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Utilization Review Nurse This position has a remote option for those living close and will be able to come into the hospital as needed. The Utilization Review Nurse is responsible for determining the clinical appropriateness of...

CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...

Triage Visit Registered Nurse - Home Care Hours: Part-time, Weekend Days - We are looking for an RN to be available every weekend or every other weekend to take calls and triage patients, but also be available to make a visit if there is...

Job Description The Denials Nurse Auditor works under the supervision of the manager of PFS Denials. The Denials Nurse Auditor is responsible for completing, appealing, tracking, and reporting clinical denial reviews to...

Overview Answer with Care. Guide with Compassion. Support Every Step. We are seeking a dedicated Telephonic Triage RN to join our clinical call center team. This position is responsible for providing...

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...

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...

Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +) Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs! Are you looking for an...

Clinical Appeals RN 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 people with the...

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...

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,...

Job Title: Staff Nurse Location: [Hospital Name], [City] Employment Type: Full-time / Part-time / Contract Job Summary We are...

Voca Healthcare is seeking a local contract nurse RN Electrophysiology Lab for a local contract nursing job in Westerville, Ohio. Job Description & RequirementsSpecialty:...

Care Advocate Nurse The Care Advocate Nurse oversees initiatives surrounding assessing the severity of the injured workers' reported injury(ies), reviews medical data in CareMC, validates and secures medical information, assesses and...

Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...

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...

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...

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,...

Medical Analyst The Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking an experienced Registered Nurse to serve as a Medical Analyst in its Syracuse office. Medical Analysts support the...

Full-Time Remote RN Clinical Documentation Integrity Specialist Southwest Healthcare is seeking a Full-Time Remote RN Clinical Documentation Integrity Specialist position. This position provides clinically based concurrent and...

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

Schedule: The position is 100% Remote, and the candidates must reside in Southern California Description: The Grievance & Appeals Nurse is responsible for managing and coordinating member grievance and appeal...

Associate Director Of Nursing Informatics The Associate Director of Nursing Informatics provides strategic and operational leadership for nursing informatics across Geisinger. Reporting directly to the Chief Nursing Informatics Officer...

About Company: Lunera Health Center is a private, 501(c)(3) non-profit community health center serving Prince William County and the Cities of Manassas and Manassas Park, as well as other surrounding areas of Northern...

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...