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JOB DESCRIPTION This position will offer remote work flexibility, but the selected candidate must reside in Nebraska. Opportunity for a Registered Nurse who has a US license in good standing to join our Medicaid Team as a Clinical...

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...

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...

DescriptionThe Evidence-Based Practice Specialist/Nurse Scientist supports infrastructure for the dissemination and application of evidence-based knowledge to improve nursing practice and related outcomes. Collaborates and consults with nursing...

Payfuture Technologies is looking for a Project Policy Analyst to join UCLA Health's Nursing Research team. The successful candidate will provide analytical and administrative support to enhance research and innovation initiatives. Key...

Details Client Name Cedar Sinai TACRI Imaging Job Type Travel Offering Nursing Profession RN Specialty...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local to New England States for...

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...

We are so glad you are interested in joining Sutter Health! Position Overview: Aids patients in obtaining the correct level of care with the appropriate provider at the right time. Provides advance clinical telephone support to...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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.

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...