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Review claims files to detect potentially fraudulent billing practices.Use medical terminology and coding to assess payment appropriateness.Write investigative summary reports and provide expert testimony.Requirements:Active RN license and 2+...

Not specified is seeking a registered nurse to support patient care within a healthcare network that prioritizes quality, collaboration, and innovation. The role focuses on coordinating telehealth services and ensuring effective remote care...

Bristol Myers Squibb is seeking a Clinical Nurse Consultant (CNC) to educate HCPs in hematology and oncology, advancing patient care. The role emphasizes end-to-end clinical education, data-driven activities, and collaboration with medical and...

UCHealth Anschutz Inpt Pavilion in Aurora, CO seeks a licensed behavioral health clinician to assess psychiatric patients in collaboration with emergency department staff and to recommend dispositions. This PRN role requires a Master's degree and...

Description Registered Nurse (Breast Health Navigator) - Full-Time Hybrid-Remote Opportunity MedStar Radiology Network - Southern Maryland Description Breast Health Navigator...

Nurse Next Door is seeking a part-time Registered Nurse for New Mexico. You will deliver in-home nursing care, develop individualized care plans, and coordinate with a Care Designer to ensure a premium client experience while supporting families.

Job Reference: W33VWXWW Prestige Workforce Solutions is partnering with a fast-growing healthcare technology company to identify experienced Telehealth Nurse Practitioners for a fully remote opportunity. This role is ideal for clinicians who...

Staff Education RN Job Summary: Collaborates with Education Consultants, Managers, CNS staff and Physicians to develop, design, deliver and evaluate/improve education strategies and special projects/programs based on...

Job ID: 33022 Description Take on a key role within an award-winning health system. Help improve patient experiences as part of a world-class healthcare team. Take your career in an exciting new direction. You can...

U.S. Army Family Nurse Practitioners perform the highest level of quality care for Army Soldiers, retirees, and their families. If you are looking to combine your skills as a family nurse practitioner and your passion for patient care with the desire...

SCAN Health Insurance in the United States is seeking a Medical Management Specialist-RN to promote quality and cost-effective care under regulatory guidelines. Working under the Clinical Supervisor, the RN supports utilization management and case...

Our client, a mutual benefit corporation and health plan provider, seeks an accomplished Registered Nurse (Utilization Management) .Candidate must be authorized to work in USA without requiring sponsorshipLocation: 100% Remote for California...

UnitedHealthcare is hiring a Field Based HSS Clinical Coordinator RN in Duval County, TX to assess, plan, and coordinate care while connecting members to resources and providers. This role offers remote work within the assigned territory and...

A national consulting firm seeks a HEDIS Reviewer III to work remotely, primarily in the Michigan area. The ideal candidate will possess a high school diploma and must have at least four seasons of experience in auditing and abstracting medical...

Compass Healthcare Consulting & Placement is conducting a search for an experienced MLTC Intake RN with UAS-NY experience for a Managed Care Plan servicing New York. Intake Assessments / Enrollments are Field & Remote Assessments working directly...

Montu UK is seeking Consultant Psychiatrists to join our clinical team to assess and manage patients exploring cannabis-based medicines, providing high-quality care and contributing to an evolving evidence base. You do not need previous...

OpenLoop Health is seeking a compassionate Nurse Practitioner for a 1099 remote role focused on sexual health and HIV care. You will provide virtual consultations and asynchronous care for preventive services including PrEP, DoxyPEP, and HIV...

Emory Healthcare seeks an experienced Telehealth Registered Nurse to deliver high-quality remote patient care via telehealth platforms. The RN will assess, triage, educate, and support patients with expertise in clinical algorithms and EMR...

Job Description UW Medical Center - Northwest has an outstanding opportunity for a Nurse Care Coordinator to join our Care Management team with the goal of achieving coordinated patient flow through an inpatient stay,...

The Virtual Nurse, RN at MUSC Center for Telehealth coordinates and delivers professional clinical services to patients via virtual care. This role supports pre-visit, during visit, and post-visit planning and assists with referrals and care plans...

Clinical Nurse Professional Development Educator Advanced How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At...

This position is offered fully Home based (Remote) As a pharmaceutical support industry leader, UBC is devoted to empowering health solutions for a better tomorrow. We take pride in improving patient outcomes and advancing healthcare. At UBC we...

Optum Home & Community Care , part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical,...

Carle Health is seeking a Registered Nurse to support telehealth triage and care coordination. The role begins with six months of in-office training at our Champaign, IL location before transitioning to remote work. You will manage triage,...

Meritan, Inc. in Memphis, TN is seeking a Licensed Practical Nurse for our Home Health team. This PRN per visit position offers flexible scheduling, weekend/holiday availability, and a supportive nonprofit environment focused on compassionate...