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Similar experience is needed. RN license, required. Position Overview The Home Health RN Document Integrity Specialist is responsible for all quality assurance related external audits in adherence with regulatory standards. Work from home, remote...

A prominent healthcare organization located in New York is looking for a Clinical Documentation Specialist to enhance patient documentation accuracy. Candidates should possess an RN license and significant nursing experience. This position allows...

Registered Nurse Job Type: Full Time/Parttime Shift: Days/Nights 36 hour weeks (12...

Remote position, however, candidates must reside in the State of TX or State of IL. This position is a contract for about 9 months. Pay: $41/hour Job Responsibilities: RN working in the insurance or managed...

A healthcare services provider is looking for a part-time Field Case Manager (RN) in Riverside, CA. This role involves making in-person visits to assess patient needs and coordinate care among medical providers and injured workers. The role...

Company Overview: Join an innovative startup health plan based in Wisconsin that is revolutionizing healthcare and empowering companies to combat the relentless rise in healthcare costs. Our mission is to provide accessible, high-quality...

Nurse Navigator 1 - Site Disease - Full Time/Remote page is loaded## Nurse Navigator 1 - Site Disease - Full Time/Remotelocations: Miami, FLtime type: Full timeposted on: Posted Todayjob requisition id: R100091779## **Current Employees:**If you...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

A regional healthcare provider is seeking a Care Transitions Nurse to join their team. This part-time role, based in Wisconsin, focuses on enhancing patient management and coordination of care. Candidates should have a BSN and 5 years of...

A leading healthcare provider is seeking a Clinical Documentation Integrity Specialist responsible for ensuring accurate healthcare documentation. The role requires a Registered Nurse with at least one year of clinical acute care experience.

A leading health insurance provider is seeking a Utilization Management Nurse 2 to support coordinated care for members healing at home. The ideal candidate will have an Associate Degree in nursing, a valid RN license, and at least three years of...

Registered Nurse, Care Line We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do...

A healthcare organization in California is seeking a Case Manager, RN to guide participant care in a collaborative environment. The role focuses on comprehensive care for seniors, requiring a nursing degree and California RN license.

Registered Nurse, Care Line We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do...

A healthcare company is seeking a Preservice Review Nurse RN in Massachusetts to evaluate home health services for appropriateness of care. This role involves collaborating with a team, ensuring quality standards, and determining service...

Perform medical reviews on provider inquiries and member appeals. Works within Department of Labor and State guidelines. Adherence to all confidentiality regulations and agreements. Reviews and interprets Plan language appropriately. Utilizes...

Remote Rn Care Coach This is a remote role. CircleLink Health is looking for passionate, tech savvy registered nurses to work remotely and serve patients enrolled in Medicare's Chronic Care Management Program. In this part time role...

Overview The position is work from home with field visits. Job Purpose This position is responsible for conducting medical management and health education programs for customers on government health care programs.

A leading healthcare provider in Virginia is seeking a Registered Nurse Case Manager (RN) to join the team. The role is full-time, focusing on patient discharge planning, data analysis for care continuity, and collaboration with healthcare...

Description Location: This position is located at...

Employer Industry: Healthcare Why consider this job opportunity: Opportunity for career advancement and growth within the organization Work remotely from anywhere within New England Supportive and...

A leading health services provider is seeking an Integrated Nurse Case Manager for a remote position in Virginia Beach, VA. The role includes performing clinical assessments and managing care for members with chronic illnesses. Candidates must...

Care Manager Sharecare is the leading digital health company that helps people no matter where they are in their health journey unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is...

A leader in medical examination services is seeking a Remote Clinical Quality Assurance Nurse Auditor. This role requires a Registered Nurse with critical care and ER experience. Responsibilities include evaluating clinical information, performing...

Who Is Guidehealth? Guidehealth is a data?powered, performance?driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of...