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HBiz seeks a Clinical Appeals Nurse (RN) to remotely support revenue cycle operations. You will review denied claims for clinical accuracy, develop evidence-based appeal strategies, and draft payer-ready documentation to overturn denials and...

Ansible Health is seeking a dedicated registered nurse (RN) to join a telemedicine team caring for adults with complex cardiopulmonary conditions, including COPD and heart failure. This remote, part-time role offers mentorship and exposure to...

SCAN is seeking a Medical Management Specialist-RN in California to promote quality and cost-effectiveness of care under regulatory guidelines. You will support utilization management, conduct reviews, and coordinate with the Medical Director for...

UR Medicine Thompson Health is seeking a Lead Clinical Documentation Specialist (RN) to oversee CDI efforts and improve documentation quality. The role emphasizes collaboration with physicians and the care team, ensuring compliance and optimized...

Blue Cross NC is seeking an Episodic Care Manager to join the Commercial Clinical UM Team. You will perform clinical reviews to assess medical necessity and coordinate delivery of care for members, collaborating with providers, members and...

Travel RN-Outpatient Clinic Travel RN-Outpatient Clinic jobs in Juneau, AK let you work in a city surrounded by stunning natural beauty and a welcoming community. The facility is a Federally Qualified Health Center offering primary care,...

HealthTrust Workforce Solution External is seeking a travel nurse RN Long Term Acute Care for a travel nursing job in Kansas City, Missouri. Job Description & Requirements Specialty: Long Term Acute Care Discipline: RN Duration: 8 weeks 36 hours...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our...

Job Summary: The Utilization Management Policy Initiatives Nurse RN II, under the purview the Utilization Management (UM) Department Leadership Team, is responsible for managing, reviewing, updating and creating...

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any...

Job Title: Infusion Registered Nurse (RN) Location: Pasadena, CA (Surrounding areas) Job Type: Per-diem Position Overview We are seeking a skilled and detail-oriented Infusion Registered Nurse (RN) with strong vascular access...

Sentara Health is seeking an Integrated Case Manager, RN, to deliver comprehensive case management across the care continuum. This remote position requires in-person face-to-face assessments and travel to Roanoke and surrounding areas up to...

SCAN, a nonprofit health organization serving older adults, seeks an HEDIS Nurse for remote data abstraction and outreach. You will review records, coordinate with members and providers, and support quality initiatives per NCQA guidelines.

Job Description UW Medical Center - Northwest has an outstanding opportunity for a Nurse Care Coordinator to join our Care Management team with the goal of achieving coordinated patient flow through an inpatient stay,...

Telligen is seeking a Senior Review Coordinator RN to conduct utilization review and medical management for all services, including mentoring teammates and performing preliminary research. This is a home-based, part-time role with Saturday and...

We are looking for a Travel Case Manager - RN RN for a great Travel nursing job in Los Angeles, CA. This Case Manager - RN Travel nursing job pays for 40 hours a week for 13 weeks. With Wanderly you can compare Travel nurse salary from leading Travel...

Olympia Convalescent Hospital is looking for a Licensed Practical Nurse / Licensed Vocational Nurse (LPN / LVN) to assume responsibility and accountability for the application of the nursing process and the delivery of patient care, under 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...

Benefits: High Degree of Independence Flexible schedule Elevate Patient Care from the Comfort of Home Are you a highly skilled RN looking for the autonomy of independent practice and the flexibility of a part-time...

Highmark Inc. is seeking a full-time remote Health Care Case Management professional. Responsibilities include reviewing care plans, ensuring regulatory compliance, and identifying opportunities for Health Coaching and case management...

Full-Time QA Registered Nurse Salary range: $135,000-$142,000 Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review...

Utilization Management (UM) Claims Review Nurse RN II Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) L.A. Care Health Plan is an independent public agency created by the state of California to provide...

Nurse Advocate Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris...

ATC Healthcare Is Currently Hiring For Certified Nurse Assistant Per Diem Assignment Type: Per Diem-Self-Schedule Specialty: CNA Per Diem Location: Hollywood, CA Hourly Pay: $19/hr Weekly Gross Pay: $266/Shift...

At UK St. Claire, our staff is our greatest asset in the mission to create a healthier and more prosperous population. We strive to foster the talent and potential of our employees and prioritize safe working conditions and equal compensation...