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As a Clinical Documentation Review Specialist (RN), you will help medical staff clarify patient records to ensure appropriate reimbursement and reflect care complexity. You will perform concurrent reviews and engage with physicians...

Job ID: 33022 Description Take on a key role within an award-winning health system. Help improve patient experiences as part of a world-class healthcare team. Take your career in an exciting new direction. You can...

Baptist in Meridian, MS seeks a Specialist-Clinical Documentation III RN to evaluate day-to-day documentation practices and advise the clinical team on accurate diagnoses and coding. The role requires five years of acute care experience,...

Licensed Vocational Nurse Optum CA is seeking a Licensed Vocational Nurse to join our team in Pasadena, CA. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care...

Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role in elevating the impact of our medical record documentation. You will conduct daily evaluations and engage in direct communication with providers to enhance...

Elevance Health is seeking a HEDIS Medical Record Review Project Nurse to support HEDIS data abstraction and quality review in a fully virtual role with occasional in-person training. The position requires residing in Florida, a BSN, and at least...

A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and...

Registered Nurse Los Angeles, CA 90059 Overview Salary Range $47.00 - $56.40 Hourly Level Experienced Position Type Per Diem Job Shift Any Description Benefits: Employee Assistance Program...

CorVel Corporation seeks a Nurse Trainer to develop and revise training materials for nursing staff in a clinical setting. You will organize curricula, assess effectiveness, and ensure new hires complete training and QA reviews. The role is...

Virtual Medical is seeking qualified Registered Nurses to join our fully remote 24-hour On Call Center. We handle incoming calls for clients requiring immediate medical attention and provide assessment, guidance and disposition to the appropriate...

Job ID:26-134888 Job Title: Licensed Vocational Nurse Position Type: Full-Time Contract Role Location:Fully Remote Work Type: Work from Home Est. Pay Range: $25.00/Hour to $28.00/Hour on W2 (USD) Schedule: 8-hour shift Monday to Friday anywhere...

Cincinnati Children's is seeking a Utilization Review professional to perform admission and continued stay reviews to determine medical necessity and certification for inpatient stays. The role requires RN licensure with relevant experience and...

Medlivo is seeking a Nurse Practitioner Clinic Family Practice for a local contract job in Lynwood, California. Job Description & RequirementsSpecialty: Family...

Licensed Vocational Nurse DaVita is seeking a Licensed Vocational Nurse who is looking to give life in an outpatient dialysis center. You can make an exceptional difference in the lives of our patients and their families dealing with...

Private Duty Licensed Vocational Nurse Seeking Private Duty Licensed Vocational Nurses to join our team of nurses who are committed to the highest standard of care, integrity and reliability. Why Join Hallway Healthcare? At...

Sentara Health Plans is hiring a Clinical Claims Reviewer RN for a remote role. The position is full-time, 40 hours, with standard hours 8am–5pm EST, Monday to Friday. Remote opportunities are available across many states, including New...

Are you in search of a fulfilling and meaningful position? Do you want to work for an organization that promotes growth and development? Here at Men's Health Foundation we envision a world where inequity and stigma do...

Nurse Position Additional shift and regional differentials may apply when applicable. This role requires assignment to a primary program and the ability to provide coverage across the designated program region/cluster. Founded in...

Benefits: Flexible schedule Registered Nurse (RN) – Home IV Infusion Nurse North Palm Springs & surrounding areas Per Diem / Part-Time / Full-Time (Flexible!) Make a difference—one patient at a time. We're looking for a...

ExamWorks is seeking a self-driven RN or LPN to join as Clinical Quality Assurance Coordinator. This 100% remote role focuses on QA of peer review reports, ensuring accuracy, clinical citations, and adherence to client specifications and...

Alignment Health is seeking an inpatient review nurse to join our remote utilization management team. The nurse will collaborate with the patient's PCP, facility case manager, discharge planner, and contracted providers to ensure appropriate,...

Location: United States Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people,...

Join Our Team as a Licensed Vocational Nurse in Glendale! Infusion for Health is a premier, referral-based infusion center serving patients across California, Arizona, Nevada, Washington, Colorado, and Missouri. Our unique centers feature...

Palmetto GBA, LLC, a BlueCross BlueShield subsidiary, seeks an RN reviewer to conduct medical claim reviews from a home office. You will assess medical necessity and ensure adherence to established criteria, while supporting staff with guidance...

TRISTAR Company is seeking an experienced Utilization Review Nurse for a fully remote role across all states. The job focuses on workers' compensation utilization review—prospective, concurrent, expedited, and retrospective reviews—to...