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Keck Medicine of USC is seeking a Patient Safety Quality Specialist to enhance patient safety initiatives and ensure regulatory compliance. This role involves assessing survey readiness, providing consultation, and implementing corrective actions...

Clinical Review & Correspondence RN The Clinical Review & Correspondence RN plays a critical role in supporting utilization management operations by conducting medical necessity reviews, preparing clear and compliant clinical...

VNAcare, a not-for-profit leader in hospice care, is looking for dedicated healthcare professionals to join our team.Join our team and provide compassionate care to patients in your community! We are a leader in hospice services that offers the...

Location Address: 9521 San Mateo NEAlbuquerque, NM 87113-2237 Compensation Pay Range: Minimum Offer $27.92Maximum Offer $42.63 Summary: Build your Career. Make a Difference. Presbyterian is hiring a...

9amHealth Registered Nurse Clinical Care Specialist 9amHealth is an AI-enabled virtual specialty care platform focused on managing high-cost chronic conditions at scale. The company partners with employers, health plans, and pharmacy...

Reviewing facility insurance claims remotely, the full-time Nurse Itemized Bill Reviewer (IBR Analyst) will analyze UB-04 forms and itemized statements to ensure accurate charges and compliance with client policies and industry standards.Key...

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, weve grown from a small 16-bed hospital to a nationally recognized...

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to...

Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented Team. Job Title: Clinical Medical Review Nurse.

Admissions Nurse Salary Range: $48 - $51 / Hourly Why Hospice? Why VITAS? Have you ever considered hospice as a clinical specialty—one that blends clinical expertise with deep human connection? Just like cardiology...

Ocean State Job Lot is seeking an RN for Utilization Management in Los Angeles, CA. This role involves coordinating care submissions and documentation for patient admissions, focusing on high-quality care and efficiency. Candidates must hold an...

MSA Nurse Reviewer We are seeking a MSA Nurse Reviewer with experience in preparing Medicare Set Asides and Medical Cost Projections. This includes reviewing records, preparing the narrative and an appropriate allocation for medical...

Nurse Talent Recruiter and Mentor This role is for 12 months only and may or may not be renewed. VNA Health Group is seeking an experienced and mission-driven Registered Nurse (RN) to serve as a Nursing Talent Recruiter and Mentor.

At AltaMed, your passion for helping others is welcomed, nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them.Job Overview The Clinical...

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...

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...

Professional Review Nurse The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical...

Overview Monterey Park Hospital, a 101-acute care facility located in the San Gabriel Valley of Los Angeles County, is seeking a Case Manager RN or LVN for our Utilization Review Department. This is a per diem, 8-hour variable shifts position...

Job Title This is a remote position but will need onsite training in Mishawaka Indiana. Shift: PRN/Days - 8 hr shift Considering local candidates only!!! Why Choose Saint Joseph Health System? At Saint Joseph Health...

Work From Home Nurse Practitioner – Telehealth Women's Health | $125K+2 days ago Be among the first 25 applicantsThis range is provided by NPHire. Your actual pay will be based on your skills and experience — talk with your recruiter to learn...

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...

Public Health Nurse I Department of Health and Human Services (DHHS) Opening Date: June 11, 2026 Closing Date: June 25, 2026 Job Class Code: 4051 Grade: 20 (Nurses) Salary: $28.46 - $38.78 per hour*...

Clinical Documentation Specialist The Clinical Documentation Specialist is responsible for the quality review of all OASIS documents and review of key elements of the Plan of Care to ensure CMS program compliance is met. The Clinical...

Requisition number: 2368266 Job category: Nursing Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care...

Job Title : Registered Nurse (Navy Nurse Corps) Category / Component : Officer • Both Overview Navy Nurse Corps officers deliver professional nursing care to service members, families, and global communities in leading edge military medical...