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Working remotely in a full-time capacity, the Registered Nurse Clinical Auditor will conduct clinical audits and reviews related to fraud, waste, and abuse, analyzing care services, coding requirements, and resource utilization while collaborating...

Job Title This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to...

SUMMARYIn conjunction with the DON, plans, coordinates and manages the clinical services for a specified nursing unit. Responsible for the coordination and of nursing care and services provided to Residents in the various units and is responsible...

DescriptionJOB TITLE : Nursing Program Coordinator– Nursing ProgramSTATUS : Full Time/Part TimeTYPE : On CampusREPORTS TO : Director of NursingPURPOSE:The Nursing Program Coordinator is responsible in providing administrative support to the...

Hydration Room is seeking a Registered Nurse (RN) Clinic Infusion for a nursing job in Hermosa Beach, California. Job Description & RequirementsSpecialty:...

Medical Review RN IV – Commercial Appeals & Grievance Nurse Location: Remote – Candidate Must Reside in California Duration: 6+ Months Contract-to-Hire Schedule: Monday-Friday | 9:00 AM – 5:00 PM Pay Range:...

Los Angeles LGBT Center in California is seeking a Care Manager to oversee medical care management and support services, ensuring compliance with industry standards. This full-time role involves collaboration with healthcare professionals and...

Quick Hiring for "Remote Clinical Review Nurses" Job Description: Review approximately 20 cases a day for medical necessity. Advocate for and protect members from unnecessary hospital...

Ssbv Clinical Claims Review 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...

Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of...

Chamberlain University is seeking Part Time Clinical Instructors for its Bachelors of Science in Nursing program in Irwindale, California. Ideal candidates will hold a Master's Degree in Nursing and have at least two years of direct patient care...

Utilization Management Admissions Liaison RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13180 Salary Range:...

Care Manager—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...

Job Description: Job Summary: Responsible for patient focused programs which may include but is not limited to: collaborating with health care team in providing direction for maintaining high quality...

Description$15,000 Sign on bonus!ScionHealth is committed to a culture of service excellence as demonstrated by our employees' adherence to the service excellence principles of Pride, Teamwork, Compassion, Integrity, Respect, Fun, Professionalism,...

Prior Authorization RN - Contract Role Location Requirement: Candidate must reside in NJ, PA, NY, CT, or MD Work Model: WFH, but must be able...

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...

Assisted is looking for per diem RNs to support our Los Angeles, Home Health division.Why Join Assisted?We invest in the people who make us great. At Assisted, we're proud to offer a comprehensive and rewarding benefits package designed to support...

Job DetailsPosition SummaryThe Quality Assurance Registered Nurse is a professional responsible for all quality activities of the organization. The role includes accountabilities for the monitoring, implementation, and evaluation of processes and...

About The Oncology Institute (www.theoncologyinstitute.com):Founded in 2007, The Oncology Institute (NASDAQ: TOI) is advancing oncology by delivering highly specialized, value-based cancer care in the community setting. TOI offers cutting‑edge,...

Summary The Registered Nurse (RN) for Remote Patient Monitoring-Home Telehealth (RPM-HT) delivers knowledge-based, patient-centered care to Veterans across the care continuum. The RN provides comprehensive assessment, monitoring, and...

Program Director - Vocational Nursing Program | Greater Los AngelesWe are seeking an accomplished and visionary Program Director to lead our Vocational Nursing Program in the vibrant Greater Los Angeles area. This is an exceptional opportunity for...

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the...

SHARP HEALTHCARE in Los Angeles seeks a Registered Nurse for management operations during shifts. The role involves ensuring quality patient care, mentoring staff, and compliance with regulatory standards. Candidates need a CA RN license and three...

Prospective Review RN Department: Utilization Management Location: Children's Health- Trinity Towers Shift: Full-time, Monday through Friday Job Type: Remote, with some occasional onsite attendance required Why...