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Description As an RN Care Manager, you will function as a clinician, advocate, and educator to achieve optimal clinical and quality outcomes by effectively managing care and resources to reduce unnecessary utilization. The RN Care Manager...

Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local...

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of...

JOIN TEAM TRILOGY Do you have excellent clinical skills and a commitment to customer service? We offer an exciting opportunity to use your skills in a purpose-focused and rewarding environment. ...

DEPARTMENT: 18400 - Medical Staff LOCATION: 350 7th Street North, Naples, FL, 34102 WORK TYPE: Full Time WORK SCHEDULE: 8 Hour Day ABOUT NCH NCH is an...

A health company is seeking a DRG Clinical Validation Auditor to audit inpatient medical records, ensuring proper clinical documentation and coding. Candidates must hold an active RN license and possess extensive experience in claims auditing and...

Join BoldAge PACE and Make a...

Job Title: Traveling Nurse Location: Multiple Locations / Nationwide Employment Type: Contract / Full-Time / Temporary Department: Healthcare /...

Medical Claim Review Nurse The Medical Claim Review Nurse provides support for medical claim review activities. Responsible for ensuring timely claims payment processes, providing counsel to members regarding coverage and benefit...

Company : Allegheny Health NetworkJob Description : GENERAL OVERVIEW: Responsible for assessing, planning, implementing and evaluating the educational activities for the...

FLSA STATUS Exempt QUALIFICATIONS EDUCATION Medical School graduate where Western Medicine is practiced EXPERIENCE One year of clinical experience preferred ...

STRENGTHEN YOUR SKILLS AS A CRNA IN ARMY MEDICINE If you are looking to pursue a career in nursing that combines science with patient care. Being a Certified Registered Nurse Anesthetist (CRNA) and Officer in the U.S. Army Nurse Corps will offer you...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our...

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow...

What You'll Do: The Bureau of Infectious Diseases is seeking an Immunization Nurse Consultant to serve as the statewide expert on immunizations & vaccine-preventable diseases. This position will monitor & evaluate...

Where You'll Work Founded as a faith-based hospital in 1931 by the Sisters of Charity of the Incarnate Word, Dignity Health - St. Bernardine Medical Center is a 342-bed, acute care, nonprofit hospital located in San...

Join our award winning culture as we serve members in your area! Position Summary: The part-time Registered Nurse Care Manager (RN CM) Float acts as a temporary member of the interdisciplinary team...

Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes Job...

Concentric Healthcare Staffing is seeking a travel Echo Technologist for a travel job in Columbus, Ohio. Job Description & Requirements Specialty: Echo Technologist Discipline: Allied Health Professional Start Date: 02/16/2026 Duration: 13 weeks 40...

Job Opportunity At Highmark Inc. Job Summary: This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource...

*Employment Type:* Full time *Shift:* Rotating Shift *Description:* *Position Purpose: * The Registered Nurse RN, within the scope of the Ohio Nurse Practice Act, will provide care in an atmosphere sensitive to each person's physical, emotional,...

Overview Mount Carmel Behavioral Health is hiring Admissions RN's! Available Shifts and Hours: 7p-7a with rotating weekends Sign on Bonus:...

Overview The Nurse Navigator is responsible for the navigation of patients through complex healthcare environments for the optimization of care and outcomes. This position functions autonomously and in collaboration with...

Job Description Summary The Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet evidence-based guidelines and member benefit plans. This includes...

Immediate Hiring for Remote Clinical Review Nurses Immediate hiring for remote clinical review nurses. Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary hospital admissions.