Denials Management Appeals Nurse (Anesthesia)
$75K - $95K *
Manage medical denials efficiently by analyzing clinical records, filing compliant appeals, and collaborating with healthcare staff to maintain billing accuracy and compliance with third-party payor c...
3 weeks ago
$97K - $170K *
Join a team that's committed to advancing clinical success, as you lead training, enhance data integrity, and shape study strategies, ensuring high-quality trial outcomes through scientific oversight...
1 week ago
$130K *
Elevate patient care through comprehensive home-based physical therapy, managing therapy plans, and outcomes while collaborating with multidisciplinary teams to ensure safety and progress in functiona...
Reposted 2 weeks ago
Clinical Competency & Quality Nurse
$78K - $107K *
Join a team that's dedicated to enhancing clinical quality and competency through audits, talent management, and effective onboarding. You'll drive clinical excellence while supporting nursing staff d...
Reposted 3 weeks ago
$73K - $87K *
Empower students through personalized mentoring in their BSN journey, fostering engagement, confidence, and success while ensuring academic and NCLEX readiness through tailored support strategies...
3 days ago
RN, Care Manager (Home Health) Full Time
$75K - $95K *
Empower patients by delivering comprehensive home care services through assessment, coordination, and patient education, while effectively managing a caseload with a focus on quality care and collabor...
Reposted today
$75K - $95K *
Elevate healthcare outcomes by utilizing your expertise as a DRG Downgrade Appeals Clinician, performing clinical reviews and crafting compelling appeal documentation to support medical necessity and...
2 weeks ago
Clinical Quality and Safety Specialist (RN / PA)
$73K - $92K *
Transform healthcare by driving quality initiatives and patient advocacy, utilizing your clinical expertise to enhance safety, manage complaints, and foster a proactive care culture in a dynamic, pati...
3 days ago
Utilization Management Nurse, Lead (Inpatient | Remote | Must have California LVN / RN License)
$85K - $128K *
Innovate within the healthcare industry by leading a team of Utilization Management Nurses. Ensure the timely review of inpatient requests and enhance quality outcomes through effective collaboration...
1 month ago
Registered Nurse (RN) *$10K Sign on Bonus*
$83K - $93K *
Grow your career with a dynamic team dedicated to delivering exceptional patient care. Join a collaborative environment where you'll lead patient assessments, develop care plans, and ensure compliance...
5 days ago
Clinical Pharmacist - Utilization Management Archimedes
$100K - $130K *
Champion clinical excellence by managing specialty medication strategies, conducting peer consultations, and developing impactful clinical policies that enhance cost management across pharmacy and med...
Reposted 3 weeks ago
Licensed Physical Therapist PT - Care Coordination
$93K - $112K *
Join a team that's redefining senior care by providing integrated therapy services that empower residents to live independently and confidently, while collaborating with a dedicated wellness team to e...
2 weeks ago
$97K - $114K *
Join a dedicated team providing personalized physical therapy in an assisted living environment. Deliver high-quality care and support resident rehabilitation through tailored treatment plans in a col...
2 weeks ago
Complex Case Manager RN (Remote)
$72K - $116K *
Join a dedicated team focused on improving health outcomes for diverse populations. Utilize your clinical expertise to assess needs, implement strategic interventions, and maintain member engagement...
2 weeks ago
Complex Case Manager RN (Remote)
$72K - $116K *
Join a team that's dedicated to improving health outcomes through proactive case management. Leverage clinical judgment and data analytics to develop care plans tailored to diverse member needs while...
1 month ago
Case Manager - Registered Nurse
$54K - $116K *
Join a team that's dedicated to improving health outcomes by coordinating care for members with chronic conditions and social challenges. Execute comprehensive assessments and develop personalized car...
5 days ago
Psychiatrist (Remote & Night Shift)
$180K - $220K *
Shape the future of mental health services as a psychiatrist providing exemplary care via virtual platforms. Deliver advanced psychiatric treatment and consultation while fostering collaboration withi...
5 days ago
Clinical Psychologist - Licensed in Illinois (Geriatric, Virtual)
$80K - $100K *
Transform senior mental health care by providing telehealth therapy. Focus on personalized treatment and utilize geriatric assessments while working flexible hours remotely, with support from an innov...
2 days ago
$90K - $120K *
Transform patient care by leading and developing psychiatric clinicians while enhancing clinical operations. Collaborate with leadership to ensure compliance, improve practices, and foster professiona...
1 week ago
Physician Medical Reviewer M.D. or D.O. (Remote U.S.)
$184K - $204K *
Elevate your career by conducting independent medical reviews and offering expert testimony. Collaborate with healthcare teams to ensure compliance with protocols and improve service quality for diver...
3 weeks ago
Physician Principal - Justice Involved Services
$200K - $250K *
Join a team that's dedicated to enhancing healthcare performance through expert consulting, client relationships, and project management. Contribute to strategic initiatives while mentoring junior sta...
1 week ago
RN-Quality Clinical Management Advisor
$89K - $148K *
Grow your career with a leadership role in clinical quality measurement, driving HEDIS execution, and digital transformation. You will oversee performance improvement, regulatory compliance, data mode...
3 weeks ago
$68K - $113K *
Shape the future of disability assessments through comprehensive medical reviews and collaboration with case managers and healthcare providers, ensuring optimal treatment outcomes for claimants while...
3 weeks ago
Clinical Document Specialist (RN)
$87K - $157K *
Engage with clinical teams to enhance accuracy in patient record documentation while ensuring quality care standards are met. Contribute your expertise in evaluating documentation to reflect patient c...
Reposted 3 weeks ago
Medical Director – Pediatric Nephrology – Evicore - Remote
$207K - $346K *
Champion high-quality patient care by conducting specialized medical case reviews and peer consultations. Leverage your clinical expertise while working 100% remote within a supportive environment, en...
2 weeks ago