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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...

Rising Medical Solutions has an opening for a Utilization Review Nurse, and we want to hear from you! We're a bill review and cost containment company - so what does that mean? Basically we are trying to fix a very broken healthcare...

Nurse Educator The Nurse Educator is responsible for providing support to ensure safe, effective and appropriate use of PROVENGE® (Sipuleucel-T) from enrollment to completed infusion for commercial accounts prescribing the Product and...

Duration: 03 Months Job Description: 3-4 days in Columbia to obtain computer/equipment and make sure able to log into applications than remote. Work area has to be in a separate room in home with door that will remain closed/locked with no...

At American Career College, we share a passion for students and transforming healthcare education! As a faculty member for a certified Great Place to Work, you will join a collaborative, student-centric culture valuing academic integrity,...

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...

Concentric is currently seeking candidates in Registered Nurse profession with focus in Registered Nurse (Behavioral Psychology) for a 13 week contract in the Los Angeles, CA area. Concentric is a premier staffing firm dedicated to matching...

Job Description RN Utilization Review - Remote. This position is Per Diem and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA...

City/State Virginia Beach, VA Work Shift First (Days) Overview: Overview Responsible and accountable for the provision and facilitation of comprehensive care...

Nurse Reviewer – State of Illinois Location: Remote with on-site visits across Illinois We are currently seeking Nurses who reside in Central Illinois - preferably in McLean and Sangamon Counties. Position Overview...

Registered Nurse (RN) - IRIS Self-Directed Personal Care (SDPC) No weekends, no afterhours support, no holidays Are you seeking a unique nursing position that gives you a great work/life balance and lets you support people to live...

Join Our Team at CHA Hollywood Presbyterian CHA Hollywood Presbyterian (CHA HPMC) is a nationally recognized acute care facility that has been caring for the Hollywood community and Los Angeles Areas since 1924. Join our global...

Job Title Job Title Job Description Responsible for attending to the daily living and safety needs of an assigned group of participants and aiding the licensed nursing associates in the care of participants by performing...

We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only). Veterans, Reservists, Guardsmen and military family members are...

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families,...

Evenings, Weekend Only, Full-time & Part-time opportunities available (20hrs +) Hiring for evenings and weekends (*weekends and holidays are required) Incentives for Bilingual Spanish Telephone Triage RNs! Are you looking for an...

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is...

PIH Health - 12401 Washington Boulevard - Responsibilities: Facilitate timely and effective patient care under supervision of licensed healthcare team members; Help maintain a safe and clean environment to support department operations;...

Behavioral Consultant (BC) ViaQuest Community Solutions (VCS) offers an excellent opportunity for seasoned clinicians with experience providing waiver-funded Behavioral Support Services. We welcome experienced Behavioral Consultants from...

Professional Review Nurse The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical...

About the Employer Welcome to Paramount Unified School District. Paramount strives to create a collaborative and supportive environment for our employees so that they may focus on our main goal to serve the needs and...

If you are interested, please apply online and send your resume to [email protected]. POSITION SUMMARY The licensed vocational nurse (LVN) renders professional nursing care to patients at the...

...Vocational Nurse, Mental Health, Mental, Registered Nurse, Technician, Nurse, Healthcare...

Utilization and Care Management Nurse Work from home within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are...

Ambulatory Nurse Coordinator Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As...