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Clinical Denial Management Nurse Work remotely with a collaborative enterprise denials team focused on reimbursement accuracy and revenue recovery. Work Style: Remote Location Requirement: Must reside in an authorized state (FL,...

Remote Rn Mds Consultant-Full Time Engage Consulting is seeking an experienced Registered Nurse (RN) with strong MDS, Case Mix, and Quality Measure experience to join our team. This is a fully remote opportunity for a detail-oriented...

Quality Improvement Project Manager Apply improvement methods to achieve successful outcomes: Use evidence-based structured improvement methods for all quality improvement projects. Promote the use of improvement methods and science...

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families,...

Current Emanate Health Employees - Please log into your Workday account to apply Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate...

To support healthcare revenue solutions, the full-time Remote Clinical Review Nurse will analyze denied insurance claims, draft persuasive appeal letters, and collaborate with legal teams to optimize patient care revenue without direct patient...

GLC On-The-Go is seeking a travel nurse RN Clinic Cardiology for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty:...

Overview:Our client, a mutual benefit corporation and health plan provider, seeks an accomplished Appeals and Grievance RN .*** Candidate must be authorized to work in USA without requiring sponsorship...

Job Description: Participates in the development and ongoing implementation of QM Work Plan activities. Improve quality products and services, by using measurement and analysis to process, evaluate and make...

Job Title This is a remote position but will need onsite training in Mishawaka Indiana. Shift: PRN/Days - 8 hr shift Considering local candidates only!!! Why Choose Saint Joseph Health System? At Saint Joseph Health...

RN Case Manager Qualifications for RN Case Manager: The Case Manager is responsible for managing a continuum of care from admission through discharge for assigned patients. Partners with medical staff, utilizes...

Description Location: UCHealth Anschutz Outpatient Pavilion - Aurora, CO Department: Hospital Based Sub-Specialty Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $38.91 - $60.31 / hour. Pay is dependent on...

Advanced Practice Nurse Work Location: Santa Monica, CA, USA Onsite or Remote Fully On-Site Work Schedule 4-day 10-hour shifts, 7:00am-5:30pm; may include weekends and holidays Salary Range: $65.53 - $84.75 Hourly...

Air Combat Effectiveness Consulting Group, LLC is seeking a Registered Nurse in Monterey Park, California. You will be responsible for facilitating and coordinating PA&I functions. A graduate from an approved nursing program with BCLS...

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 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...

Requisition number: 2368763 Job category: Nursing 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...

Denial Prevention Nurse Position at Northwell Health PART TIME- 20 hours per week- Mon-Fri 8pm- 12am shift- Rotating weekends and holiday coverage expected! Northwell is the largest not-for-profit health system in the Northeast, serving...

Nurse Navigator Department: ECM Outpatient Care Management Location: Children's Health- Dallas Shift: Part-time working Monday, Wednesday, and every other Friday 8:00a to 4:30p or 8:30a to 5:00p. Job Type: Remote, but...

An employer is hiring a Remote Clinical Team Manager to help lead and develop our client's remote nursing team delivering Chronic Care Management (CCM) and Principal Care Management (PCM) services. You will be the right-hand person to the CEO and...

Description Manages specific patients throughout their admission to ensure the availability of sufficient clinical and medical center resources. Communicates on a daily basis with medical staff, medical center personnel and...

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...

Job Opportunity Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, no afterhours support, no holidays Job Summary Are you seeking a unique nursing position that gives you a great...

RN School Support Manager The RN School Support Manager is responsible for the clinical oversight of the designated medical care needs per the district contract. This oversight includes support of care management as required by...

Nursing Opportunities - All Experience Levels AlediumHR is actively partnering with leading healthcare organizations across the U.S. and Canada to connect exceptional nursing professionals with meaningful career opportunities. We...