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Summary Researches the substance of complex appeal or retrospective review requests including pre-pay and post-payment review appeal requests. Provides thorough clinical review or benefit analysis to determine if the...

Hourly Pay: $30 - $35 / hour Maxim Healthcare in Torrance is hiring for a Licensed Vocational Nurse (LVN) work with Pediatric and/or Adult patients in their own homes. Why Join Maxim: Competitive Pay & Weekly...

Medical Analyst The Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking an experienced Registered Nurse to serve as a Medical Analyst in its Syracuse office. Medical Analysts support the...

RN MDS Coordinator We are looking for a kind and passionate RN MDS Coordinator to work in a Skilled nursing facility. The responsibilities will include: Under the direction and supervision of the Director of Nursing Services,...

Overview Expand Access. Support Patients. Transform Care. We are looking for a Remote Clinical Care Coordinator to join our team. This work-from-home telephonic nurse role reports directly to the...

Utilization Management Nurse Consultant We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues...

Ambulatory Care Manager In the capacity of a Registered Nurse (RN), the Ambulatory Care Manager will provide clinical care management services to identified eligible patients; coordinating care to obtain desired health outcomes, improve...

Virtual Care Nurse Hospital VIC Nurse will Support: Baylor St. Luke's Medical Center (1101 Bates Avenue, Houston, TX 77030) The Virtually Integrated Care (VIC) Critical Care Nurse, Medical ICU (MICU) works as the catalyst for...

Position Summary: We are seeking a dedicated and skilled Licensed Practical Nurse (LPN) to join our Medical Unit 4E team. The ideal candidate will demonstrate exceptional patient care skills, proficiency in telemetry, and a strong...

Clinical Services Supervisor, RN Under the direct supervision of the Health Center Manager and in-direct clinical supervision of Nursing Administration, the Clinical Services Supervisor (CSS) shall perform licensed nursing duties under...

Providing innovative nursing care for assisted living and long-term care residents, the part-time hourly Registered Nurse - Senior Care will utilize two-way phone and video technology to manage day-to-day operations, coordinate clinical and...

Job Address: 10123 Alliance Road, Suite 320Blue Ash, OH 45242 Telehealth Administrator on Call (Registered Nurse), Remote Position The PHP Telehealth Administrator on Call has a passion for providing remote...

Providing telephonic case management in a workers' compensation environment, the full-time Registered Nurse Case Manager will coordinate resources and facilitate individualized treatment goals while working remotely.Key responsibilitiesConduct...

Job Title: Virtual Care Nurse Practitioner (APRN) Location: Remote (United States) *Must be located/authorized to work in the US without visa sponsorship or transfer now or in the future. No C2C...

Join Silverado North Shore, a memory care innovator ranked in the top 10 nationwide by Fortune Magazine Best Workplaces in Aging Services. Since 1997, Silverado has delivered exceptional care to individuals with neurodegenerative conditions. We're...

The position is work from home with field visits. JOB PURPOSE: This position is responsible for conducting medical management and health education programs for customers on government health care programs. Accountabilities include...

Job Type Full-time Description Skilled Nurse Reports to: Director of Nursing JOB DESCRIPTION: The Skilled Nurse (LPN) role requires a compassionate, detail-oriented, and clinically capable Licensed...

Benefits: Flexible schedule Training & development We are Looking for LVN who are residing in bellflower and willing to be assigned in Long Beach or Artesia, CA Job Title/Position: Licensed Practical/Vocational...

Job Opportunity Responsible for performing operational duties as required under the supervision of the site administrator or designee. What work will look like: Schedule: Monday – Friday, 8am - 5pm Location: Manhattan Beach, CA Setting:...

Nurse Advocate Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris...

Nurse Practitioner (NP) Location: Remote Indiana Schedule: Full-Time, PRN, & On-Call Rotations Join Our Journey – Shape the Future of Recovery! We are seeking a compassionate and skilled Nurse Practitioner to join our...

Transform Healthcare With Us At Qualified Health, we're redefining what's possible with Generative AI in healthcare. Our infrastructure provides the guardrails for safe AI governance, healthcare-specific agent creation, and real-time...

Virtual Care PRN Nurse - Clinical Financial Services Job no: 492957 Work type: Staff Full-time, Temporary Staff Location: Tulsa Categories: Medical & Health-Related...

DescriptionRN Nurse Manager for our Medical Surgical / Bariatric unit at Providence St. Joseph Medical Center in Burbank, CA. We are a Bariatric Center of Excellence and you will oversee the Bariatric program as the Nurse...

Since 1899, Azusa Pacific University, a top Christian higher education institution in the nation, has helped students discover their higher calling to impact the world for Christ. Taught by world class faculty, APU offers an education that leads...