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Job Summary: The CDI Specialist performs clinically based initial, concurrent, and retrospective review of inpatient medical records to evaluate documentation as it correlates to the utilization of acute care services. ...

Behavioral Health Case Manager Responsible for providing telephonic and e-referral case review and authorization of services utilizing established mental health and substance abuse medical necessity criteria to provide quality care...

Registered Nurse - Utilization Review Location: Apple Valley, CA Duration: 13 weeks Pay Rate: $40 -$50 / Hr. Shift: Day 5x8-Hour (08:00 - 16:30) Job Description: Willing to work weekends (expectation is they work a...

Clinical Risk Adjustment Specialist (RN) At St. Luke's Health System, we're committed to improving patient outcomes through accurate documentation, ethical coding practices, and strong provider partnerships. We are seeking an experienced...

A bit about us: We are a multi-disciplinary practice that provides integrated primary care, dental, and mental health. We are looking for an experienced RN Care Manager to join a dynamic team. Want learn more?

By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice ( and Terms of Use ( . I...

Registered Nurse I The position is full-time and 40 hours a week. The shift will be five 8-hour shifts between the hours of 9AM-5PM EST Monday through Friday. While the organization will do its best to keep you in your scheduled shifts,...

Cabell Huntington Hospital is seeking a casual, as needed Virtual Integrated Care Coordinator (RN) for our CHH Virtual Integrated Care Department. This job is responsible for supporting and...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff...

Description Utilization Review RN - Remote The RN Care Coord-Qual Med Mgmt will provide administration of medical management programs that include: prior authorization, concurrent hospital and skilled...

Part-Time Remote RN Concentra has an immediate need for an experienced and passionate Part-Time remote RN for our client's site in New York. This position offers an opportunity to work with a dynamic worksite and make an impact on...

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Provides clinical administrative nursing care coordination in...

Join UnitedHealthcare 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 the better.

PRIDE Health is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Columbus, Ohio. Job Description & Requirements Specialty: ED - Emergency Department Discipline: RN Start Date: 06/29/2026 Duration: 13 weeks 36 hours per...

Responsive recruiter Replies within 24 hours Home Care Nurse Supervisor Weekly hours vary - Per Diem - Build your own schedule Home Helpers of Scranton Wilkes-Barre is looking for a per diem RN...

Job Opportunity At Children's Healthcare Of Atlanta Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier...

Care Coordinator This is a work-from-home position with travel required within Spartanburg, SC county. Mileage is reimbursed for travel. The On-site Care Coordinator is a Registered Nurse who provides care coordination, education...

Clinical Learning Educator 2, RN, Hybrid, Resuscitation Education, FT, VARIES Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient...

Candidate must be located within 1 hour of one of the following Corewell Hospitals: Big Rapids, Greenville, or Fremont Candidates must maintain an active bedside nursing role in addition to this virtual position Job...

Find your calling at Mercy! Under the direction of the primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a...

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 Documentation Integrity Specialist/Consultant The Clinical Documentation Integrity (CDI) Specialist/Consultant serves as a trusted advisor to client organizations, providing expert guidance in clinical documentation practices...

Min USD $50.00/Hr. Max USD $55.00/Hr. Position Overview I. SCOPE OF ROLE: The Developmental Disabilities Division believes that our role in supporting...

Job Description Work Schedule: 100% FTE, Monday - Friday 8:00am - 5:00pm with rotating weekends and holidays. This position is Hybrid in person location is 2550 Charles St. You may be eligible for up...

Contract | Remote | We're hiring 10 elite nurses CircleLink Health is building a team of top-tier Compact Registered Nurses who want more than a typical remote role. This is a performance...