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Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

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...

Senior Consultant 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...

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...

JOB DESCRIPTION Centered in the heart of Montebello, Adventist Health White Memorial Montebello has a 70-year history of providing quality healthcare to the community. We are comprised of a 192-bed hospital, wound care medical office and surgical and...

Nurse Analyst / Investigator We are GDIT. As one of the largest IT and mission services providers to the government, we own our opportunities to better enable healthcare organizations to identify theirs. You can make GDIT your...

Appeals and Grievances Nurse Specialist RN II Job Category: Clinical Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00...

Foundation Health in Alaska is hiring a professional to enhance nursing practice through developing and conducting education and training for clinical services staff. The role includes the development of strategic training initiatives, seamless...

Direct Jobs seeks an Evidence-Based Practice Specialist/Nurse Scientist to enhance nursing practice and outcomes through evidence-based initiatives. This role is critical in mentoring nursing professionals and developing educational resources for...

Air Combat Effectiveness Consulting Group, LLC in Monterey Park is seeking a Case Manager RN or LVN to join our Utilization Review Department. This per diem position involves coordinating care for patients, conducting admissions, and liaising with...

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...

Overview:Our client, a mutual benefit corporation and health plan provider, seeks an accomplished Appeals and Grievance RN .*** Candidate must be authorized to work in USA without requiring sponsorship...

Overview PICC RN - Vascular Access Nurse Consultant (Per Diem). VIC the PICC (VTP) is a specialized healthcare provider focused on vascular access consulting services to acute care hospitals, skilled nursing facilities and home healthcare. We...

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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...

Job Description Additional Information About the Role The Answer Line provides after-hours exchange and nurse triage services for about 250 subscribing community pediatricians in St. Louis and surrounding areas. The exchange is a 365/24/7...

Overview The Legacy/OHSU Interventional Radiology practice provides services at four locations (EMC, GSMC, MHMC and MPMC) including ambulatory clinics at each site. The IR team cares for both adult and pediatric patients with...

Registered Nurse Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. The Center for...

Overview Clinical Liaison VIPC, Inpatient Hospice Admissions RN Location: Cedars Sinai Hospital Position Type: Full Time Salary: $55 - $62 / hour Shift: 8am-8:30pm rotating schedule to include some weekends Find...

Your RoleThe Clinical Quality Team is responsible for reviewing and abstracting medical records to capture data and to ensure accuracy and completeness. The Clinical Quality Reviewer - Nurse, Senior will report to the Manager, Clinical Quality...

Harris Health System, Inc. is looking for a Nurse Clinician for their Hospital at Home program. This role involves providing high-quality acute care at home, coordinating patient enrollment, and engaging in quality improvement projects. Candidates...

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...

About Rowan At Rowan, we are all about making ear piercing experiences a celebration full of joy. Rowan is an innovative ear-piercing and hypoallergenic jewelry brand that brings safety to the forefront with our team of licensed nurses, and...

The purpose of your job position as Care Coordinator Nurse is to provide direct nursing care to residents, including the coordination of care that is safe, timely, effective, efficient, equitable, and resident-centered. You are responsible for...

Company Mission/ statement: Our mission is to inspire and empower people to seek and maintain recovery and health. Daymark Recovery Services, Inc. is a mission driven, comprehensive community provider of...