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Georgia Department of Community Health (DCH) is seeking a Compliance Nurse 2 for the Long-Term Care Unit to perform on-site surveys and document review. The role requires extensive travel (up to 90%), and prior RN experience with supervisory...

Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from Home! Get AI-powered advice on this job and more exclusive features.Direct message the job poster from BroadPathGlobal Talent Attraction...

Utilization Management Nurse Consultant We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues...

Are you an experienced MDS nurse who enjoys solving problems, supporting teams, and making an impact across different skilled nursing environments? Health Dimensions Group (HDG)—a nationally respected leader in senior care consulting and...

Summit Consulting seeks a skilled Registered Nurse with strong case management and managed care experience to review and optimize workers' compensation claims. The role involves auditing medical bills, advising on cost-control procedures, and...

Nurse Evaluator (NE) III The Department of Health Care Services (DHCS) is the backbone of California's health care safety net. Our success is made possible by the hard work of more than 4,800 DHCS team members and through collaboration...

Payrate: $41.00 - $43.00/hr Summary: The main function of the nurse is to provide and coordinate patient care, educate patients and the public about various health conditions, and provide advice and...

OUR MISSION We exist to create a more connected, compassionate, and confident experience for people with cancer and those who care for them. We make it easier to get answers, access high-quality care quickly, and feel...

RN/NP Clinical Quality Reviewer Primary Care, Acute Symptom Triage & Travel Health | Contract, up to 25 hrs/week About the Role We are seeking Nurses & Nurse Practitioners with clinical experience in one or more of the...

Vail Health is seeking a Triage Nurse (Remote) to perform care coordination and triage nursing functions. You will assess patient health concerns using protocols and support triage via calls and patient portal messages. Responsibilities...

JOB DESCRIPTION We are searching for six TX licensed RNs to work telephonically with our Medicaid members across the state. Three of the positions are open to RNs with at least two years of experience in in Behavioral Health or Substance...

Health Care Position We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply,...

Concept Rehab & Engage Consulting is seeking an experienced MDS Nurse (RN) Coordinator for a full-time remote role. You will manage MDS assessments, ensure accurate documentation, and support reimbursement workflows for skilled nursing facilities.

Clinical Reviewer – Registered Nurse (RN) Comagine Health | Washington State | Remote / Work From Home This is an excellent opportunity for an experienced Registered Nurse who wants to transition from direct patient care into a...

Remote Nursing OpportunitiesAre you looking for an exciting way to utilize your nursing skills and expertise to deliver quality nursing care in a remote setting? AccessNurse, where technology meets compassionate care, is looking for professional...

Baptist Health is seeking a Clinical Documentation Specialist to evaluate physician documentation and ensure the severity of illness is accurately portrayed in the medical record to support precise coding. This remote role requires residency in KY...

Vail Health has become the world's most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state-of-the-art facility provides exceptional care to all of our patients, with the most...

Tennova Healthcare- Turkey Creek Medical Center is seeking a PRN Remote Clinical Utilization Review Specialist to evaluate the necessity and efficiency of hospital services and to support payer requirements. You will review admissions and...

Our Story Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America, we're at the forefront of innovation and excellence, blending cutting-edge technology with top-tier...

University Health is seeking a Utilization Management Nurse RN for UH Truman Medical Center in Missouri. The role manages resource use, supports care transitions, and advises care teams on documentation and discharge planning to improve patient...

Are you looking for an exciting way to utilize your nursing skills and expertise to deliver quality nursing care in a remote setting? AccessNurse, where technology meets compassionate care, is looking for professional nurses & offering...

Department: Claims Administration & Adjusting Location: Home United States Description Our Story Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North...

A leading health care provider is seeking a Massachusetts Telehealth Nurse to assist patients in accessing care through phone consultations. Candidates must have a valid RN license in Massachusetts and 3+ years of clinical experience. The ideal...

About the Role: The Nurse Auditor, Regulatory Reimbursement and Reporting is responsible for conducting clinical, revenue integrity, and compliance audits to ensure accurate charge capture, documentation integrity, coding compliance, and...

Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health,...