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Professional Review Nurse The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical...

Description Location: UCHealth UCHlth Urg Care Voyager Pkwy, US:CO:Colorado Springs Department: Urgent Care Administration Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $40.86 - $63.33 / hour. Pay is dependent on...

Mission-Driven RN Educator, Clinical Documentation Integrity We're with you for life's journey. At Denver Health, purpose isn't just something we believe in—it's something we live every day. Our Values Respect | Belonging...

Nurse-SC/Hope Harbor Job Category: Medical & Health Part-Time Location: Los Angeles, CA Description Mission Statement The Salvation Army, an international movement, is an evangelical...

Find your calling at Mercy! Under the direction of the primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care Providers to provide safe, timely, effective, efficient, equitable, patient-centered care in a...

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...

Come care with us at West Coast University! As a Nursing Faculty member for a certified Great Place to Work, you will guide nursing students to do more than change their own lives – you will help change the lives of every...

RN Provider Performance Specialist Senior Step into a high-impact role where your clinical expertise directly influences provider quality and patient outcomes. As an RN Provider Performance Specialist Senior, you will serve as a trusted...

Overview Under the supervision of the RN Patient Scheduler Manager, provides timely, efficient, and accurate triage response and documentation according to nursing standards and physician protocols. Evaluates patient needs,...

Overview The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in...

At St. Luke's, our dedicated team of Remote Patient Management RNs are critical in providing exceptional, patient-centered care. We strive to foster an environment that embraces our employees' unique strengths, experiences and perspectives which...

Inspire health. Serve with compassion. Be the difference. Job Summary Responsibility for initiating phone contact with discharged patients from specified units, conducting query on patient experience and recovery, and...

Description: Who We Are: Snowline is a non-profit organization serving the western slope of El Dorado County and the Greater Sacramento Region. For over 45 years, our deep roots in the community have allowed us to foster a strong network of local...

LanceSoft is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date:...

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).

Description Providence is calling for Quality Assurance RN - Remote The Quality Assurance RN is responsible for facilitating and leading peer review strategies and initiatives to achieve clinical...

RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued stays, and services, while coordinating with providers and payers to ensure compliance with...

Job Description We are seeking an exceptionally skilled RN Case Manager to join our dedicated Case...

Resp & Qualifications PURPOSE: The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the...

Bestica is seeking a travel nurse RN Infusion for a travel nursing job in Tarzana, California. Job Description & Requirements Specialty: Infusion Discipline: RN Start Date: 07/20/2026...

Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho or Utah *Please be advised that this role is part of our candidate pool, which allows us to identify and attract...

Medical Solutions is seeking a travel nurse RN Med Surg for a travel nursing job in Glendale, California. Job Description & Requirements Specialty: Med Surg Discipline: RN Duration: 13...

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

Healthcare Customer Support Specialist As a Healthcare Customer Support Specialist, you will serve as a primary point of contact for our clients, managing inbound and outbound communications with professional excellence. Utilizing a suite...

Licensed Practical Nurse Duties include but are not limited to: Delivers care to patients in a respectful non-judgmental manner and according to Patient Care Plan. Demonstrates understanding of age- and...