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To maximize client savings, the full-time Illinois Licensed Nurse Auditor will remotely review medical bills, ensuring appropriate billing, coding, and treatment while maintaining compliance with fee schedules and identifying erroneous charges.Key...

A company is looking for an RN-to-BSN Academic Advisor.Key ResponsibilitiesServe as the primary advisor for nursing students from onboarding through graduationBuild strong relationships with students to enhance engagement, retention, and program...

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...

Leading the RN-led Complex Care Management program, the contract-to-hire RN Case Management Director will oversee strategy, clinical workflows, and operational performance in a remote setting, ensuring adherence to NCQA standards and driving...

Leading clinical operations across multiple states, the full-time Regional Clinical Services Director - RN will provide nursing leadership, consultation, and resources for patient care departments while ensuring compliance with diverse regulatory...

To support clinical research initiatives, the full-time Ohio Licensed Research Nurse will provide patient care, conduct assessments, ensure compliance with regulatory standards, and guide research procedures, with opportunities for flexible...

Providing one-on-one education on chronic conditions and wellness, the fully remote Licensed Health Coach LVN will establish health improvement plans and personalized goals for clients while supporting behavior changes to enhance their health...

Overseeing hospice intake compliance, the full-time remote Hospice Clinical Compliance & Audit Associate Director will manage clinical audit activities to ensure documentation accuracy, regulatory compliance, and claim readiness while...

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...

To support the education of future healthcare leaders, the part-time Arizona Licensed Nurse Educator will teach Advanced Pathophysiology and Pharmacology online, delivering high-quality instruction while maintaining compliance with accreditation...

Kansas Licensed PMHNP, this position offers a fully remote, contract role focused on tele-psychiatry with flexible scheduling and minimal administrative duties.Key ResponsibilitiesProvide tele-psychiatry services to patientsManage patient intake...

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...

RN Utilization Review Manager, responsible for overseeing the daily operations of Utilization Management staff in a full-time, salaried position, including team management, performance monitoring, and compliance with regulatory standards.Key...

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...

Seeking a part-time Licensed Peer Reviewer to work remotely in the United States, who will review medical records for standard of care determinations and provide quality improvement recommendations based on clinical expertise in an outpatient...

Collaborating closely with the Chief Nursing Officer, the full-time remote Associate Chief Nursing Officer will lead nursing operations, manage a team of nurses, and assist in AI product development to ensure high-quality patient interactions and...

Bilingual Nurse Patient Access Specialist (RN), a full-time remote position responsible for facilitating patient access to therapy by conducting benefit investigations, verifying insurance eligibility, and providing ongoing patient support and...

Providing advanced clinical appeal services, the full-time Ohio RN Clinical Case Manager will manage complex patient account denials, perform clinical reviews, and assist in the development of denial prevention strategies while working...

Leading a team of Utilization Management Nurses, the full-time California Licensed Utilization Management Nurse Lead will review inpatient and prior authorization requests, ensuring timely processing and high-quality medical outcomes while working...

Providing clinical review support on an as-needed basis, the part-time PRN Clinical Review Specialist will review medical records for medical necessity, level of care, and authorization compliance while ensuring timely appeal submissions and...

Passionate about shaping future health care leaders, the part-time Arizona Licensed Nursing Educator will teach the Nursing Education Practicum online, delivering engaging instruction while overseeing 150 hours of clinical and educational...

To support nursing staff in a remote capacity, the full-time Pennsylvania Licensed Assistant Nursing Manager will provide on-call support, oversee performance management, and ensure continuity of care while working from home during scheduled hours...

A company is looking for an Associate Manager US Clinical Operations RN.Key ResponsibilitiesManage shift operations and ensure adherence to service level agreementsOversee team performance through coaching, performance reviews, and development...

Supporting high- and rising-risk patients, the part-time Nightingale RN Care Coordinator will leverage clinical expertise for comprehensive care coordination and chronic disease management while working remotely between 8:00 AM and 4:30 PM.Key...

To support patient care initiatives, the full-time Bilingual LPN Care Coordinator will manage outbound phone calls to patients, addressing healthcare needs and facilitating access to resources in a fully remote environment.Key...