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We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

To support clinical auditing efforts, the full-time RN Clinical Auditor will perform retrospective chart reviews on Readmission and Place of Service Claims, utilizing clinical guidelines and proprietary systems while maintaining productivity and...

ResCare Community Living, a part of the Sevita family, provides quality services that empower individuals, enhance independence, and help people...

Are you an experienced nurse who wants to remain clinically involved in patient care without being a bedside nurse? Are you organized, efficient, and able to manage your own work with autonomy? MDS nursing at The Laurels of Walden Park may be just...

As an RN Program Coordinator Cardiac Device PRN, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital...

Medical Analyst The Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking an experienced Registered Nurse to serve as a Medical Analyst in its Syracuse office. Medical Analysts support the...

Evaluating medical necessity and appropriateness for claims, the full-time State Licensed Legal Nurse will review liability demand packages, analyze medical records, and support negotiation and litigation efforts in a remote environment.Key...

PURPOSE OF THIS POSITION The Registration/Medical Records Clerk is responsible for patient registration, secretarial and clerical duties in the surgical center and maintaining the center's medical records according to established guidelines and...

Trusted is seeking an experienced nurse for this exciting travel nursing assignment.Trusted has streamlined the travel nursing experience by enabling nurses to apply directlyto jobs without the need for recruiters. This unique approach provides...

Join Our Leadership Team: Director of Nursing Recovery Works Columbus | Pinnacle Treatment Centers Are you a dedicated nursing leader passionate about making a difference in the lives of those struggling with substance use disorders? Recovery Works...

Explore opportunities with Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the...

Job Title: Utilization Management Nurse - Behavioral Health Focus (Remote) Time Zone Preference: Pacific or Mountain Time Zone is preferred Work Schedule: Tuesday through...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

JOB DESCRIPTION Check all associated application documentation thoroughly before clicking on the apply button at the bottom of this description. Job Summary Provides support for clinical member services review assessment processes.

Shift Available (rotating weekends required): ...

NEW INCREASED WAGES! Want to make a difference in someone's life? If you have patience, empathy and a true desire to care for those in need, you will love working as a State-Tested...

Job Title : Hybrid Review & Evaluation RN Location: Harrisburg Pennsylvania 17101 (2 days onsite, 3 days WFH) Training may be onsite! Some travel may be required , and additional details can be discussed further during interviews Work Schedule:...

Remote Registered Nurse (RN) – Principal Care Management (PCM) Elaya Health is a leading provider of endocrinology and specialty care services for nursing home residents. We partner closely with long term care facilities to improve...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Utilization Management RN - Pediatrics (Remote) | New York RN License Required | 110K+ • Fully remote opportunity • Pediatric Utilization Management focus • Fast interview process Location: Remote - Must hold active...

Utilization Management Nurse, LVN/LPN (Work from Home) California, United States NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By...

About the job Remote Nurse Practitioners - Hormone Replacement Therapy AlediumHR is partnering with a forward-thinking telehealth organization that is redefining how men and women manage their health. Through expert clinical care and...

Nurse Practitioner In collaboration with the physician, provides care to new or established patients. Demonstrates autonomy through patient evaluation, assessment, diagnosis, treatment and follow-up care. Orders testing as deemed...

Patient Advisory Team Registered Nurse ***Position requires 6 months of in-office training prior to being remote. The office is located in Champaign, IL*** $5,000 sign-on bonus - external candidate only The Patient Advisory...

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...