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Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through...

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...

Management And Oversight Of Clinical Operations Management and oversight of clinical operations in both the Sexual Health & Women's Health and Wellness Centers, including supervision of clinical support staff members, direct patient...

CVS Health Remote Telephonic Case Manager 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...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

A healthcare organization in California is seeking a Case Manager, RN to guide participant care in a collaborative environment. The role focuses on comprehensive care for seniors, requiring a nursing degree and California RN license.

The School Registered Nurse oversees the application of thenursing process and the delivery of student care in a school setting. TheSchool RN supports the physical, mental and emotional well-being of studentswithin the school setting. The School...

Become a part of our caring community and help us put health first The Appeals Nurse 2 resolves clinical complaints and appeals. The Appeals Nurse 2 work assignments are varied and frequently require interpretation and...

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture,...

A leading healthcare organization is seeking a qualified RN for a role that involves auditing medical records and communicating clinical findings. The position requires an undergraduate degree or equivalent nursing experience, along with a current...

Description The Clinical Staff Supervisor is critical in coordinating and managing the clinical support team, as well as overseeing clinical workflows and activities in the clinic. As a key member of the clinic leadership, this role...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

ResPro Health is dedicated to providing our partners in the respiratory space with the tools and resources needed to implement meaningful programs like remote patient monitoring and chronic care management in their pulmonary practices. With a...

Quality Assurance (2 Openings) Responsibilities: Perform quality assurance review of peer review reports, correspondences, addendums, or supplemental reviews. Ensure clear, concise, evidence-based rationales are...

Take advantage of flexible schedules and get paid up to $68 an hour as a Registered Nurse (RN) in Westerville, Ohio, and surrounding areas. Nursing...

Join BoldAge PACE and Make a Difference! Why work with us? A People First Environment: We make what is important to those we serve important to us. Make an...

Who Is Guidehealth? Guidehealth is a data?powered, performance?driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of...

A healthcare provider is seeking a Case Management Coordinator for their Home Health division. This role involves functioning as a clinical liaison with managed care customers, collaborating with external case managers, monitoring service...

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

We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care...

A leading healthcare organization seeks an experienced individual to manage utilization review processes remotely. This role requires a Registered Nurse with leadership experience to oversee operations and collaborate with medical teams to ensure...

Medical Review Nurse The Medical Review Nurse provides support for medical claim and internal appeals review activities ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and...

A healthcare provider located in Oak Brook is seeking a Case Management Coordinator for home health. This full-time role involves acting as a clinical liaison, monitoring service utilization, and assessing patient needs for home care. The ideal...

Binding Minds is seeking a local contract nurse RN OR Circulate for a local contract nursing job in Westerville, Ohio. Job Description & RequirementsSpecialty: OR...