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To support client care authorization processes, the part-time Temp Clinical Letter Writer will gather and review medical records, draft letters of medical necessity, and communicate with team members regarding client authorizations and...

Allegheny Health Network is seeking a skilled CDI professional to improve medical documentation accuracy and completeness. You will work with physicians, nurses, and coding staff to ensure proper reimbursement and high-quality clinical data.

Talentburst,-Inc is seeking an RN Clinical Documentation Integrity Specialist for a remote role. The candidate will work with clinicians to ensure documentation meets quality and regulatory standards and will clarify documentation as needed to...

Sedgwick is seeking a US Telecommuter RN Telephonic Case Manager for a full-time remote role. You will support injured workers, employers and providers, coordinating medical services and advocating for timely recovery and return-to-work.

Spectraforce Technologies, Inc. is seeking a Clinical Review Nurse - Prior Authorization for a 12-month assignment. The role is remote (PST/CST) with scheduling across multiple shifts, supporting national guidelines and contractual requirements.

*Job Summary and Responsibilities* As our Registered Nurse (RN), you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you will...

Trusted is seeking an experienced nurse for this exciting travel nursing assignment. Trusted has streamlined the travel nursing experience by enabling nurses to apply directly to jobs without the need for recruiters. This unique approach provides...

CVS Health is seeking an RN Utilisation Management Nurse Consultant (Medicare – Joint Procedures) for a remote, full-time role. You will review clinical data, apply criteria, and coordinate plans to ensure members receive appropriate care in a...

Telephonic Care Manager Are you an experienced nurse with a background in case management? Are you interested in the opportunity to work from home? UPMC Health Plan is looking for you! We are hiring a full-time Telephonic 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...

#SRNThis position represents 2 openings. Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the...

Hone is a virtual medical clinic for men's/women's health, hormones, weight loss, and longevity.We are remote-first and fast-growing, focused on candid communication and joy.The Role:You will manage patient-doctor communications and clinical...

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...

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...

Wellpoint Federal Solutions, Inc. is seeking a Clinical Review Nurse I to evaluate complex medical determinations for benefits and assess the necessity of items in claims. This role is Hybrid/Remote with required in-person training sessions and...

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

Remote Nursing OpportunitiesAre you looking for an exciting way to utilize your nursing skills and expertise to deliver quality nursing care in a remote setting? AccessNurse, where technology meets compassionate care, is looking for professional...

Health Care Service Corporation seeks a Quality of Care (QOC) Nurse to review and investigate potential quality of care issues in a timely manner. This role supports QA activities in line with CMS and NCQA requirements, under the supervision of...

Job Description Remote Prior Authorization LVN/LPN Location: Remote (United States) Type: W2 Contract (Temporary) | Hours: 40/week Pay Rate:...

OpenLoop Health is seeking a compassionate Nurse Practitioner for a 1099 remote role focused on sexual health and HIV care. You will provide virtual consultations and asynchronous care for preventive services including PrEP, DoxyPEP, and HIV...

Remote GI Nurse Practitioner virtual-first digestive health care Pay: $125,000 per year, plus annual bonus eligibility Location: 100% remote. This posting is for Nurse...

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and...

Health Screener The primary responsibility of the Health Screener is to provide coverage in the field ensuring that health screenings are completed accurately and on time. Maintain a safe and professional environment for clients and...

Remote Psychiatric Mental Health Nurse Practitioner (PMHNP) - Arizona Remote Prosper Health is on a mission to make life happier and healthier for autistic and neurodivergent adults. Despite autism diagnoses increasing more...

OverviewAs our Educator, RN in Periop, you will serve as a consultant/resource professional by providing staff development expertise as an educator, facilitator, change agent, leader, and researcher, ensuring educational initiatives are...