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Clinical Documentation Integrity Specialist IIThe Clinical Documentation Integrity Specialist II (CDI) is responsible for utilizing independent clinical judgement in facilitating the integrity, overall quality, accuracy, and completeness of...

Cambia Health Solutions is seeking a dedicated Utilization Management Nurse to perform prospective, concurrent, and retrospective reviews, ensuring medical necessity and cost-effective care. You will collaborate with interdisciplinary teams,...

River Valley Child Development Services Inc seeks a Child Care Nurse Health Consultant to provide technical assistance and develop trainings on health, safety, and nutrition for childcare providers in WV. This exempt, full-time role offers remote...

This position is offered fully Home based (Remote) As a pharmaceutical support industry leader, UBC is devoted to empowering health solutions for a better tomorrow. We take pride in improving patient outcomes and advancing healthcare. At UBC we...

Asure Wound Solutions seeks a Clinical Specialist, Wound Care Supplies in the Boston area. This is a remote position requiring you to reside in the area, with travel up to 2 hours for nursing homes and long-term care sites. The role...

At UK King's Daughters, we're not just a healthcare facility - we're a family of dedicated professionals who share a passion for making a meaningful difference in the lives of our patients. We're more than just a place to work; we're a place to...

Job Title Starting Pay Range $3,211.53 - $3,721.15 - Bi-Weekly Depending on experience Job Description Essential Functions include, but are not limited to the following: Assess the health and...

Utilization Review Nurse Auditor Fully Remote • Mount Laurel, NJ 08054 Salary Range $33.00 - $46.00 Hourly Position Type Full Time Travel Percentage 10% ExamWorks is looking for a Utilization Review Nurse Auditor to join...

See Your Work in a New Light At LUX Infusion, we're reimagining infusion care to be more human, supportive, and connected. Inspired by lux—meaning light - we guide patients, providers, and partners through complex therapies with...

Ssbv Clinical Claims Review RnOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the...

Responsibilities SafeGuard Services (SGS), a subsidiary of Peraton, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse.

JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include gathering, analyzing and providing date for regulatory...

Real Job 3266306 *Works with any dept, if a patient complaint arises* *Experience in Critical Care or ED is a plus* *weekends will not typically be required UNLESS survey is on site* *2 years experience required, hard stop* *First time travelers...

Position Summary Care Navigator will be responsible for case management specific to kidney health management. The Care Navigator will complete activities for the continuum of care to facilitate and promote high quality,...

Trillium Health Resources is seeking a Compliance Nurse to perform clinical compliance reviews and evaluate claims to ensure adherence to regulatory and coverage requirements. The role requires an Associate's degree in Nursing, NC RN licensure,...

NurseRemotely seeks an experienced nurse liaison to coordinate care and share critical medical information among the Injured Worker, the Insured, and the Carrier. This remote, field-based role requires travel within your region and focuses on...

Cascadia Healthcare is seeking an experienced PDPM Clinical Resource Nurse (RN or LPN) to support our skilled nursing facilities remotely. You will serve as a trusted resource for PDPM reimbursement, MDS coding, and CMS compliance, coaching teams...

CareFirst, Inc. is seeking a Clinical Navigator (RN) to conduct inpatient level of care reviews and guide timely transitions to home or other care levels. The role uses MCG guidelines and regulatory considerations to determine medical...

Centurion Health is seeking a Full-Time CQI Specialist for our Regional Office team. This remote/traveling position requires residing in Northern Illinois with a commutable distance for site visits (2-4 days/week) and occasional travel to...

ATC WEST HEALTHCARE IS CURRENTLY HIRING FOR AN RN CLINIC ASSIGNMENT FOR A PROMINENT HEALTHCARE FACILITY IN DOWNEY- CA, USA. INTERESTED? CALL OR TEXT JOE [Click to See Phone] ASSIGNMENT DETAILS FOR AN RN CORRECTION: • Work...

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...

Cascadia Healthcare is seeking a PDPM Clinical Resource Nurse (RN or LPN) to support our skilled nursing facilities remotely, with regional travel to Idaho, Oregon, Washington, Montana, and Arizona. You will serve as a reimbursement expert on...

U.S. Army Family Nurse Practitioners perform the highest level of quality care for Army Soldiers, retirees, and their families. If you are looking to combine your skills as a family nurse practitioner and your passion for...

Parenteral Services Clinical RN Specialist The Parenteral Services Clinical RN Specialist provides clinical support to the Parenteral Services team through advanced nursing expertise, education, care coordination, and operational...

Travel Clinic Registered Nurse (RN) - $2,403 per week in taxable pay and non-taxable stipend amount. Pay rates are subject to confirmation with tax free stipend determined for qualified candidates. KPG Healthcare is currently seeking an...