- Geisinger (Pittston, PA)
- Job Title: RN - Registered Nurse - Hospital at HomeLocation: Pittston, PennsylvaniaJob Category: RN - Registered Nurse , Nursing and Nursing ... and License(s)Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of PennsylvaniaOur Purpose &… more
- HealthCare Support (Houston, TX)
- …Prestigious HealthCare Company in Remote Houston TX . Daily Responsibilities for Utilization Review RN : WIll need to use their OWN EQUIPMENT: 2 screens, will ... Utilization Review RN HealthCare Support is actively...Utilization Review RN HealthCare Support is actively seeking a Utilization...Qualifications for Utilization Review RN : RN , current Texas License Three years clinical … more
- Lucile Packard Children's Hospital (Palo Alto, CA)
- …on distance. This paragraph summarizes the general nature, level and purpose of the job. The Clinical Nurse II is an RN that practices as a full partner ... consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse II possesses the knowledge, skills and the… more
- Medalogix (Nashville, TN)
- …OASIS (COS-O, HCS-O) and/or ICD10 Certification (HCS-D and BCHH-C) Must be a license Registered Nurse ( RN ) or Physical Therapist (PT) Bachelor's Degree: ... 2025, Forcura, the intelligent workflow management company, and Medalogix, a clinical decision support company, announced that they have combined. Together, the… more
- UTMB Health (Galveston, TX)
- …(CCS) certification, and a minimum of 3 years of 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 # 2505072 **Minimum Qualifications:** . Certified Registered Health Information Administrator (RHIA), Technician (RHIT), or an… more
- ManpowerGroup (Austin, TX)
- …and professional standards. **What You'll Need** * Active Registered Nurse ( RN ) license in good standing. * Strong clinical judgment and understanding of ... We're seeking a dedicated and detail-oriented ** Registered Nurse ( RN )** to...team supporting Medicaid services in Texas. This is a non- clinical , ** remote ** - review role focused… more
- Centene Corporation (Carson City, NV)
- …+ Oversees performance of all UM functions (prior authorization, concurrent review ) for the market per the defined partnership agreement*Orchestrates all elements ... with MDs to translate the needs of the members into intentional clinical program design that delivers successful health outcomes*Liaises with state regulators for… more
- AbbVie (San Francisco, CA)
- …YouTube, LinkedIn and Tik Tok (https://www.tiktok.com/@abbvie) . Job Description The Clinical Operations Program Director is responsible to connect science and ... operations to bring clinical studies to life through the execution of one...strategic partner for the Asset Strategy Team and Development Review Committee whose remit is to maximize the value… more
- Highmark Health (Dover, DE)
- …Nursing + 5 - 7 years in Social Work **LICENSES OR CERTIFICATIONS** **Required** + Registered Nurse or + Licensed Clinical Social Worker (LCSW) - ... Audit Reviews, Annual MERCER Review and NCQA Review . Develops ongoing educational programs that ensures clinical... Review . Develops ongoing educational programs that ensures clinical and non- clinical staff are evaluated at… more
- Actalent (Bakersfield, CA)
- Position Highlights: + Location: Remote (California-based candidates or CA RN license required) + Schedule: Monday-Friday, 8:00 AM-5:00 PM PST + Start Date: ... medical directors, and internal teams to support discharge planning + Document clinical findings and manage member records in health systems + Educate providers… more
- Trinity Health (Livonia, MI)
- …or Nursing or equivalent in experience. Must possess one of the below: + Current Registered Nurse ( RN ) License + Registered Health Information ... Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position At the direction of the Regional Manager,...regulatory standards are met. Ensures that direct reports perform clinical validation as part of the review … more
- TEKsystems (Milwaukee, WI)
- …initiatives and maintain awareness of organizational updates and policies. Qualifications + Registered Nurse ( RN ) certification required + Minimum 5 ... years of full-time adult acute care RN experience in med/surg, critical care, emergency,...Clinical Documentation Improvement (CDI) + Experience with chart review or auditing + Certified Clinical Documentation… more
- Magellan Health Services (Boise, ID)
- …Professional Counselor - Care MgmtCare Mgmt, PC - Professional Counselor - Care MgmtCare Mgmt, RN - Registered Nurse , State and/or Compact State Licensure - ... for RN , Masters or Doctoral level provider. General Job Information Title Clinical Manager, Behavioral Health (UM) -Licensed, Remote in Idaho Grade 27 Work… more
- Roper St. Francis (Mount Pleasant, SC)
- …Purpose of Position** Virtual Registered Nurse /Hybrid will alternate work shifts as Clinical RN and the Remote Patient Monitoring RN . This ... the designated care setting and remotely as a Virtual Registered Nurse as designated by their department....Nurse as designated by their department. In their Clinical RN role, they will provide nursing… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Clinical Guide Location: Remote Career Area: Health Services About Blue ... difference, join us. The Impact You Will Have The Clinical Guide is a critical component of BCBSMs Integrated... and service availability. Required Skills and Experience * RN with MN license or LSW with no restrictions… more
- LA Care Health Plan (Los Angeles, CA)
- Registered Nurse ( RN ) Manager, Appeals and Grievances General Operations ( Clinical ) Job Category: Clinical Department: CSC Appeals & Grievances ... presentations. Excellent verbal, written communication and presentation skills. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and… more
- Geisinger (Danville, PA)
- …Experience Minimum of 3 years-Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE ... work on site position located in Danville, Pennsylvania. The Clinical Documentation Improvement Program (CDI) is designed to improve...highly trained staff members to perform a concurrent inpatient review of the record. This allows the record to… more
- Banner Health (Gilbert, AZ)
- …through the completion of a Bachelor's Degree in Nursing. Requires a current Registered Nurse ( RN ) license. Experience typically gained through two ... looking to leverage your abilities - apply today. The ** RN Clinical Research Specialist** at **Banner MD...on site to support our patient facing requirements, however remote and schedule flexibility options are also offered following… more
- SSM Health (MO)
- …Division of Professional Registration + Or + Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by Compact State + Or + Registered ... **It's more than a career, it's a calling.** MO- REMOTE **Worker Type:** Regular **Job Summary:** Performs as...+ Physician - Regional MSO Credentialing + Or + Registered Nurse ( RN ) Issued by… more
- Erie 2-Chautauqua-Cattaraugus BOCES (Williamsville, NY)
- School Registered Nurse ( RN ) The...full Job Description listed below Job Description Job Title: Registered Nurse Department: Clinical Services ... Date Open Date 09/05/2025 Closing Date Are you a Registered Nurse ( RN ) looking for...the Associate Director of Nursing and/or the Director of Clinical Services. Job Duties and Responsibilities: + Complies with… more
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