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Overview: MS/MSN required Minimum 6 years of nursing experience required 1.0 fte/40 hours per week Job Description Summary: The Professional Development Education Nurse Specialist develops tools,...

Clinical Quality Specialist We are seeking a dedicated Clinical Quality Specialist to ensure regulatory and accreditation compliance. The ideal candidate will maintain alignment with DHCS, NCQA, and CMS requirements through ongoing...

Job Title: Aesthetic Nurse (Junior Nurse, LPN, RN, APRN) Job Type: Full-Time or Part-Time Location: On-site, Luxury Medical Spa Compensation: Junior...

Utilization Management Compliance Specialist We are seeking a highly skilled and experienced Registered Nurse (RN) to join our team as a Utilization Management Compliance Specialist. As a Specialist, you will apply your...

Job Description RN Utilization Review - Remote position. This position will work Full-time, 8-hour day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA...

RN / Medical Reviewer / Remote Job Details Professional Discipline : Registered Nurse Specialty : Utilization Review Employment Type : Full Time City :...

A leading digital health clinic is looking for a remote Nurse Practitioner to deliver compassionate, evidence-based care for patients with substance use disorders. The role involves evaluating and managing patient care, supporting recovery...

RN Health Care Facility Surveyor - Ohio (#1172) Medical, Dental, and Vision insurance Flexible Spending Account Paid Time Off, Retirement Savings...

Clinical Precertification: Commercial We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues...

Company Overview: Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from...

Federal Clinical Measurement Support Nurse (DHA CQM Program) Fully Remote-United States Job Type Full-time Description Overview Tanaq Management Services (TMS) delivers professional, scientific,...

Salary: $70,779.53 Annually Location : Homebased, GA Job Type: Full-Time Salaried Job Number: 2020-02252 Division: Healthcare Facility Regulation...

Nurse Manager - Talk Cancer Community spirit. Ceaseless ambition. Passion that just keeps growing. £51,000-£54,000 FTE (£40,800-£43,200 actual) plus benefits Reports to: Senior Health Community Engagement Manager - Talk...

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties*** JOB DESCRIPTION: RN working in the insurance or managed care...

Nurse Advice Line-Clinical Triage Nurse Build your Career. Make a Difference. Presbyterian is hiring a skilled Nurse Advice Line-Clinical Triage Nurse to join our team. How you grow, learn and thrive matters here. ...

Job Description QUALIFICATIONS Qualified candidates must be credentialed and licensed (as required) health care professional preferred. Certified Professional in Healthcare Quality preferred. Knowledge of...

About the Job Job Overview This position offers supplemental income as an Independent Contractor. Make your own schedule! Flexibility! QUEST Diagnostics is a leading...

Rising Medical Solutions has an opening for a Utilization Review Nurse, and we want to hear from you! We're a bill review and cost containment company - so what does that mean? Basically we are trying to fix a very broken healthcare...

Pre-Certification Review Nurse - Pharmacy Founded in 1999 and headquartered in Central Ohio, we're a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity...

Columbus, Ohio Regardless on how you like to spend your down time, there is something to do for everyone in Columbus, OH. From green space and art to science and so much more, you'll be impressed with the abundant opportunities for...

Job Posting The Department of Veterans Affairs (VA) is seeking dedicated and compassionate Registered Nurses to provide comprehensive, patient-centered care to our nation's Veterans. As a VA RN, you will play a vital role in assessing,...

Complex Medicare Claims Review Complex Medicare claims/prior authorization requests require the review of medical record documentation to determine the reasonableness and necessity of the billed service in accordance with Medicare rules...

Overview Carenet Health is not authorized to hire in certain states due to internal business considerations: CA, CO, NY, NJ, NV, OR, WA, MD, RI, WV, AK, HI, CT, DE, VT, or Puerto RicoAre you a compassionate, self-motivated registered nurse with...

Research Nurse - Head And Neck Join the Cleveland Clinic Taussig Cancer Institute where more than 250 highly skilled healthcare professionals provide advanced cancer care to thousands of patients each year. This team focuses on a wide...

Clinical Nurse, Medical Management/Utilization Management Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit...