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Care Coordinator Join Our Team: Do Meaningful Work and Improve People's Lives Our purpose, to improve customers' lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you...

Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable,...

RN Health Care Facility Surveyor - Illinois 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...

Job Description RN Utilization Review - Remote position. This position will work Full-time, 8-hour day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA...

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

Utilization Review Nurse Participates as a member of a multidisciplinary team in completing pre-screening assessments of prospective patients. Ensures completion of appropriate clinical review of all applicable patients as stated in...

Job Title: Medical Claim Review Nurse Location: 100% Remote Duration: 3 to 6 months ( Opportunity for ext. / based off performance/evaluation and team needs/budget) Schedule: 40hr- Must work PST hours. Once trained and working independently,...

Registered Nurse Emergency Room: Duration:13 Weeks Start:12/30/2025 Shift: Night 3x12-Hour (19:00 - 07:30) Description: An Emergency Room Registered Nurse provides rapid assessment and...

To support clinical auditing efforts, the full-time RN Clinical Auditor will perform retrospective chart reviews on Readmission and Place of Service Claims, utilizing clinical guidelines and proprietary systems while maintaining productivity and...

Job Posting The Department of Veterans Affairs (VA) is seeking dedicated and compassionate Registered Nurses to provide comprehensive, patient-centered care to our nation's Veterans. As a VA RN, you will play a vital role in assessing,...

Utilization Review Nurse This position has a remote option for those living close and will be able to come into the hospital as needed. The Utilization Review Nurse is responsible for determining the clinical appropriateness of...

PURPOSE OF THIS POSITION The Registration/Medical Records Clerk is responsible for patient registration, secretarial and clerical duties in the surgical center and maintaining the center's medical records according to established guidelines and...

Medical Analyst The Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking an experienced Registered Nurse to serve as a Medical Analyst in its Syracuse office. Medical Analysts support the...

Overview Expand Access. Lead Markets. Transform Care. We are seeking a RN Executive Director Specialist - Hospice to join our leadership team. This role acts as the administrator on call and is...

Behavioral Consultant (BC) ViaQuest Community Solutions (VCS) offers an excellent opportunity for seasoned clinicians with experience providing waiver-funded Behavioral Support Services. We welcome experienced Behavioral Consultants from...

The Senior RN Clinical Consultant will work in partnership with Clinical and Vocational Leaders to provide ongoing coaching and oversight to Clinical Consultants and will serve as clinical subject matter expert in all lines of business...

We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only). Veterans, Reservists, Guardsmen and military family members are...

Care Advocate Nurse The Care Advocate Nurse oversees initiatives surrounding assessing the severity of the injured workers' reported injury(ies), reviews medical data in CareMC, validates and secures medical information, assesses and...

Federal Clinical Measurement Support Nurse (DHA CQM Program) Fully Remote-United States Job Type Full-time Description Overview Tanaq Management Services (TMS) delivers professional, scientific,...

Hospice Clinical Liaison OhioHealth at Home in partnership with Compassus The Hospice Clinical Liaison is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for...

Alliance Liaison If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where...

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,...

Clinical Quality Specialist We are seeking a dedicated Clinical Quality Specialist to ensure regulatory and accreditation compliance. The ideal candidate will maintain alignment with DHCS, NCQA, and CMS requirements through ongoing...

Clinical Liaison Registered Nurse / RN, Hospice Location: West Allis, WI Position: Clinical Liaison - Hospice RN Remote/Virtual Position: Yes Coverage Area: SE Wisconsin Find Your Passion and Purpose as a...

LeaderStat is seeking a travel nurse RN Post Partum for a travel nursing job in Columbus, Ohio. Job Description & RequirementsSpecialty: Post PartumDiscipline:...