nurse Reviewer to conduct medical record reviews, applying clinical judgment to claim payments and supporting fraud investigations. Telework is available from any state. The ideal candidate will hold a...

About the Job RN Health Care Facility Surveyor - California (#1142): CMS's Long-Term Care Basic Training and SMQT certification are required. Airline and hotel points accumulate for employee's...

Program Integrity Clinical Compliance Auditor Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately...

Manages a nursing caseload as assigned by supervisorMakes an assessment of the patient and family's needs to develop the nursing care planInitiates the admission and plan of careConfers with physicians and other hospice team members to develop the...

Qualifications Basic Requirements: English Language Proficiency In accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English Graduate of a school of...

A healthcare technology company seeks an experienced Registered Nurse for a remote role providing clinical technology services. This position is for independent contractors, focusing on chart reviews and clinical data analysis. Candidates should...

Careers With Purpose Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. Facility: Southridge Clinic...

Telenett is seeking a Remote Utilization Review Nurse to review medical records and treatment plans from home. You will determine medical necessity, collaborate with providers, and help develop care plans that meet client needs. The role...

Your Role The Care Management team independently manages complex and high-risk care management cases by applying advanced clinical judgment to assess medical necessity, develop cost-effective care plans, and support...

Trillium Health Resources is seeking a Compliance Nurse to perform clinical compliance reviews and evaluate claims to ensure adherence to regulatory and coverage requirements. The role requires RN licensure in NC, travel within catchment,...

Get AI-powered advice on this job and more exclusive features. This range is provided by The Judge Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range...

A leading health service provider in Kentucky is seeking experienced Registered Nurses for the Field Care Manager role. Nurses will conduct non-clinical, in-home assessments and manage their own schedules. The position offers a competitive salary,...

Medical Reviewer, RN - Temporary Position Location: Remote *This role is a temporary position and that employment is expected to be for a limited duration. About J29 J29, Inc. (J29) has...

A leading healthcare staffing firm is seeking a Clinical Liaison to evaluate clinicians and ensure compliance with staffing needs. This remote role requires an Associate's Degree in Nursing and at least 3 years of nursing experience. Strong...

Highmark Inc. is seeking an experienced RN in a remote role, with weekend availability on Saturdays and Sundays plus three weekdays. The position emphasizes utilization management, care coordination, and provider/member education. The RN...

A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization management, reviewing medical records, and coordinating discharge planning. Candidates must...

Overview Position Type: Full time Job Title: Care Review Clinician I Location: 100% Remote (Must reside in one of the following states: NV, AZ, FL, GA, ID, IA, KY, MI, NE, NM, NY (outside greater-NYC), OH,...

Enlyte is seeking a full-time RN case manager positioned remotely with regular travel to Denver, CO for in-person appointments. The role combines clinical expertise with case management to support injured workers' recovery and safe return to work.

CVS Health is seeking a Case Management Coordinator to enhance patient care by collaborating with members, providers, and community organizations. This is a remote role requiring a dedicated workspace and travel up to 75%. Candidates must have 3-5...

Machinify is a leading healthcare intelligence company. The Medical Review Nurse II audits home health claims, working remotely with a multi-location team to ensure compliance and high-quality documentation. The role emphasizes strong clinical...

Remote Nursing OpportunitiesAre you looking for an exciting way to utilize your nursing skills and expertise to deliver quality nursing care in a remote setting? AccessNurse, where technology meets compassionate care, is looking for professional...

A leading staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client. This role involves evaluating patient care cases and ensuring requested services align with medical necessity...