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Optum is seeking an Utilization Management Nurse to review medical records, extract key case details, and craft defensible appeal letters in line with process instructions and guidelines. The role requires an RN with an associate degree, 3+...

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JOB DESCRIPTION This RN will act as a Care Review Clinician supporting our Medicaid members who have recently been admitted to this hospital. The Medicaid will support them to ensure a successful transition from inpatient...

Beth Israel Lahey Health, Inc. is seeking a Clinical Documentation Integrity Specialist (RN) for a remote position. This role focuses on improving the accuracy and quality of patient documentation and requires collaboration with physicians and...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of...

Guidehealth is seeking a remote-based Care Manager (RN) to guide patients and families through complex health journeys. You will blend clinical expertise with holistic care, addressing medical, behavioral, and social needs while coordinating...

Job Description \n \n Perm Staff Jobs is seeking a Registered Nurse (RN) Educator for a nursing job in Colorado Springs, Colorado. Job Description & Requirements\n \n Specialty: Educator \n Discipline: RN \n Duration: Ongoing \n Employment Type:...

*Description* *RN - Cath Lab at Providence St. Jude Medical Center in Fullerton, CA. This position is Full-Time and will work 10-hour Day shifts.* ...

Illingworth Research Group is seeking a Per Diem Freelance Research Nurse to support patients in clinical studies by coordinating care and liaising with healthcare providers. The role involves guiding participants through study protocols,...

Find your calling at Mercy! Position Details: Primary Care Nurse RN or LPN Mercy Clinic Primary Care - Quailbrook (OKC) Monday-Friday, 40 hours per week *This is...

U.S. Army Family Nurse Practitioners perform the highest level of quality care for Army Soldiers, retirees, and their families. If you are looking to combine your skills as a family nurse practitioner and your passion for...

Job ID: 30611 *Description*In this role, you will provide direct patient care for a diverse patient population. You will work with clinic management, administration, faculty physicians, fellows, residents, medical students, and other clinical...

A prominent healthcare organization is seeking a Telephone Triage Nurse Line Advisor in Saint Paul, Minnesota. The role requires a current Minnesota RN License and 3+ years of RN work experience. You will independently triage patient calls and...

Overview TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to identify a Clinical Quality Reviewer. This role focuses on reviewing clinical cases, identifying potential quality or safety...

St. Louis Children's Hospital is seeking an RN for after-hours triage and nursing support via the Answer Line. The role involves assessing patient needs, guiding care plans, and educating families within established guidelines. Part-time...

Performing medical reviews using clinical information and established guidelines, the full-time RN Medical Reviewer - South Carolina will evaluate medical claims, determine coverage necessity, and document decisions while working remotely from...

MDS Nurse-RN/LPN Remote-Michigan Licensed job at Concept Rehab, Inc. Toledo, OH. DescriptionFull Time MDS Nurse- Michigan License is required The MDS Nurse supports Engage Consulting clients by providing a variety of tasks,...

CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home, full-time position open to MST/PST residents. You will coordinate and document utilization and benefit management activities, ensuring timely,...

Centene Corp. is hiring a Quality Improvement Coordinator II to conduct reviews of delegated entities for quality, service performance and utilization, and to lead clinical quality initiatives across provider sites. The role involves...

Northwell Health is seeking a Licensed Practical Nurse to perform various aspects of patient care under the supervision of a Registered Nurse. The role emphasizes collaboration with the Primary Nurse and care coordinators to implement the nursing...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Experienced Fertility Nurse - Remote - 9:00am - 5:00pm EST Full Time...

A technology and business consulting firm is seeking a Clinical Medical Review Nurse to analyze health data and provide insights for internal stakeholders. The ideal candidate has a Registered Nurse license, along with four years of clinical...

Licensed Vocational Nurse (LVN) – Private Duty In-Home Shift Care Torrance , CA $30.00 – $31.00 per hour $500 Sign-On Bonus Full-Time & Part-Time | Flexible Scheduling | Weekly Pay Make a Difference. Work One-on-One in a Patient's Home. La Casa...

A national healthcare recruiting firm is seeking remote workers fluent in Spanish for a role supporting HEDIS project management. Responsibilities include coordinating the collection and abstraction of medical records, participating in vendor...

Job Description We are hiring an RN at our Primary Care Shoal Creek location! Monday - Friday, 8am-430pm No Nights, No Weekends, No Holidays Remote opportunity every other week after 4 months MO and KS RN license required BLS required Previous...