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Baptist Health is seeking a remote Clinical Documentation Specialist to evaluate physician documentation and ensure accurate illness severity portrayal for coding precision. The role requires an active Kentucky license and involves guiding...

At Avanta Care, we prioritize the well-being of our employees. Our culture is built on the foundation of compassion, respect, and teamwork. We believe that when our employees feel valued and supported, they are better equipped to provide the...

Trillium Health Resources is seeking a Population Health Nurse to provide clinical care management and population health support for assigned members, focusing on prevention, wellness, and outcomes. The role uses nursing judgment as an RN to...

Advanced Practice CRNA, General Saint Mary Medical Center — Long Beach, California Job Shift: Full Time Days Work Week Hours: 40.0 Pay: Up to Negotiable Start Date: 2026-10-05 Additional Employer...

Position is in Los Angeles,CA. A nursing assistant is responsible for providing routine nursing care in accordance with established policies and procedures and as may be directed by the Charge Nurse, RN Supervisor, Director of Nurses or...

Staff Education RN Job Summary: Collaborates with Education Consultants, Managers, CNS staff and Physicians to develop, design, deliver and evaluate/improve education strategies and special projects/programs based on...

Work From Home Nurse Practitioner (PMHNP - Telehealth - Flexible Schedule)Join to apply for the Work From Home Nurse Practitioner (PMHNP - Telehealth - Flexible Schedule) role at NPHireBase pay range$175,000.00/yr - $200,000.00/yrAbout the RoleA...

Join our exceptional team at The Meadows Post Acute, a premier facility with 98 beds. Experience personalized care, tailored rehabilitation programs, and top-notch skilled nursing. Relax in our modern environment with amenities like satellite TV...

To support client care authorization processes, the part-time Temp Clinical Letter Writer will gather and review medical records, draft letters of medical necessity, and communicate with team members regarding client authorizations and...

Mass General Brigham Health Plan in Somerville, MA is seeking a clinical RN with UM experience to provide escalation support and triage inquiries, evaluating medical necessity and ensuring adherence to guidelines. You will collaborate with Nurse...

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

Job Title: Nurse, Clinical Medical Review Location: Columbia, MD (Primarily remote, but hybrid) Duration: 6 Months Contract PURPOSE: We are seeking a qualified RN or LPN with experience supporting HEDIS reporting and abstraction processes in a...

Cambia Health Solutions is seeking an Appeals Clinician I to work from home across Oregon, Washington, Idaho or Utah. You will apply nursing expertise to resolve member and provider appeals, ensuring medical policy alignment and appropriate...

Providence Tarzana Medical Center in Tarzana, CA is seeking a Certified Nursing Assistant for the Cardiovascular Unit. This Full-Time role requires CA Nursing Assistant Certification, BLS, and completion of the Nursing Assistant course, with...

A healthcare services provider in the United States is looking for a Nurse Liaison to coordinate care for injured workers. This remote, field-based role involves communicating medical information and facilitating treatments. Candidates must hold a...

Travel Wound Care Registered Nurse (RN) - $2,814 - $3,127/wk per week in taxable pay and non-taxable stipend amount. Pay rates are subject to confirmation with tax free stipend determined for qualified candidates. KPG Healthcare is...

Voted one of the best companies to work for by Modern Healthcare Magazine: Miracle Mile Healthcare Centeris an award winning family company providing healthcare services including skilled nursing, assisted living and senior living...

A Certified Nursing Assistant (CNA) is responsible for providing routine nursing care in accordance with established policies and procedures and as may be directed by the Charge Nurse, RN Supervisor, Director of Nurses or Administrator, to assure...

MEDLOGIX, LLC is seeking a Precertification Nurse-LPN/RN for a full-time remote position in NJ/PA. The role involves determining medical necessity for services related to Auto No-Fault injuries, with training to be conducted at the Hamilton, NJ...

Sentara Health Plans is seeking a Clinical Claims Reviewer/RN for a remote, full-time position. Responsibilities include utilization management, pre/post payment claim reviews, and authorization assessments across inpatient and outpatient cases,...

Managed Medical Review Organization is seeking a skilled registered nurse for a remote, home-office role. The position emphasizes telephonic/customer service, accurate documentation, and clinical review duties without face-to-face patient contact.

Centene Management Company LLC is seeking a Licensed Practical Nurse to analyze prior authorization requests and determine medical necessity in New York. You will work with healthcare providers and the authorization team to ensure timely,...

Job Type Full-time ABOUT PEOPLEONE HEALTH: PeopleOne Health is one of the fastest-growing providers of value-based primary care and has earned the best-in-class member satisfaction scores. We deliver exceptional healthcare...

Certified Nurse Assistant (CNA), OB Services, Full Time, NightsFacilitates the provision of timely and effective patient care under the supervision of licensed members of the healthcare team. Helps maintain a safe and clean environment in order to...

Integra Partners seeks an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals in a NCQA-compliant UM program. The role collaborates with the Medical Director to assess medical necessity and benefit coverage...