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We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...
As an NP at OhioHealth, you will receive the support needed to balance your personal and professional goals and impact on our mission of improving the health of those we serve in Central OH. Ideal for new those with strong RN critical...
Providing care coordination for Medicaid and Medicare members, the full-time Remote Bilingual Nurse Coordinator will build trusted relationships, assess member needs, and facilitate access to care while working from a dedicated home office in the...
RN Tele-Health Triage Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout...
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...
Focusing on Coding & Clinical Chart Validation, the full-time Clinical Auditor RN will conduct audits of outpatient and specialty claims, ensuring coding accuracy and medical necessity while utilizing advanced audit tools and maintaining...
We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...
UnitedHealthcare Telephone Case Manager RN At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of...
To lead operational initiatives in Medicare Advantage Quality and Risk Adjustment, the full-time Registered Nurse Medicare Program Lead will coordinate HEDIS reporting, manage vendor relationships, and ensure compliance with regulatory standards...
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...
Complex Care Manager, RN At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.
Working remotely on a contract basis, the RN Clinical Contractor will provide health assessments and treatment solutions via various communication methods while managing patient follow-ups and ensuring high-quality care delivery.Key...
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...
Sr Utilization Management Nurse Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting...
Providing comprehensive medical reviews and analysis of disability claims, the full-time RN Clinical Consultant will work remotely to assess functional capacity based on medical data, collaborate with healthcare providers, and enhance the customer...
Requisition number: 2376452 Job category: Nursing Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team...
Performing medical record reviews and liaising with external review agencies, the full-time Illinois Licensed Utilization Review Nurse will ensure compliance with regulations affecting financial reimbursement while primarily working remotely with...
Patient Care Manager RN Hybrid Explore opportunities with Caretenders Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we...
To build and manage a clinical Quality Assurance program, the full-time Clinical Quality Assurance Specialist, RN will review patient charts, ensure documentation compliance, and collaborate with various teams to enhance care quality in a remote...
Seeking a part-time Remote California RN/LVN Licensed Inpatient Review Nurse to work weekends, responsible for performing inpatient reviews, generating referrals for ancillary services, and collaborating with healthcare teams to ensure appropriate...
Explore opportunities with Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best,...
Providing virtual clinical services, the full-time Bilingual Spanish Nurse Practitioner will deliver reproductive and sexual health care to patients through a telehealth model, collaborating with healthcare teams while working remotely in CO, ME,...
Seeking an experienced Clinical Documentation Specialist (CDS) for a full-time remote position, responsible for enhancing documentation integrity in inpatient care through record review, education, and consultation while ensuring compliance with...
To enhance the technical effectiveness of the Clinical Chart Validation team, the full-time RN Licensed Auditor Trainer will be responsible for planning, developing, and delivering technical training, mentoring team members, and assessing training...
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