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Complex Medicare Claims Review Complex Medicare claims/prior authorization requests require the review of medical record documentation to determine the reasonableness and necessity of the billed service in accordance with Medicare rules...

Job Title : Registered Nurse (Navy Nurse Corps) Category / Component : Officer • Both Overview Navy Nurse Corps officers deliver professional nursing care to service members, families, and global communities in leading edge military medical...

The Elevance Health Companies, Inc. is seeking a Nurse Appeals-RN to manage medical necessity appeal requests. The position allows for virtual work full-time with in-person training required. Successful candidates will investigate appeals, review...

Job Summary: In addition to the responsibilities below, this position is also responsible for leading the implementation of best practice models; leading the implementation of patient care delivery systems and practice...

Quality Management Consultant The Quality Management Consultant is responsible for facilitating compliance with VHA Directive, local policies, national guidance, and is responsible for facilitating implementation of service and...

LanceSoft is seeking a local contract nurse RN Labor and Delivery for a local contract nursing job in Los Angeles, California. Job Description & Requirements Specialty: Labor and Delivery Discipline: RN Start Date: 07/20/2026 Duration: 13 weeks 36...

Artemis is partnering with a boutique, high-touch precision medicine practice focused on complex clinical trials designed for patients who need more than standard careThis is a highly hands-on, patient-facing role in a fast-paced, innovative...

Become a part of our caring community The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with...

Responsibilities Registered Nurse (RN) - 1 Nursing Opportunity Monday - Friday, 3p - 11p * THIS IS NOT A PRN OR REMOTE NURSING OPPORTUNITY* JOB DUTIES Rivendell Behavioral Health Services of Arkansas is looking for a Registered Nurse (RN). This...

Job Title Provides support for healthcare services clinical auditing activities. Job Summary Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired...

BrightSpring Health Services is searching for a Full Time LPN PCTC Tele-Triage position that is fully remote, offering flexible work hours. As a Tele-Triage LPN, you will provide on-call triage and develop care plans for individuals with health...

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...

Hiring for all shifts: Day & Night shifts Available Fully Remote TX license preferred Only PMHNPs with 2 years of consult-liaison clinical experience post PMHNP-BC will be considered for this opportunity. ...

WHO WE ARE We are VITAS Healthcare, the nation s leading end-of-life care provider since 1978. Our hospice organization kickstarts careers in caring, promotes from within, and provides a nationally recognized best-in-class...

Care Management Nursing Consultant Job No: 540542 Work Type: Full-time Location: REMOTE OPTIONS, PHOENIX Categories: Healthcare/Medical Professional Level, Healthcare/Medical Support...

Air Combat Effectiveness Consulting Group, LLC is seeking a Transporter in Monterey Park, California. The role involves bringing patients to and from nursing units and ancillary departments, as well as delivering requisitions and...

RN - Quality & Safety Improvement Consultant V, Patient Safety Onsite Downey, CA Travel: Yes, 10 % of the Time Patient Safety Officer RN in acute care hospital setting. You will attend national safety goal monitoring...

Utilization Review Specialist (RN) - Work From Home (Florida-Based Candidates Only) $65K-$85K | OASIS & Coding Certified | Florida RN License Required Concierge Home Care | Work From Home...

About Us: At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and...

Telephonic Registered Nurse We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care...

Clinical Liaison RN - PAH The Clinical Liaison RN - PAH is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of...

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

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...

Private Duty Nurse Under limited supervision, the licensed practical/vocational nurse (LPN/LVN) is responsible for the delivery of patient care to assigned patients utilizing the nursing processes of assessment, planning, implementation,...

Posting Details Position Information Job Number FAC00392P Position Title College Nurse Position Type Faculty Part Time Pool...