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Job Description Pre-Authorization RN Compensation Salary Range: $90,000 - $108,000 per year Bonus / Commission (if applicable): This role is eligible...

Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS).

Air Combat Effectiveness Consulting Group, LLC is seeking a Case Manager to evaluate admission appropriateness and coordinate patient care at Garfield Medical Center. This role emphasizes discharge planning and requires constant collaboration with...

Foundation Health in Alaska is hiring a professional to enhance nursing practice through developing and conducting education and training for clinical services staff. The role includes the development of strategic training initiatives, seamless...

Work Location : Santa Monica, CA, USAFully On-SiteWork Schedule: 4-day 10-hour shifts, 7:00am-5:30pm; may include weekends and holidaysSalary Range : $65.53 - $84.75 HourlyEmployment Type: Indefinite DurationPrimary Duties and...

Itemization Review Nurse II The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine accuracy of billed charges. This is a remote position.

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff...

Setting: Outpatient Clinic / Ambulatory Care Schedule: Full-Time | Day Shifts (Typically No Nights) About the Opportunity We are seeking a Registered Nurse (RN)...

Description The Faculty Advisor for Nursing and Health Professions is a key member of the Faculty Advisory Team within the Pearson North America Higher Education Customer Success Organization. They will strategically identify and partner...

Grow HealthyIf you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted, allowing you to...

The Clinical Educator is a skilled and experienced professional Registered Nurse (RN) responsible for excellence in the provision of educational services. Reporting to the Director of Professional Practice and Education, the Clinical Educator is...

RN Case Management Alhambra, CA About Seen Health At Seen Health, we are revolutionizing the way senior care is delivered through the PACE (Programs of All-Inclusive Care for the Elderly) model. Backed by top VCs, Seen...

Job Description Cedars-Sinai has been named to the Honor Roll for the ninth consecutive year and tied for #1 in California and Los Angeles in U.S. News &...

Telehealth Veterinary Nurse Small Door is membership-based veterinary care designed with human standards that is better for pets, pet parents, and veterinarians alike. We designed and delivered a reimagined veterinary experience via a...

Job Details: Location: Northridge, CA 91325. Position Type: Part Time. Salary Range: $55.00 - $62.00 hourly. Travel Percentage: Negligible. Job Category: Nursing.Job Summary This position is responsible for performing regulatory testing,...

RN Care Coordinator - Intake (PFK) The RN Care Coordinator - Intake (PFK) position serves as the primary clinical resource for the Intake team, using assessment and critical thinking skills to review referrals and support clinical...

WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy - we're a dedicated partner in care, transforming how patients experience long-term, post-acute, correctional, PACE, and specialty pharmacy services. As industry leaders,...

Appeals Analyst We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests including...

RN Case Manager Santa Ana, CA At Geiss Med Hospice, we believe in cherishing every moment of life. We understand that facing a life-limiting illness or injury can be overwhelming, which is why we are here to provide a comforting...

Working remotely in a full-time capacity, the Registered Nurse Denial Coordinator will manage concurrent denials prevention, evaluate denials from third-party payors, and consult with healthcare teams to formulate appeals, ensuring compliance with...

Find your calling at Mercy! Job Summary: As the critical gateway to our health system, the Throughput RN plays a pivotal role in shaping first impressions and delivering a brand-defining experience for patients, their families, and healthcare...

Our client, is a IT Services and Consulting company, is looking for a Nurse Case Manager II for their Wayne and Macomb Counties, MI location. Responsibilities: The Case Manager utilizes a collaborative process...

Chamberlain University on-campus Nursing Faculty in Irwindale delivers high‑quality nursing education across classroom, lab, simulation, and clinical environments, advancing student success through teaching excellence, mentoring, service, and...

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...

Summary We are currently hiring for an Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role as Appeals Analyst, you will research the substance of complex appeal or retrospective review requests...