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Medical Management Nurse The Medical Management Nurse is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member's clinical presentation to...

Job Title: Nurse, Clinical Medical Review Location: Columbia, MD (Primarily remote, but hybrid) Duration: 6 Months Contract PURPOSE: We are seeking a qualified RN or LPN with experience supporting HEDIS reporting and abstraction processes in a...

Nurse Practitioner – Work From Home Acute Care (Nationwide)Base pay range: $150.00/hr - $210.00/hrA growing virtual care group is seeking Nurse Practitioners to deliver convenient, high-quality telehealth services to patients across the U.S.

Salary : $107,352.48 - $160,692.96 Annually Location : Los Angeles County, CA Job Type: Full time Job Number: PH5230H Department: PUBLIC HEALTH...

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving...

LPN/LVN Utilization Management Nurse Integra is looking for a LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual will play a key...

Job Summary and ResponsibilitiesAs our Educator in Critical Care Emergency, In accordance with our mission and core values of integrity, compassion, collaboration, and excellence, this position is established to serve as a consultant/resource...

Registered Nurse (RN) - Utilization Review | Remote | California License Required Position: Registered Nurse (RN) - Utilization Review (UM RN) Location: Torrance, CA (Remote Position)...

Job Title Conducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital...

Clinic LVN Setting: Healthcare Facilities Job Type: Contract - Full Time Pay: $38 / Hour Hours: 40.00 Location: North Hollywood, CA Under the supervision of a Registered Nurse, the Licensed...

Medlivo is seeking a travel nurse RN Long Term Care for a travel nursing job in Grand Island, Nebraska. Job Description & Requirements Specialty: Long Term Care Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12 hours, days Employment...

This position offers an opportunity for a registered nursing professional to contribute to patient care within a healthcare environment focused on quality, collaboration, and innovation.The role involves coordinating telehealth services and...

Job Posting The Department of Health Care Services (DHCS) is the backbone of California's health care safety net. Our success is made possible by the hard work of more than 4,800 DHCS team members and through collaboration with the...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and evaluating care of patients. The staff RN utilizes the nursing process by use of...

Company : Allegheny Health NetworkJob Description : This is a primarily work from home role with some in-person days, at this time. For this reason, all preferred candidates will live...

AvonRisk Utilization Review Nurse AvonRisk is the nation's leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers' compensation, liability, managed care, and risk management across 32...

Fully Remote : Clinical Documentation Specialist Job Description Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers.

Job ID: 32694 *Description*UCLA-Santa Monica Rape Treatment Center (RTC) is a specialty clinic that provides trauma informed acute forensic medical care for victims of sexual assault/abuse. The Per Diem NP will provide on-call clinic coverage to...

Details Client Name Norris Healthcare Consultation Center HC3 Job Type Travel Offering Nursing Profession Nursing...

AvonRisk is the nation's leading specialty risk manager for self-insured organizations, uniting respected regional leaders in workers' compensation, liability, managed care, and risk management across 32 states. With nearly 700 professionals and...

Overview St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the...

Physician Assistant/Nurse Practitioner - Urgent Care We are seeking a skilled and compassionate Physician Assistant or Nurse Practitioner to join our Urgent Care team. The PA/NP will play a vital role in providing exceptional medical care...

Sinai Hospital's Utilization Review operates as a distinct specialty service line of physician advisors, nurses, and support staff who ensure hospital stays are clinically appropriate and fully covered by the patient's insurance. The team focuses...

MaineHealth Cancer Care is recruiting for a Nurse Practitioner to work at our MaineHealth Cancer Care in Norway, Maine and Brunswick, Maine. Interested in learning about Oncology? We ae interested in talking with you!This practice includes a...

Working remotely on a full-time basis, the Registered Nurse Clinical Documentation Specialist will conduct concurrent reviews of inpatient medical records to enhance documentation quality, ensure accurate coding, and collaborate with healthcare...