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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...

Salary : $53,450.16 - $68,224.32 Annually Location : Los Angeles County, CA Job Type: Full time Job Number: YELVN4 Department: HEALTH SERVICES...

$82,162 to $120,122; $92,373 to $135,051; $98,031 to $143,341A 2.75% bonus may be paid upon proof of professional nursing certification by a professional organization that is relevant and applicable to the duties performed. Some positions require...

Job Opportunity Seeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready to expand their impact beyond the traditional clinical setting. This position offers the...

Your Future Role At A Glance Location: Remote - Preference to reside in Greater Wichita, KS Area Facility: Via Christi Hospitals Department: Utilization Management Schedule: Day PRN Salary Range: $40.41 -...

Type: Clinic Somerville , MA SkyBridge Healthcare is currently seeking Registered Nurse with Clinic experience for a 13-week contract in MA. SkyBridge Healthcare is a premier staffing firm dedicated to matching outstanding talent...

Job Category: Allied Health Work Shift/Schedule: Varies Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. About the Role:...

Registered Nurse- Tele/FT/Nights Job Category: Registered Nurse Requisition Number: REGIS003144 Full-Time On-site Hourly Range: $41.73 USD to $61.35 USD East Los Angeles Doctors Hospital Los Angeles, CA 90023, USA...

Job Title Clinical Services Specialist RN Job Type Full-Time Category Medical Services Location Work from Home FSM Based - Fort Smith, AR 72903 US (Primary) Education...

About the Employer The Torrance Unified School District consists of 17 elementary, 8 middle, 4 high schools, 1 continuation, and 1 alternative high school. The District also has 3 adult school campuses. Torrance...

A healthcare institution in Torrance is looking for an RN Auditor to ensure compliance with medical record documentation and regulatory requirements. This role involves reviewing charts for accuracy and completeness, collaborating with departments...

Utilization Review Specialist (RN) - Work From Home (Florida-Based Candidates Only) $65K-$85K | OASIS & Coding Certified | Florida RN License Required Concierge Home Care | Work From Home...

Remote Position Part Time/Contract Position Duties: Assess patient health problems over the phone and via secure video Schedule appointments and refer patients Advise and monitor simple home treatment...

Min USD $45.00/Hr. Max USD $48.00/Hr. Position Overview I. SCOPE OF ROLE: ACT is an intensive, community-based multidisciplinary treatment team that...

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,...

Join Our Team as a Clinical Quality Assurance Coordinator! Are you passionate about healthcare quality and compliance? Do you thrive in a detail-oriented environment where your work directly impacts patient care and regulatory excellence? If...

Summary The Registered Nurse (RN) for Remote Patient Monitoring-Home Telehealth (RPM-HT) delivers knowledge-based, patient-centered care to Veterans across the care continuum. The RN provides comprehensive assessment, monitoring, and...

Job Requirements Principal Duties: 1. Provides virtual support with documentation surrounding admissions and discharges. 2. Creates opportunities to decrease the gap in novice and experienced...

About the Employer In Glendale Unified schools, we focus on maximizing student achievement, fostering students' social and emotional growth, and creating a vibrant, inclusive environment where all children can learn and...

Luxury Assisted Living Jobs - Resident Caregivers & CNAs Offering full-time and part-time positions at large assisted living company in America.Rated as top place to work!Looking to join a leader in Assisted Living to grow your career?We...

What You'll DoMake outbound calls to eligible Medicare patientsExplain Shield Health's care management programs in a clear, patient-friendly mannerAnswer patient questions and address common concernsBuild rapport and trust with patients over the...

Licensed Vocational Nurse (LVN) Shift: Varied Licensure: California LVN License Compensation- $30-$39 Brookfield Healthcare Center's commitment to excellence extends beyond delivering world class health care. Our...

Nurses - are you looking for a change? Want to work no nights, no weekends, and no holidays? Be able to work from home 50% of the time once trained? Check out Hines & Associates! *Must have Mental Health and/or...

Location Address: 9521 San Mateo NEAlbuquerque, NM 87113-2237 Compensation Pay Range: Minimum Offer $27.92Maximum Offer $42.63 Summary: Build your Career. Make a Difference. Presbyterian is hiring a...

Certified Nurse Assistant The Certified Nurse Assistant, reporting to the Nursing Unit Director, with assignment and direction from the Registered Nurse &/or LVN. This position is directly responsible for the delivery of high quality...