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JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Facilitates, in collaboration with the Manager of Quality Management accurate, timely and consistent clinical data to public reporting databases and agencies, including The Joint Commission (Oryx), and CMS. Reviewing paper and electronic medical...

Connect America is seeking a Remote Care Nurse II to deliver high-quality nursing care to patients in a remote setting via telehealth. You will perform remote assessments, develop care plans, and coordinate with a multidisciplinary team to improve...

SCAN Group is seeking a remote RN to enhance frail seniors' ability to age in place by delivering person-centered care via telephonic care coordination. You will develop and implement plans of care, educate members, and coach them to manage...

POSITION SUMMARY The Perioperative 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...

*Job Summary and Responsibilities* As our Clinical Nurse, you will be a central figure in our patient care team, delivering exceptional, compassionate care that truly makes a difference in our patients' lives. Every day you will collaborate...

Neurology Registered Nurse The Atria Health Institute is a membership-based primary and specialty health care practice with a focus on prevention and longevity. We bring together a multidisciplinary team of renowned physicians to provide...

Travel healthcare offers healthcare professionals new career opportunities that involve travel, growth, and excitement. At Host Healthcare, we are dedicated to providing travel nurses, travel therapists, and travel allied professionals with the...

Nurse Practitioner - Cardiology Department: Providers Employment Type: Full Time Location: 506 W. Valley Blvd. Unit #100, San Gabriel, CA 91776...

Why Join Sunrise Senior LivingAt Sunrise Senior Living, we believe meaningful work starts with purpose. Our team members are passionate about making a positive difference in the lives of residents every day.At Sunrise Senior Living, we champion...

Teleperformance is seeking a Healthcare Customer Service Representative to handle inquiries via phone, email, chat, and social media. The role focuses on de-escalation, issue resolution, and proactive payment processing while maintaining quality...

Position Summary Monitors the admissions, continued stay, and discharge of patients following pre-established criteria. Assures that patients meet MCG criteria from admission to discharge including appropriateness of level of care. Conducts...

Care Management Position Position Purpose: Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary...

Mass General Brigham Health Plan Holding Company, Inc. seeks a Nurse for utilization review to assess medical necessity and benefit coverage for ACO/HMO/EPO members. Remote with occasional on-site team meetings in Somerville, MA. Strong...

Get AI-powered advice on this job and more exclusive features. This range is provided by Medix. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $37.00/hr...

CNA Patient Care Assistant Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit...

PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres...

Cardinal Health is seeking a Nurse, Individualized Care Nurse Care Management to coordinate medical treatments, educate patients and bridge gaps between patients and care teams. The role is remote, full-time, with a 40-hour workweek and CST/PST...

LVN We are looking for dedicated LVNs who want to provide quality care to home-based patients. You will work one-on-one with the patient and truly impact their life as well as their family's. The job is consistent, long-term, and can work...

Army Public Health Nurse Job Overview As an Army Public Health Nurse, you'll assess health risks and implement programs to monitor the spread of disease. You'll promote wellness for Soldiers and their families while also informing policy and...

Remote Nurse Position: Remote Nurse Employment Type: Part-Time to Full-Time (flexible transition) Compensation: $7 USD per hour Location: Remote (work from home) About the Role We are seeking a...

Healthcare Management Solutions, LLC is seeking experienced CHSD Audit reviewers to conduct independent medical record reviews for the STS CHSD program. This remote, part-time role focuses on data accuracy, source verification, and adherence to...

IQVIA LLC seeks a Mobile LPN/LVN to provide in-home clinical services for patients starting complex therapies. This per diem travel-based role involves visiting patient residences to perform phlebotomy, EKGs, and macular edema screenings to...

Job Title: Registered Nurse (Vaccination Support) Location: Multiple Locations across North Carolina Estimated Length of Assignment: 3+ Months (The dates provided are only an estimate and...

A-Line Staffing is now hiring a LPN -Primary Care Clinic.Hours Part Time - 20 hours per week 2 or 3 days per week + every other weekend If applicant prefers full time, may be possibility as well if discussed and agreed upon with managerBusiness...