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Under the direct supervision of a Registered Nurse or physician provides nursing care in accordance with the legal scope of practice and within established standards of care, policies and procedures. Demonstrates performance consistent with the...

Utilizing advanced clinical and coding expertise, the full-time Registered Nurse Clinical Documentation Specialist will ensure the integrity of clinical documentation through extensive record review, education, and consultation, all performed...

Hours: Shift Start Time: 7 PMShift End Time: 7:30 AM ...

The Registered Nurse (RN) Case Manager provides care coordination which emphasizes positive partnerships with nursing, physicians and other key disciplines in order to pace...

Under the direct supervision of a Registered Nurse or physician provides nursing care in accordance with the legal scope of practice and within established standards of care, policies and procedures. Demonstrates performance consistent with the...

New York Licensed Practical Nurse Coordinator is a full-time remote position responsible for managing patient care coordination, communication with healthcare providers, and ensuring high-quality care services.Key ResponsibilitiesComplete...

Hours: Shift Start Time: VariableShift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift ...

PIH Health - 1225 Wilshire Boulevard - Responsibilities: Facilitates timely and effective patient care under supervision of licensed staff; Maintains a safe and clean environment to enhance department operations; Delivers patient care...

Under direct supervision, perform arrhythmia or ECG monitor observations on assigned shift and communicates changes to the nursing staff. Essential Responsibilities:Obtain, compile, prepare and maintain records for the nursing unit assigned. Observe...

Working remotely in a full-time capacity, the Registered Nurse Clinical Auditor will conduct clinical audits and reviews related to fraud, waste, and abuse, while collaborating with various Health Plan departments and utilizing fraud detection...

Hours: Shift Start Time: 7:30 AMShift End Time: 4 PM AWS Hours Requirement: 8/40 - 8 Hour Shift ...

To support a 24/7 Occupational Health triage call center, full-time Telephonic Registered Nurses will manage a high volume of incoming calls, provide assessments using proprietary algorithms, and document interactions while working remotely during...

Evaluating and managing catastrophic episodes of illness, the full-time remote South Carolina Licensed Stop Loss RN will facilitate cost estimates for underwriting, consult on claims, and provide case management oversight.Key...

Providing remote patient monitoring and support, the full-time Telehealth Nurse (LPN/LVN) will conduct regular phone visits to educate members on managing chronic conditions such as hypertension and diabetes while ensuring accurate documentation...

To support the health needs of students, the full-time Tennessee Licensed Practical Nurse will assist the Registered Nurse in developing health-related plans and performing healthcare procedures in a school environment.Key responsibilitiesInteract...

Focused on Coding and Clinical Chart Validation, the full-time Clinical Auditor Licensed RN will independently audit outpatient and specialty claims, ensuring coding accuracy and medical necessity while utilizing advanced audit tools and...

Evaluating medical necessity and appropriateness for claims, the full-time State Licensed Legal Nurse will review liability demand packages, analyze medical records, and support negotiation and litigation efforts in a remote environment.Key...

To support the education of future mental health professionals, the part-time Arizona Licensed PMHNP Faculty will instruct courses in Psychiatric Management of Children and Adolescents in a fully remote environment, engaging with students to...

Seeking a remote California RN/LVN Utilization Management professional, the full-time nurse will review prior authorization requests for medical necessity across inpatient and outpatient services, applying CMS guidelines and Milliman Care...

A company is looking for a Clinical Specialist to provide clinical support and training for medical devices.Key ResponsibilitiesProvide live, telephonic, and email clinical support during business hoursTroubleshoot product issues and ensure...

A company is looking for a Clinical Auditor Registered Nurse.Key ResponsibilitiesReview medical records and documentation for compliance with healthcare standards and regulationsConduct independent medical record and compliance reviews, providing...

Managing project-related activities, the full-time Operations Manager - Medical will oversee medical and non-medical appeals decisions, develop standardized project information sharing methods, and facilitate team meetings while working remotely...

RN Clinical Consultant, a full-time remote position, provides clinical expertise in reviewing disability claims, assessing medical conditions, and collaborating with healthcare providers to enhance treatment outcomes.Key ResponsibilitiesReview and...

Supporting patient care remotely, the full-time Arizona Licensed RN Call Center will conduct assessments, provide emotional support, and connect patients with community resources while ensuring compliance with healthcare regulations.Key...