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yourcommission is looking for a Utilization Management Review Nurse to evaluate and ensure the effectiveness of medical services in Texas. This role supports the healthcare system by leveraging clinical expertise and management skills.Candidates...

Overview The Legacy/OHSU Interventional Radiology practice provides services at four locations (EMC, GSMC, MHMC and MPMC) including ambulatory clinics at each site. The IR team cares for both adult and pediatric patients with...

Nurse - Clinical Review Performs utilization review of cases to determine if the request meets medical necessity criteria in accordance with medical policies agreed upon with the Client and any applicable governing body. Facilitates...

Job Objective: Provide health related assistance to physicians and patients, ensuring quality management of patient questions and inquiries. As well as providing quality patient care throughout endoscopic procedures...

Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

Deliver direct patient care in an outpatient dialysis setting. Monitor patients, manage treatment plans, and respond to health changes. Collaborate with a supportive clinical team, including Patient Care Technicians. Educate patients and families on...

OverviewPosition Type: Full timeJob Title: Care Review Clinician ILocation: 100% Remote (Must reside in one of the following states: NV, AZ, FL, GA, ID, IA, KY, MI, NE, NM, NY (outside greater-NYC), OH, TX, UT, WA (outside greater-Seattle),...

Clinical Quality Assurance Nurse Auditor Fully Remote • Redding, CA 96002 Overview Salary Range $34.00 - $35.00 Hourly Position Type Full Time Travel Percentage None Description Are you a Registered Nurse...

Regional Nurse Consultant (RN) - Assisted Living Americare Senior Living is seeking an experienced Regional Nurse Consultant (RN) to support our Assisted Living communities...

Clinical Utilization Review Nurses (RN) Based In Alabama Comagine Health is a national, mission-driven, nonprofit organization that has engaged in health care quality consulting and quality improvement services for more than 50 years. We...

Current SIH employees need to apply for positions through our internal job portal. Log in to Workday to apply through the Jobs Hub. Position Summary • As a partner for clinical transformation and in collaboration with...

Chronic Disease Coach We are currently hiring for a Chronic Disease Coach to join BlueCross BlueShield of South Carolina. In this role, you will provide support to members for disease prevention and healthy promotion, empower members to...

City/State Manassas, VA Work Shift First (Days) Overview: Sentara Healthcare is currently hiring an Integrated Nurse Case Manager for Northern Virginia, VA This is a...

Nurse Investigator- Atlanta Conduct investigations (clinical mortality review) of deaths of individuals with developmental disability services. Interview witnesses, complainants, and persons of interest to obtain information...

Company Description Lumen Solutions Group Inc. is a technology consulting Services Company based in Florida. We provide a wide array of experienced business and IT professionals supporting clients from solution design to...

RN CASE MANAGER – CARE MANAGEMENT DEPARTMENT - University of New Mexico Hospital – Albuquerque *Inpatient *Outpatient *Utilization Management *SRMC Care Management *Full Time *Part Time Receive 17% Weekday Nights, 26% Weekend Nights and 15%...

Registered Nurse Risk Manager Aptive is seeking a registered nurse risk manager. IHSC's mission is to provide medical care to maintain the health of individuals in the custody of ICE through an integrated health care delivery system,...

#19353 Contract role- 8/8/23-12/31/23, with possible extension Payrate: $50-$65 Hourly Location: Remote IL Required License: RN, LCSW, LCPC BASIC FUNCTION: This position is responsible for discharge care...

Senior Consultant Press Ganey is the leading experience measurement, data analytics, and insights provider for complex industries—a status we earned over decades of deep partnership with clients to help them understand and meet the...

Clinical Documentation Specialist The Clinical Documentation Specialist is responsible for the quality review of all OASIS documents and review of key elements of the Plan of Care to ensure CMS program compliance is met. The Clinical...

Fully Remote : Clinical Documentation Specialist Job Description Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers.

Remote Position Part Time/Contract Position Duties: Assess patient health problems over the phone and via secure video Schedule appointments and refer patients Advise and monitor simple home treatment...

Employment Type: Full time Shift: Day Shift Description: GENERAL SUMMARY AND PURPOSE: The fully remote, RN Clinical Documentation Specialist is...

RN Clinical Manager / Clinical Consultant (RN or MSW) – California Pay Rate: $52.50–$53.00/hr Position Type: Special Projects – 12-Month W2 Contract (renewal based on performance, project continuation, and health plan needs)...

Clinical Documentation Improvement Specialist 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...