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Job Description Fully remote (never coming onsite) Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an...

The function of the Registered Nurse- Residential MHMR is to ensure the provision of a comprehensive program of preventative, intervention and emergency medical care for the individuals. Essential Duties and...

Duration: 3+ Months Contract (Contract Only - No End) Job Description: Must be an RN in SC and have an active and unrestricted SC RN license. Hours/Schedule - Monday through Friday, 8:30 am...

Transitional Care Coordinator Explore opportunities with Atrius Health, part of the Optum family of businesses. We're an innovative health care leader and multi-specialty group practice, delivering an effective, connected system of care...

Itemization Review Nurse II The Itemization Review Nurse provides a summary and analysis of items by reviewing all charges on a UBIB submitted by a medical facility to determine accuracy of billed charges. This is a remote position.

Job Details RN Case Manager - Outpatient (CareVio) M-F - (Hours: Hours: 8:00 am - 4:30 pm; on-call requirement per department schedule) Site/Location: Christiana Care Primary Care...

Regional MDS / PDPM / CMI / RAI Consultant 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 long-term care and skilled nursing...

Medical Management And Health Education Program Coordinator This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering,...

Registered Nurse Career Opportunity Encompass Health: Where Nursing Meets Heart, Home, and Healing Are you seeking a nursing career deeply rooted in purpose, close to your heart and home? Encompass...

RN Appeals Analyst We are currently hiring for a RN Appeals Analyst to join BlueCross BlueShield of South Carolina. In this role, you will research the substance of complex appeal or retrospective review requests including pre-pay and...

Love + medicine is who we are, it's what we do, it's why people want to work here. If you're looking for a job to love, apply today. Scheduled Weekly Hours: 24 Emplify Health by Gundersen is...

Registered Nurse – Clinic/Wellness/Immunization The Registered Nurse – Clinic/Wellness/Immunization works in a variety of either remote or clinic locations to serve a specific population's health and wellness needs. The Registered...

Registered Nurse Risk Manager Aptive is seeking a registered nurse risk manager. IHSC's mission is to provide medical care to maintain the health of individuals in the custody of ICE through an integrated health care delivery system,...

Abbott Trainer Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in...

RN Triage Nurse (Full-Time) Anchor Health is looking for a compassionate RN Triage Nurse to join a strong supportive team of professionals that provide hospice/palliative care. Position Purpose: Under the general supervision...

RN Health Care Facility Surveyor - Mississippi 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...

Nurse- Residential Services Program Position Summary Minimum Qualifications: Licensed as an LPN or RN in the state of Ohio. One (1) year of nursing experience. Training and/or...

Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes,...

Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they...

Hospital Liaison Functions as Hospital Liaison with third party billing and auditing firms for all audits for LVHN locations. Reviews all audits in LVHN audit software and writes appeals for charge and line item audit denials as well as...

Seeking Nurse Practitioners with 1+ years of experience to conduct In-Home Health Risk Assessments. Bonus opportunities included What's in it for you? • Flexibility: Operate on your terms. Set your own hours, 7 days a week...

Registered Nurses w/ we & call Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you...

Staff Nurse-Chronic Disease Primary Location Honolulu, Hawaii Facility Name Mapunapuna Medical Offices Schedule Full-time Shift Day Salary $47.64 - $68.06 / hour Job Number 1406293 Date Posted 05/12/2026 Job...

Shift: Day 5x8-Hour (08:00 - 16:30) Description: 1st Timer/ RN - Oncology Ambulatory Care - 5x8s Shift: 8:00 AM - 4:30 PM Years of Experience: 2 years Required Documentation System: EPIC Provider Support:...

Job Description JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical...