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We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover...

A company is looking for a Call Center Nurse RN, HouseCalls - Remote.Key ResponsibilitiesPerform telephonic outreach to members for follow-up post HouseCalls visitEnsure members have scheduled appointments with their Primary Care Provider and...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

A company is looking for a Clinical Faculty, Graduate Nursing Practicum.Key ResponsibilitiesTeach and manage up to ten course sections annually in graduate nursing, focusing on practicum and leadership/education coursesMentor and support adjunct...

A company is looking for a Virtual Nurse Educator for NCLEX Services.Key ResponsibilitiesProvide one-on-one online instruction to support participants preparing for NCLEXUnderstand and assist customers with ATI products and solutionsImplement...

A company is looking for a Clinical Review Nurse - Correspondence.Key ResponsibilitiesDrafts correspondence letters based on clinical review outcomes in accordance with NCQA standardsInvestigates denials and provides supplemental information to...

A company is looking for a Utilization Management Director - RN Required - Remote.Key ResponsibilitiesOversee day-to-day operations of the Utilization Management Department to ensure compliance with payer requirements and regulatory...

A company is looking for a Nurse Auditor.Key ResponsibilitiesPerform charge audits and assessments to resolve incorrect or missing chargesMonitor revenue loss reports and identify documentation needs to support charge captureEducate stakeholders...

A company is looking for a Utilization Management RN to ensure efficient healthcare resource use while promoting quality patient care.Key ResponsibilitiesCoordinate with healthcare teams to assess and monitor the delivery of healthcare...

A company is looking for a Nurse Case Manager (WC and PIP).Key ResponsibilitiesNegotiate fees and coordinate referrals with rehabilitation and medical case management vendorsGather, analyze, and report service data significant to clients and...

A company is looking for a Clinical File Review Specialist (RN) to support physician reviewers by analyzing complex medical records in a remote, non-patient-facing role.Key ResponsibilitiesReview medical records for disability, workers'...

A company is looking for a Utilization Management Nurse.Key ResponsibilitiesCoordinate and facilitate correct identification of patient statusConduct concurrent and retrospective reviews and support the medical necessity denial and appeal...