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Job Description: Participates in the development and ongoing implementation of QM Work Plan activities. Improve quality products and services, by using measurement and analysis to process, evaluate and make...

RN Clinical Manager / Clinical Consultant (RN or MSW) – California Pay Rate: $52.50–$53.00/hr Position Type: Special Projects – 12-Month W2 Contract (renewal based on performance, project continuation, and health plan needs)...

Denial Prevention Nurse Position at Northwell Health PART TIME- 20 hours per week- Mon-Fri 8pm- 12am shift- Rotating weekends and holiday coverage expected! Northwell is the largest not-for-profit health system in the Northeast, serving...

Kindred Hospital South Bay, a long-term acute care hospital offers the same in-depth care you would receive in a traditional hospital, but for an extended recovery period. We partner with your physician and offer 24-hour clinical care seven days a...

RN Case Manager Qualifications for RN Case Manager: The Case Manager is responsible for managing a continuum of care from admission through discharge for assigned patients. Partners with medical staff, utilizes...

Job Opportunity Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, no afterhours support, no holidays Job Summary Are you seeking a unique nursing position that gives you a great...

Nurse Investigator- Atlanta Conduct investigations (clinical mortality review) of deaths of individuals with developmental disability services. Interview witnesses, complainants, and persons of interest to obtain information...

Advanced Practice Nurse Work Location: Santa Monica, CA, USA Onsite or Remote Fully On-Site Work Schedule 4-day 10-hour shifts, 7:00am-5:30pm; may include weekends and holidays Salary Range: $65.53 - $84.75 Hourly...

Job Opportunity Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating...

Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +) Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs! Are you looking for an...

When you join the Huntington Hospital team, you are aligning yourself with an organization whose values drive our philosophy of compassionate community care. Over the past 129 years, we've grown from a small 16-bed hospital to a nationally recognized...

Regional MDS / PDPM / CMI / RAI Consultant Are you ready to make a change? We are seeking an experienced Regional MDS / PDPM / CMI / RAI Consultant to provide remote reimbursement, MDS, PDPM, Case Mix Index, and RAI support to our...

Direct Jobs seeks an Evidence-Based Practice Specialist/Nurse Scientist to enhance nursing practice and outcomes through evidence-based initiatives. This role is critical in mentoring nursing professionals and developing educational resources for...

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 Systems Analyst II, RN - REMOTE Position Type Full Time Job Shift Day Education Level 4 Year Degree Travel Percentage Up to 50% Category Professional Services DSS, Inc. is a leading health information software development...

Nursing Opportunities - All Experience Levels AlediumHR is actively partnering with leading healthcare organizations across the U.S. and Canada to connect exceptional nursing professionals with meaningful career opportunities. We...

Pharmacy Nurse Consultant - LPN or RN If your answer is "all of the above," consider joining our team at Consonus Pharmacy. It's a perfect opportunity for compassionate people dedicated to people's health and well-being. Consonus...

An employer is hiring a Remote Clinical Team Manager to help lead and develop our client's remote nursing team delivering Chronic Care Management (CCM) and Principal Care Management (PCM) services. You will be the right-hand person to the CEO and...

Description Manages specific patients throughout their admission to ensure the availability of sufficient clinical and medical center resources. Communicates on a daily basis with medical staff, medical center personnel and...

Blind Childrens Center Inc in Los Angeles seeks a Registered Nurse Consultant to provide pediatric nursing and health training. Responsibilities include conducting health screenings and developing health plans for children.The ideal candidate...

Field Nurse Case Manager Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has...

Job Description The Denials Nurse Auditor works under the supervision of the manager of PFS Denials. The Denials Nurse Auditor is responsible for completing, appealing, tracking, and reporting clinical denial reviews to...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our...

The 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 Professional Practice and Education, the Clinical Educator is...

Job Title: Medical Claims Review Nurse Duration: 6 Months Location: Remote Payrate: $43.39/hr. on W2 Description 100% Remote (CANDIDATES MUST LIVE IN ONE OF THE PREFFERED 17 STATES (SC, MS, AZ,...