• Aequor (New York, NY)
    …OSHA , including recordkeeping OSHA Blood-borne pathogen/Universal precautionsClinical Skills: Clinical skill performance within RN scope of practice ... Position Purpose:Provide case management and clinical services to employees within their regulated scope...scope of practice.Experience/Education: BA/BS in nursing degree and current RN license in New York State Prefer minimum of… more
    HireLifeScience (06/25/24)
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  • Northeast Georgia Health System, Inc (Gainesville, GA)
    Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the ... members as needed to ensure services will be covered.Coordinate and communicate with Utilization Review Nurse on a daily, consistent basis to ensure patients are… more
    JobGet (07/07/24)
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  • Saint Francis Health System (Tulsa, OK)
    Saint Francis Health System is seeking a Registered Nurse ( RN ) Virtual Care for a nursing job in Tulsa, Oklahoma.Job Description & RequirementsSpecialty: ... works from an on-site office location (not a remote position)Will perform admit, discharge chart review ...Healthcare System Tulsa Job ID #JR13153. Posted job title: Rn , Registered Nurse - Med/Surg… more
    JobGet (07/02/24)
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  • A-Line Staffing Solutions (Dallas, TX)
    …ICD-10, Medical Coding, BSN, Medical Management, Utilization Review , Utilization Management, Registered Nurse , MCO, RN , Nurse , Managed Care, ... Full time Case Manager Nurse RN openings in the Dallas,...with Luke H. at A-Line! This is a hybrid ( remote -field) position. Care Managers will be working in the… more
    JobGet (07/07/24)
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  • HumanEdge Travel Nursing and Allied Health (Hartford, CT)
    …facility for occassional meetings. Bachelor's or master's degree in nursing Registered Nurse ( RN ) license Clinical nursing experience Experience in care ... HumanEdge Travel Nursing and Allied Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Hartford, Connecticut.Job Description… more
    JobGet (07/01/24)
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  • A-Line Staffing Solutions (Glen Allen, VA)
    A-Line Staffing is now hiring RN Nurse Case Manager Remote . The Nurse Case Manager would be working for a Fortune 500 company and has career growth ... Henrico and Glen Allen and Fredericksburg RN Nurse Case Manager Responsibilities Responsible for the review... Nurse Case Manager Responsibilities Responsible for the review and evaluation of clinical information and… more
    JobGet (07/07/24)
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  • Department of Defense (Louisville, KY)
    …investigation. * Possess and maintain a current, active, valid, and unrestricted license as a registered nurse and APRN or APRN as required by the state issuing ... Position: The incumbent will serve as an Advanced Practice Nurse ( Nurse Practitioner) with responsibility for performing...Spokane, WA * Milwaukee, WI * Beckley, WV * Remote job No * Telework eligible No * Travel… more
    JobGet (07/07/24)
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  • US Tech Solutions, Inc. (Austin, TX)
    Duration: 12 months Contract (hybrid 3 days onsite - 2 days remote ) Job Description: Individual will work in Client's global quality organization processing ... records meet global requirements. . Product complaint documentation, investigation, and review of all non-medical complaint content. . Responsible for reviewing… more
    JobGet (07/07/24)
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  • Clinical Documentation Specialist…

    UTMB Health (Galveston, TX)
    …(CCS) certification, and a minimum of 3 years medical coding experience. **Or** . Registered nurse (or medical school graduate) with a minimum of 3 years ... Clinical Documentation Specialist ( Remote -Texas Resident)...UTMB Health Requisition # 2401336 **Minimum Qualifications:** . Certified Registered Health Information Administrator (RHIA), or Technician (RHIT), or… more
    UTMB Health (05/04/24)
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  • Utilization Management (UM) Nurse

    Kepro (Indianapolis, IN)
    …in the public sector. Acentra seeks a Utilization Management (UM) Nurse Clinical Reviewer - LPN/ RN ( Remote US) to join our growing team. Job Summary: ... The purpose of this position is to utilize clinical expertise to review medical records against...unrestricted Indiana Licensed Practical Nurse (LPN) OR Registered Nurse ( RN ) OR other… more
    Kepro (07/03/24)
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  • Clinical Reviewer Immediate Advocacy…

