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Complex Medicare Claims Review Complex Medicare claims/prior authorization requests require the review of medical record documentation to determine the reasonableness and necessity of the billed service in accordance with Medicare rules...

Nurse RN Are you passionate about improving the health of individuals receiving behavioral health services? Would you like to be a valuable member of a diversity driven, mission-minded team that impacts our community? If so, we have an...

JOB DESCRIPTION Increase your chances of an interview by reading the following overview of this role before making an application. Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying...

Job Title: School Nurse Reports To: Director of Whole Child Support / Building Principal Job Code Number: [Insert Code] Contract Length: 184 Days Exempt/Nonexempt: Exempt Department: Whole Child / Student...

Local Hourly Rate: $60/hr Travel Pay Package: Weekly Gross: $2,378 Weekly Stipend: $1,477 Taxable Hourly: $25.02 Dates: ASAP start (13 weeks) Hours: 7p-7:30a; 36...

About Us A pioneer in the caregiving space, Careforth supports family caregivers across the United States to confidently care for their loved ones at home. Through a combination of in-person home visits, remote coaching and...

Details Client Name Mount Carmel Grove City Job Type Travel Offering Nursing Profession RN Specialty...

Overview This is a short-term assignment. What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and...

Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. Daymark's comprehensive, personalized cancer care platform empowers patients with dedicated care navigation,...

ABOUT AVOSYS Avosys is a growing integrator of professional, technological and management solutions services. Founded in 1998, Avosys provides services nationwide to Federal, Commercial, Local and State clients. We recognize the...

WE ARE TITANIUM HEALTHCARE Titanium is a healthcare company that puts heart and compassion above all else. Millions of Americans just aren't getting the medical care they need. We're on a mission to change that. For patients that means...

Amergis Healthcare Staffing is seeking an Operating Room Nurse responsible for scrubbing and/or circulating duties for operative procedures; department admissions to the operative suite. He/She is responsible to the Nurse Manager and is directly...

PURPOSE OF AN EMBASSY RN: The primary purpose of your job position is to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by nursing assistants. Such supervision must...

Details Client Name Ohio State University Wexner Medical Center Job Type Travel Offering Nursing Profession RN...

RN Reviewer The RN Reviewer position is a crucial role in our organization — in this role you are responsible for performing a full range of activities that will positively impact the organization and contribute to guiding the strategic...

Nurse - Clinical Review Performs utilization review of cases to determine if the request meets medical necessity criteria in accordance with medical policies agreed upon with the Client and any applicable governing body. Facilitates...

OverviewPosition Type: Full timeJob Title: Care Review Clinician ILocation: 100% Remote (Must reside in one of the following states: NV, AZ, FL, GA, ID, IA, KY, MI, NE, NM, NY (outside greater-NYC), OH, TX, UT, WA (outside greater-Seattle),...

Clinical Nurse, Program Manager Saratoga Medical is hiring for a Clinical Nurse, Program Manager in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit options. This is a great full-time opportunity...

Triage Registered Nurse – Remote within MN, IA, NE Planned Parenthood North Central States Minnesota, Iowa, Nebraska, North Dakota, South Dakota Triage Registered Nurse – Remote within MN, IA, NE Pay: The anticipated salary range for...

Nurse RN 3 Duration: 6+ months | Possible extension (Contract to Hire/ Temp to Perm) Shift: 8am to 5pm PST Monday - Friday. Location: Remote CA PR: XXXX-48.00/hr Day-to-day responsibilities: ...

Description RN Utilization Review - Remote position. This position will work Full-time, 8-hour day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA...

Tele Travel Rn Job type: Travel Profession: RN Specialty: TELE Shift details: Day / Night Rotate Job order details: Start date 06/29/2026, end date 10/24/2026, duration 16 weeks Client details: City...

Min USD $50.00/Hr. Max USD $55.00/Hr. Position Overview I. SCOPE OF ROLE: The Developmental Disabilities Division believes that our role in supporting...

A leading healthcare services provider is looking for a dedicated Registered Nurse to join as a Care Manager. In this remote role, you will be responsible for assessing patients' needs, developing care plans, and providing education through...

Regional MDS / PDPM / CMI / RAI Consultant Are you ready to make a change? We are seeking an experienced Regional MDS / PDPM / CMI / RAI Consultant to provide remote reimbursement, MDS, PDPM, Case Mix Index, and RAI support to our...