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R1 RCM Inc. is seeking a Clinical Coding Appeals Nurse to review medical records and draft appeals for denied and underpaid claims. The role focuses on accurate coding using ICD-9/10, CPT, HCPCS, and NCCI guidance, and requires inpatient...

Job Description Why VITAS Healthcare and What Do We Offer? VITAS Healthcare is the nation's leading provider of end-of-life care. We provide our employees with opportunities for professional growth and...

Working remotely in Pennsylvania, the full-time salaried Pennsylvania Licensed RN Case Manager will assess, plan, implement, and coordinate patient-centered care while optimizing health outcomes for members through effective case management...

Nurse Practitioner (Arleta) Arleta Family Health Care Clinic - Arleta, CA 91331 Overview Salary Range $133,711.00 - $167,139.00 Salary Position Type Full Time Description Job Summary...

JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

Providing utilization review and denials management for an assigned patient caseload, the part-time Maryland Licensed Utilization Specialist will assess patient needs for outpatient or inpatient care, collaborating with case managers, medical...

Hospice RN Case Manager Are you a compassionate Registered Nurse (RN) seeking to make a profound impact in the lives of patients during their final stages? Join Care Initiatives Hospice as an RN Case Manager, where you'll provide...

Certified Nurse Assistant (CNA) at Crocker Care CampusLocation: Crocker Residential Care, Skid-Row: Downtown Los Angeles, CAPosition Purpose: The Certified Nurse Assistant (CNA) at Crocker Care Campus is a key member of a multidisciplinary team...

Humana Inc. is seeking a Telephonic Nurse Care Manager to work remotely, coordinating care for patients transitioning between services. The role reports to the Manager, Care Management and focuses on post-acute care, home health, hospice, and...

Guidehealth is seeking a Remote RN Case Manager licensed in Illinois to support member management, enhance satisfaction, and navigate the health care system as part of Value Based Care Services. The role focuses on data collection, clinical...

Behavioral Health RN Case Manager Blue Ridge Health is currently seeking a Behavioral Health RN Case Manager to be part of our Assertive Community Treatment Team (ACTT). What We Offer You: A competitive benefits plan,...

CVS Health is seeking a licensed RN Case Manager to work remotely across the United States, conducting telephonic case management for fully insured and self-insured clients with clinical judgment and collaboration with care teams. The role...

Utilization Management RN Remote I'm currently working on a Utilization Management RN opportunity with a health plan client, supporting a temporary assignment during their Epic Tapestry system implementation and optimization. This is a...

Why Wellmark: We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we've built our reputation on over 80 years' worth of trust. We are not motivated by profits. We are motivated by the well-being...

Clinical Nurse Liaison, RN Optum 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...

Licensed Practical Nurse - Outpatient Clinic 393 East Walnut Street, Pasadena, California 91188 Weekly Pay $1,883 - $1,999 8 Days Sep 21, 2026 13 Weeks 5 Positions 40 Hrs/wk Requirements...

Summary We are currently hiring for an RN Senior Medical Reviewer to join BlueCross BlueShield of South Carolina. In this role as an RN Senior Medical Reviewer, you will act as Team Lead for specialty programs, medical...

Join Our Mission-Driven Team Join a mission-driven team transforming senior mental health care with compassion, flexibility, and support. Work remotely from your home and on your own hours. Sailor will take care of finding patients to you...

Schedule: Full time 4-5 days per week. Perks and Benefits*: Earn up to 1% wage increase every quarter 401K Retirement Plan with Safe Harbor matching contribution Length of...

Licensed Vocational Nurse The purpose of your job position is to provide each resident with routine daily nursing care in accordance with current federal, state, and local standards that govern the facility and as directed by your...

Overview CORE Health Networks, the recognized leader in Integrated Occupational Medicine Services, provides integrated solutions to your occupational healthcare needs. We are currently seeking a full-time Case Manager (Registered Nurse)...

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices,...

OrganOx is a commercial stage organ technology company dedicated to developing technologies to improve outcomes for patients with acute or chronic organ failure. The company was established as a spin out of the University of Oxford in 2008 and is...

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability,...

The Licensed Practical Nurse/Licensed Vocational Nurse works with critically ill patients who require the use of monitoring devices, measuring heart rates, breathing rates, blood pressure and oxygen levels. The LPN/LVN may monitor the patient at...