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Job Title Job Description Help Apply a wide range of software, systems, and analytical platforms to identify overpayments and detect fraud/abuse across Medicare, Medicaid, and the Children's Health Insurance Program (CHIP).

Job Title Utilization Management Team Leader Job Description The Utilization Management team independently manages complex utilization and retrospective clinical reviews across multiple lines of business, assessing medical...

Job Summary and Responsibilities As our Trauma Injury Prevention Coordinator, you will contribute significantly to our mission by leading proactive efforts to minimize traumatic injuries and support vulnerable patients. Your...

Summary The Advanced Practice Nurse (APN) / Nurse Practitioner (NP) practices in Home Based Primary Care Service to provide a full range of services emphasizing quality, timeliness, and the advancement of the Veterans...

Clinical Nurse, Medical Management/Utilization Management Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit...

Salary : $102,181.68 - $152,952.96 Annually Location : Los Angeles County, CA Job Type: Full time Job Number: Y5135L Department: HEALTH SERVICES...

School Nurse Provides direct health care services within the certification of nurse practitioner to identified students and families in the context of a School Health Office; additionally, provides training information and education to...

Staff RN USC is a smoke-free environment. USC is an equal opportunity, affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual...

Overview Your Role: The Nurse Educator is responsible for providing support to ensure safe, effective and appropriate use of PROVENGE® (Sipuleucel-T) (the “Product”) from enrollment to completed infusion for...

Achievable Health's mission is to provide high-quality healthcare to our community, with a specialty in treating individuals with intellectual and developmental disabilities and their families. SALARY: $140K - $162K, DOE $10,000 signing bonus...

Utilization Management Nurse Location: Onsite in Dubuque, IA. Also accepting remote applicants. We are looking for a nurse just like you - a nurse that thrives in a fast-paced environment, enjoys making a difference for patients,...

RN Endoscopy Center of Southern California in Santa Monica, is hiring a Part-Time RN Welcome to Endoscopy Center of Southern California, where we believe health and care are inseparable. Our mission is to care for every patient and...

Description The clinical nurse is a professional Registered Nurse who assumes responsibility and accountability for a group of patients for a designated time frame and provides care to these patients using the nursing process in...

Psychiatric Nurse Practitioner - 100% Remote - Nevada - ContractDepartment: Clinical CareEmployment Type: ContractLocation: Nevada (Remote)Compensation: $74.00 - $125.00 / hourDescriptionA WellPsyche Medical Group relationship gives you the tools...

Position SummaryDescription for Internal Candidates The Clinical Education Specialist is responsible for the planning, design and implementation of education programs/services and professional development of nurses in their...

Weekend Nurse (LPN/LVN) At TeleMate Health, we are dedicated to transforming healthcare delivery through innovative solutions. Our mission is to provide a level of monitoring and clinical intervention that is unique to healthcare and...

Benefits: 401(k) 401(k) matching Bonus based on performance Company parties Dental insurance Free food & snacks Health insurance Opportunity for advancement Paid time off Parental...

Position Title: Behavioral Health Nurse - Contract Position, Ventura, Ca Department: Clinical Services / Recuperative Care Reports To: Director of Nursing / Nursing Manager...

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...

Quality Assurance - Registered Nurse Job Category: Administrative Full-Time On-site Downey, CA 90241, USA Description POSITION SUMMARY The Quality Assurance Registered Nurse is a professional and...

Nurse Care Manager Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Days Job Description Join a team that's shaping the...

Schedule Available: 9:00 AM to 5:00 PM, Monday - Friday * With additional hours during evenings, weekends, and on-call; as needed. Benefits Include: Low patient-to-nurse...

Starting salaries are set in accordance with our compensation plan, which considers multiple individual and organizational factors, including internal equity. To uphold pay equity in alignment with the compensation plan, starting salary ranges are...

Staff Registered Nurse Staff Registered Nurses are responsible for providing excellence in patient care, collaborative and comprehensive care based on patient and/or family needs, providing assessments, treatment and care on assigned...

Oncology Contact Center Supervisor At Siteman Cancer Center, no one navigates cancer alone. Our team of oncology-trained registered nurses answer every call helping you navigate appointment scheduling, finding the right doctor and making...