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Clinical Nurse, Medical Management/Utilization Management Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit...

Utilization Review Specialist (LVN) Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+...

Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...

Full-Time Remote RN Clinical Documentation Integrity Specialist Southwest Healthcare is seeking a Full-Time Remote RN Clinical Documentation Integrity Specialist position. This position provides clinically based concurrent and...

ABOUT AVOSYS Avosys is a growing integrator of professional, technological and management solutions services. Founded in 1998, Avosys provides services nationwide to Federal, Commercial, Local and State clients. We recognize the...

Clinical Documentation Specialist The Clinical Documentation Specialist is responsible for the quality review of all OASIS documents and review of key elements of the Plan of Care to ensure CMS program compliance is met. The Clinical...

Change Lives With Recovery Innovations! Our Mission is to empower people on their journey to recovery, helping them achieve their goals, rediscover meaning and purpose in life, and reconnect with themselves and their communities. Our...

Nurse Reviewer – State of Illinois Location: Remote with on-site visits across Illinois We are currently seeking Nurses who reside in Central Illinois - preferably in McLean and Sangamon Counties. Position Overview...

Your job is more than a job RN Care Manager - PRN - Remote You overthink every care option and scenario because, as a Care Manager, you're the hub of your patient's case management and care plan. You assure quality through...

Job Opportunity At CVS Health 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...

Triage Visit Registered Nurse - Home Care Hours: Part-time, Weekend Days - We are looking for an RN to be available every weekend or every other weekend to take calls and triage patients, but also be available to make a visit if there is...

ContinuumRx, the nation's leading specialty and home infusion therapy expert, is seeking Registered Nurses to add to our Columbus, OH Team to provide care for our patients in...

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health...

Job Description JOB DESCRIPTION Job Summary Provides support for healthcare services clinical auditing activities. Performs audits for clinical functional areas in alignment with regulatory...

Remote Registered Nurse Position 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,...

LOCATION: FULLY REMOTE WITHIN CONTIGUOUS UNITED STATES SUMMARY: The RNN (Referral Nurse Navigator) is the primary liaison between AristaMD clients and our network of specialists, routing referrals, requests,...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to...

Explore opportunities with Caretenders Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their...

Company Description With more than 135 years of history in healthcare education and as the largest nursing school in the country, Chamberlain University is committed to delivering a high-value education that prepares students...

RN Health Care Facility Surveyor - Alabama Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting...

Overview This is a short-term assignment. What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and...

Utilization Management Compliance Specialist We are seeking a highly skilled and experienced Registered Nurse (RN) to join our team as a Utilization Management Compliance Specialist. As a Specialist, you will apply your...

Join Our Dynamic Team At Ohio State University Physicians Looking to join our dynamic team at Ohio State University Physicians where excellence meets compassion? With over 100 cutting-edge outpatient center locations, dedicated to...

Requirements Qualifications / Experience Current multi-state RN license with no restrictions; nurses currently holding a single-state RN license must obtain a multi-state license prior to being made a job offer 2 years of RN experience Proficiency...

Job Title: Clinical Nurse Auditor – Payment Integrity Job Summary We are seeking an experienced Clinical Nurse Auditor to join our Payment Integrity...