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RN-Peer Review Specialist Schedule: Day Shift. Monday - Friday. About the Position The RN-Peer Review Specialist screens and assesses medical records for the quality and appropriateness of care. Case review is determined by...

Cabell Huntington Hospital is seeking a casual, as needed Virtual Integrated Care Coordinator (RN) for our CHH Virtual Integrated Care Department. This job is responsible for supporting and...

Complex Transitional Care Nurse Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health needs, substance use...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This is a hybrid remote position with occasional float in-person at our Mount Auburn Primary Care offices in...

Description Telephonic Nurse Case Manager (1099 Remote - NJ RN License Required) We are currently seeking an experienced Telephonic Nurse Case Manager (RN) to support workers'...

Clinical Utilization Review Nurses (RN) Based In Alabama Comagine Health is a national, mission-driven, nonprofit organization that has engaged in health care quality consulting and quality improvement services for more than 50 years. We...

Case Management RN Location: Roseville, CA Onsite Flexibility: Remote Contract Details: Position Type: Contract Pay Rate: $20.00 / Hour (USD) Shift / Schedule: Day Shift, Monday–Friday, 8:00...

Nurse- Residential Services Program Columbus, OH Part-Time Non-Exempt Ministry Central Ohio Area Gracehaven Other Ministry Model Hours: 20-29 Position Summary...

Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho or Utah *Please be advised that this role is part of our candidate pool, which allows us to identify and attract...

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...

Hospice Intake/Triage Nurse - Weekends Coordinates referrals and physician orders for patients discharging to Hospice services. Facilitates communication between staff, referral sources, insurance companies, and physicians. Performs phone...

Nursing – Oncology Shift: Day 5x8-Hour (07:30 - 16:00) Self-schedule requests allowed. Contract Length: 13 weeks Guaranteed Hours: Not specified License: Valid nursing license Certifications: BLS Experience:...

We are hiring an Appeals & Grievance Nurse Analyst at BCBST! In this role, you will review and process appeals submitted by members and providers, ensuring timely and accurate resolution in compliance with CMS, Medicare, and TennCare...

Exciting Opportunity for MS/Tele Registered Nurse – Night Shift! Are you a dedicated Registered Nurse seeking a dynamic and rewarding opportunity in a mixed acuity setting that combines progressive PCU and MS patients? Join our team and...

UM Inpatient Clinical Review Nurse The UM Inpatient Clinical Review Nurse contributes to the overall success of the Utilization Management department by performing clinical reviews for inpatient, including determining the member's overall...

1st Timer/ RN - Oncology Ambulatory Care Shift: 8:00 AM - 4:30 PM Years of Experience: 2 years Required Documentation System: EPIC Provider Support: Interpretation Services, Pharmacy, Phlebotomy, Social Services, Unit...

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...

Clinical Risk Adjustment Specialist (RN) At St. Luke's Health System, we're committed to improving patient outcomes through accurate documentation, ethical coding practices, and strong provider partnerships. We are seeking an experienced...

Nurse Case Manager - Internal (Medical Review Nurse) Organization: Health Agency Contact Name and Information: Gayla. A will contact you if selected for interview. Unposting Date: Ongoing Work Location: Health...

Staff Nurse-Chronic Disease Provides nursing care and services to patients/families. Provides direction to licensed practical nurses (LPNs) and nursing assistive personnel. Delegates nursing care according to legal and regulatory...

Clinical Nurse Specialist, Counties Health New Zealand | Te Whatu Ora is the country's largest employer, delivering universal public healthcare to 5 million New Zealanders. We provide essential hospital, specialist, and community...

Remote Rn Position Remote candidates must be based in Texas: Austin area – Travis/Williamson Counties or Richardson area – Dallas/Collin Counties. Job Description: RN working in the insurance or managed care industry...

Join Our Caring Community This is a work-from-home telephonic Registered Nurse position. As a Care Manager, Telephonic Nurse, you will report directly to the Manager, Care Management. You will help to ensure optimal continuity of care for...

We are a high-end mental health clinic with office locations in Glendale, Scottsdale, and Tempe, Arizona. We provide face-to-face and telepsychiatry services at the clinics and to patients in multiple other organizations, rehabilitation centers,...

Company Description Press Ganey is the leading experience measurement, data analytics, and insights provider for complex industries-a status we earned over decades of deep partnership with clients to help them understand and meet the...