    Kepro (Harrisburg, PA)
    …being a vital partner for health solutions in the public sector. Acentra seeks a Clinical Reviewer Immediate Advocacy ( Remote ) to join our growing team. Job ... Summary: The Clinical Reviewer utilizes clinical expertise for the review of medical...Team Visit us at Acentra.com/careers/ Requirements + Active unrestricted RN , Social Worker, or other applicable State and/or Compact… more
    Kepro (06/12/24)
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  • Clinical Quality Review Specialist-…

    Trinity Health (Livonia, MI)
    …time **Shift:** **Description:** Trinity Health at Home is seeking an experienced RN Clinical Quality Review Specialist - REMOTE **Trinity Health at Home ... is seeking an experienced RN Clinical Quality Review Specialist - REMOTE...and top clinical outcomes. **Minimum Qualifications** + ** Registered Nurse with current license from the… more
    Trinity Health (06/26/24)
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  • Clinical Navigator ( Remote )

    CareFirst (Baltimore, MD)
    …plan and/or health insurance operations (eg networks, eligibility, benefits). **Licenses/Certifications** : RN - Registered Nurse - State Licensure And/or ... course of action and level of care. Applies sound clinical knowledge and judgment throughout the review ...Compact State Licensure RN - Registered Nurse in MD, VA or Washington,… more
    CareFirst (06/28/24)
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  • Auditor, Clinical Services - Remote

    Molina Healthcare (Mckinney, TX)
    **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management ... them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and...medical or behavioral health settings. + Two years of clinical auditing/ review experience. To all current Molina… more
    Molina Healthcare (06/25/24)
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  • Remote Clinical Care Manager II…

    Actalent (Columbus, OH)
    **This person must be licensed in Ohio, or have a multi state RN license. ** Location: 100% remote Shift: 1st shift, M-F Term of Assignment: ASAP - 9/30/2024 ... Description: The Clinical Care Reviewer II is responsible for...manner. Essential Functions: + Complete prospective, concurrent and retrospective review of acute inpatient admissions, post acute admissions, elective… more
    Actalent (07/06/24)
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  • Director Clinical Education ( RN )…

    Providence (Portland, OR)
    …Nursing with a Minor in Education or Health Care Administration + Upon hire: State Registered Nurse License (Vendor Managed) + Within 1 year of hire: Case ... actives with the established system wide process and oversees an annual review for all systems level education materials. **ESSENTIAL FUNCTIONS** + Collaborates with… more
    Providence (06/20/24)
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  • Manager, Clinical Documentation Improvement…

    University of Miami (Hialeah, FL)
    …will also be considered. Certification and Licensing: + Current and Active Registered Nurse license + CDI certification required: Certified Documentation ... applying CDI expertise. + Supervises all phases of the clinical documentation process and applies CDI review ...the clinical documentation process and applies CDI review expertise to ensure compliance, accuracy, specificity, and severity… more
    University of Miami (07/07/24)
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  • RN Clinical Documentation Integrity…

    University of Washington (Seattle, WA)
    …) **UW MEDICAL CENTER** has an outstanding opportunity for an ** RN Clinical Documentation Specialist - Oncology.** **WORK SCHEDULE** Full-time ... day shift. The work is remote . **POSITION HIGHLIGHTS** The Clinical Documentation Specialist,...oncology patients. + Active license to practice as a registered nurse in the State of Washington… more
    University of Washington (05/30/24)
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  • Registered Nurse Clinical

    HCA Healthcare (Corpus Christi, TX)
    …career path, we encourage you to apply for our Registered Nurse Clinical Reviewer opening. We review all applications. Qualified candidates will be ... **Introduction** Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer...REMOTE position.** **What qualifications you will need:** + ** Registered Nurse , prefer at least one year… more
    HCA Healthcare (06/25/24)
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  • Clinical Program Coordinator RN

    Providence (OR)
    …in the collaboration and management of patient care + Current unencumbered Registered Nurse License in state of residency **Preferred qualifications for ... must empower them._** **Providence Health Plan is calling a Clinical Program Coordinator RN who will:** +...Nursing or Health Education + Upon Hire: Current unencumbered Registered Nurse License in Oregon + Within… more
    Providence (06/07/24)
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