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Job Description: The Intake Coordinator is a Registered Professional Nurse who takes referrals and processes appropriate home care services. To maintain open lines of communication with referral sources and within Americare...

Job Description & Requirements Hospitalist Nurse Practitioner (NP) StartDate: ASAP Available Shifts: Day 8 Pay Rate: $104.76 - $113.40 This facility is seeking a Hospitalist Nurse Practitioner (NP) for locum tenens support as...

Guidehealth is a fully remote organization seeking a Care Manager to guide patients and families through complex health journeys from a Louisiana base. You will combine clinical expertise with holistic care, coordinating medical, behavioral, and...

JOB DESCRIPTION - REGISTERED NURSE (A) Job Summary: The Registered Nurse provides patient care on a supplemental basis to our client facilities. With the delivery of safe, quality patient care as...

Registered Nurse (RN) – Quality Assurance The RN Quality Assurance is responsible for evaluating healthcare services and processes to ensure compliance with standards and regulations. This role involves data analysis, auditing patient...

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

Pyramid Consulting, Inc. is seeking an experienced Clinical - Care Manager (RN) for a 6+ month contract with remote work options in Florida. This role involves steady telephonic outreach, member assessments, and care coordination for a caseload of...

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Connect with customers via phone, email, chat, or social media to resolve their questions or concerns.Calmly resolve and de-escalate any issues while escalating interactions when necessary.Track all call-related information for auditing and...

Job Summary and Responsibilities As a Clinic Registered Nurse (RN), you will be a central figure in our patient care team, delivering exceptional, compassionate care that truly makes a difference in our patients'...

A healthcare quality organization is seeking a Nurse Reviewer to support Medical Review Services. The role involves conducting detailed medical necessity reviews for Medicaid claims in a remote work setting. Candidates should have a BSN with...

Compliance Nurse 2 - LTC Program - SW Region The Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people. DCH serves as the lead agency for...

Prolific seeks Registered Nurses to join its AI training and evaluation program in the United States. If you hold a current nursing license and clinical experience, you can help train AI models by rating scenarios and providing feedback.

Humana is seeking a skilled Utilization Management Registered Nurse to interpret and coordinate medical services and benefit determinations for post-acute care such as SNF, Home Health, and DME. You will report to the Manager of Utilization...

Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides...

Manage CMS and State Administering Agency audits for PACE compliance.Ensure audit readiness and serve as point with audit teams.Champion compliance culture across the organization.Key Responsibilities:Monitor audit universe data and review...

Employment Type: Full time Shift: Description: POSITION PURPOSE Facilitates communication and coordinates care with the patient, primary and specialty care physician, and hospital...

Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance...

To enhance the quality of clinical documentation, the full-time salaried Washington RN Clinical Documentation Specialist will facilitate modifications through collaboration with healthcare providers and coding staff while ensuring appropriate...

Santa Barbara Cottage Hospital is seeking a Personal Health Nurse (PHN) to drive medical management and coordinate services within a hospital-based team. The role emphasizes assessment, plan development, and collaboration with members, families,...

Jobgether SRL is seeking a part-time remote clinical support professional to assist a Canada-wide healthcare team. You will provide essential clinical and administrative support across Canada, coordinating with laboratories, pharmacies, referrals,...

Guide patients through difficult and complex health concerns while addressing Social Determinants of Health.Build strong, trusting relationships where listening and empathy are foundational.Develop comprehensive patient care plans that...

Advocate Health is seeking an experienced Registered Nurse for a remote-based Transitional Care role focused on high-risk patients undergoing discharge and 30-day transitions. The role emphasizes comprehensive assessments, patient education, and...

Remote — work from anywhere. This is a part-time telehealth role; an active California Nurse Practitioner license is required. About Nolia Health Founded in Seattle, Washington, Nolia is a healthcare company dedicated to providing personalized,...

Quality of Care Investigative Nurse - Arizona Remote Join the Arizona Division of Developmental Disabilities' Quality Management team and help protect the health, safety, and well-being of individuals receiving...