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Job Description The Clinical Documentation Integrity Specialist II(CDI) is responsible for utilizing independent clinical judgement in facilitating the integrity, overall quality, accuracy, and completeness of provider-based...

Horizon BCBSNJ Clinical Advocate Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health...

Compliance Nurse 2 - LTC Program - SW Region The Georgia Department of Community Health (DCH) is one of Georgia's four health agencies serving the state's growing population of over 10 million people. DCH serves as the lead agency for...

The position is work from home with field visits. JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include...

Remote RN Utilization Review Join a stable work-from-home team! This is a great opportunity for a local remote position. There is no communication with patients. This position supports all units/staff (commercial, behavioral health,...

Job Title Pay Rate: $27.50 per hour Work Mode: Fully Remote Duration: September to February with possible extension Responsibilities: Work telephonically with claimants, physicians, employers, and customers to ensure...

Sedgwick is seeking a RN Telephonic Case Manager to support injured workers remotely from the United States. You will partner with workers, employers, and medical providers to develop a case management strategy that facilitates recovery and a...

UnitedHealth Group's OptumCare is seeking a Telephonic Nurse Practitioner for a remote, part-time role licensed in Colorado. The position includes after-hours call responsibilities, with a strong emphasis on care coordination and telehealth...

Job Description Registered Nurse (RN) - Downey,CA Local Pay: $52.65/hour (W2) Join our team and make a meaningful impact by delivering exceptional care...

Carewell is hiring a Telehealth Nurse Practitioner to deliver video visits for follow-up and chronic condition management, working remotely in the United States. You will collaborate with care navigators and nurses to support transitions after...

Sentara Health is seeking an Integrated Case Manager, RN to support Eastern Shore region members, concentrating on behavioral health, waiver services, and complex care management. This remote role requires Virginia residency with travel 50%–75%...

Actalent is seeking a dedicated LVN Nurse Consultant for a fully remote telephonic nursing role. You will contact patients or caregivers, including those in nursing homes, to ensure adherence to prescribed therapies and resolve issues.

Trillium Health Resources is seeking a Registered Nurse to join our Utilization Management team in North Carolina. The UM reviews, coordinates care, and supports discharge planning to improve outcomes and ensure appropriate utilization of...

Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care. Collaborates with physicians and other...

Belle, LLC is hiring a full-time, remote Telephonic Nurse Case Manager to improve clinical outcomes and care coordination for members. You will review in-home visit documentation, conduct telephonic case management, track referrals to health and...

Compassus is seeking a Hospice RN Clinical Coordinator to oversee administrative and management functions in the absence of the Director of Clinical Services. May carry caseload and ensure compliance with state and federal regulations. Remote role...

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...

Crawford & Company is seeking an experienced RN Telephonic Case Manager to work remotely providing case management services for patients and employees. You will navigate their healthcare journeys, align with URAC standards, CMSA Standards of...

Remote Registered Nurse – Clinical Review Fully Remote | $48–$65/hr | Monday–Friday, 9:00 AM–6:00 PM ET Medix is supporting a healthcare technology organization that is adding...

A growing network of remote healthcare organizations is seeking Nurse Practitioners to provide virtual care across specialties including primary care and psychiatry. This role offers flexible scheduling and opportunities for part-time or full-time...

Licensed Vocational NurseLocation: Playa Vista, CASchedule: 4x10-hour rotating day shifts (Mon–Fri: 11:30 AM–10:00 PM | Sat–Sun: 8:30 AM–7:00 PM)Contract Length: 13 WeeksWeekend Requirement: Every other weekendRequirements:Active...

Peraton's SafeGuard Services is seeking a Nurse Reviewer to perform medical record reviews and apply clinical judgment to determine claim payment decisions. The role involves researching claims data, identifying issues, and developing cases for...

*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...

Optumcare Medical Behavioral Integration Nurse Case Manager For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care.

Company Overview: About Function & Ezra Function Health was founded with a singular focus: empower you to live 100 healthy years. We're doing that by using the best available...