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Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local...

A leading healthcare organization is seeking a Utilization Management Nurse RN to review clinical data and support patient care from a remote setting. This role requires critical thinking and clinical expertise to ensure proper hospital admissions...

Care Manager Sharecare is the leading digital health company that helps people unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers,...

Building Location: Building B - St Marys Medical Center Department: 2003290 NURSING - BIRTHPLACE - SMMC HOSP Job Description: Responsible for...

CVS Health Aetna Case Manager RN At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health...

We offer a great FULL TIME benefits and perks package!Short Term Disability (Guardian)-for employee only, benefit percentage 60% of salary!Long Term Disability (Guardian)-for employee only, benefit percentage 60% of salary!Health Advocate...

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families,...

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...

St. Luke's Health System is seeking a Registered Nurse (RN) Telehealth for a nursing job in Boise, Idaho. Job Description & Requirements Specialty: Telehealth Discipline: RN Duration: Ongoing 40 hours per week Shift: 8 hours Employment Type: Staff...

Concentric is currently seeking candidates in Registered Nurse profession with focus in Registered Nurse (Clinic) for a week contract in the Columbus, OH area. Concentric is a premier staffing firm dedicated to matching outstanding talent with...

Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The...

A telehealth organization is seeking a compassionate Registered Nurse (RN) for a part-time Telemedicine RN position based in Honolulu, HI. You will support patient care by assessing needs, offering medical advice, and ensuring optimal health...

RN Care Review Clinician The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical...

Overview OhioHealth Rehabilitation HospitalJoint venture with Select MedicalPosition: Registered Nurse (RN)Location: Columbus, OHSchedule: PRN, Per Diem...

A leading health solutions company is seeking a Care Manager-Registered Nurse in Connecticut. This role requires developing and coordinating care plans for members with multiple chronic conditions while ensuring effective telephonic engagement.

Home Health RN SME 3 - Day Workshop Ready to share your expertise and make an impactwithout leaving home? If youre a skilled Home Health RN looking for a unique opportunity to apply your knowledge in a new and rewarding way, this...

A major health care company is looking for a Utilization Management Nurse 2 to utilize clinical nursing skills in coordinating and communicating medical services. The ideal candidate holds a valid RN license and has over a year of experience in an...

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture,...

Job Description JOB SUMMARY Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate...

A healthcare organization in California is seeking an RN, Clinical Care Manager I to enhance member care through assessment and coordination. Applicants should have a Bachelor's Degree in a health-related field and an active RN license. The role...

Virtual RNs may serve as a member of the healthcare team by collaborating, communicating, and facilitating care with all clinicians, patients, and families. The virtual nurse maintains patient anonymity and safety using various technological...

MDS Coordinator Registered Nurse | Licensed Practical Nurse. Altercare Canal Winchester. Canal Winchester, OH $5000 Bonus - Full Time Altercare Canal Winchester is currently seeking a Full Time MDS Coordinator to add to our exceptional facility and...

Scope of Position The Ohio State University Wexner Medical Center's mission is to improve health in Ohio and across the world through innovation in research, education, and patient care. The team provides patient care and supportive...

A healthcare management firm is seeking a Medical Review and Appeals RN. This remote role involves reviewing and authorizing medical service requests, ensuring compliance with regulations, and implementing discharge planning. Candidates must have...

Type: Full-time, salaried, FLSA exempt Pay: $80,000 - $85,000 annually, plus bonus potential Location: US, remote; some evening hours, weekend hours, and travel are required...