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We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

A company is looking for a Complex Discharge Planner (RN).Key ResponsibilitiesDevelops and coordinates complex discharge plans for high-risk members based on needs assessmentsInteracts with providers and community agencies to ensure safe and...

Experienced RN- Registered Nurse - Pediatric OR Educator Location: Oklahoma Children's Hospital Shift Available: Full - Time, Monday - Friday (8 hour shifts with flexibility) No call – Flexibility means covering the 2 night...

Registered Nurse Explore opportunities at Atrius Health, part of the Optum family of businesses. We're an innovative health care leader and multi-specialty group practice, delivering an effective, connected system of care for adult and...

Utilization Management Rn Coder Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

A company is looking for a Registered Nurse Senior Director Academic Practice Partnership.Key ResponsibilitiesLead the strategic design of academic partnerships to develop a sustainable nursing workforceCultivate relationships with universities...

Registered Nurse (RN) 100% FTE. This is a salaried paid position. Monday through Friday. Hours are based off the operational needs of the department. This is a remote position. Be part of something remarkable! Join the #1 hospital in...

Registered Nurse Clinical Annotator 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...

Utilization Management Rn Coder Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting...

Clinical Leader PCLM We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

A company is looking for a Nurse Auditor.Key ResponsibilitiesPerform charge audits and assessments to resolve incorrect or missing chargesMonitor revenue loss reports and identify documentation needs to support charge captureEducate stakeholders...

Call Center Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the...

As an NP at OhioHealth, you will receive the support needed to balance your personal and professional goals and impact on our mission of improving the health of those we serve in Central OH. Ideal for new those with strong RN critical...

A company is looking for a Senior Care Manager (RN) to assess, plan, and implement complex care management activities for members.Key ResponsibilitiesDevelops and continuously assesses care plans/service plans, collaborating with providers to...

A company is looking for a Clinical Faculty, Graduate Nursing Practicum.Key ResponsibilitiesTeach and manage up to ten course sections annually in graduate nursing, focusing on practicum and leadership/education coursesMentor and support adjunct...

A company is looking for an RN-to-BSN Academic Advisor.Key ResponsibilitiesServe as the primary advisor for nursing students from onboarding through graduationBuild strong relationships with students to enhance engagement, retention, and program...

A company is looking for a Utilization Management Director - RN Required - Remote.Key ResponsibilitiesOversee day-to-day operations of the Utilization Management Department to ensure compliance with payer requirements and regulatory...

A company is looking for a Bilingual Care Coordination RN (Spanish).Key ResponsibilitiesCommunicate and educate members and providers on insurance plan benefits and digital health solutionsProvide pro-active and reactive support for members...

A company is looking for a Registered Nurse Coding Auditor - HCS-D, COS-C - Full Time.Key ResponsibilitiesValidates Acute Inpatient coded charts for accurate diagnostic information and complianceConducts coding audits and reviews...

A company is looking for a Clinical Audit Specialist - Utilization Management.Key ResponsibilitiesConduct retrospective and targeted audits of medical necessity determinationsAnalyze audit findings to identify trends and systemic issues in...

A company is looking for an RN Educator, Clinical Documentation Integrity who must reside in Colorado.Key ResponsibilitiesFacilitate improvement in the quality and accuracy of medical record documentation through education and trainingDevelop and...

A company is looking for an RN Call Center.Key ResponsibilitiesProvide nursing support and guidance to callers in a remote settingAssess patient needs and facilitate appropriate care optionsDocument interactions and maintain accurate patient...

A company is looking for a Clinical Review Nurse - Correspondence.Key ResponsibilitiesDrafts correspondence letters based on clinical review outcomes in accordance with NCQA standardsInvestigates denials and provides supplemental information to...

A company is looking for a RN Call Center Obstetrics - Remote from a Compact State.Key ResponsibilitiesConduct telephonic assessments with obstetric patients and provide care coordinationEducate patients and families about treatment and services,...