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Pain Management Clinical Reviewer RN
Healthcare · Virtualvocations · Oxnard, CAA company is looking for a Clinical Reviewer, Nurse, specializing in Pain Management. Key Responsibilities: Evaluate cases that do not pass the authorization approval process and collaborate with call center staff Review charts and clinica...TopUSAJobs.com ·1 day ago on TopUSAJobs -
Registered Nurse North Carolina
Healthcare · Virtualvocations · Huntington Beach, CAA company is looking for a Registered Nurse & Agency Administrator in Greensboro/Burlington, North Carolina. Key Responsibilities Ensure regulatory compliance by managing records, submitting reports, and maintaining certifications Promote q...TopUSAJobs.com ·3 days ago on TopUSAJobs -
Clinical Denials and Appeals RN
Business Opportunities · Virtualvocations · North Hollywood, CAA company is looking for a Clinical Denials and Appeals RN - Remote. Key Responsibilities Conduct medical necessity reviews and ensure documentation integrity Construct warranted appeals and coordinate pre-service authorization approvals ...TopUSAJobs.com ·4 days ago on TopUSAJobs -
Registered Nurse Records Review
Business Opportunities · Virtualvocations · North Hollywood, CAA company is looking for a Records Review/Prepayment Nurse to perform complex medical record reviews and compliance assessments. Key Responsibilities Obtain, review, and analyze medical records for compliance with policies Document review ...TopUSAJobs.com ·4 days ago on TopUSAJobs -
RN Care Manager - MI
Business Opportunities · Virtualvocations · Irvine, CAA company is looking for a Care Manager (RN) to develop and facilitate complex care management activities for members with physical needs. Key Responsibilities Evaluate member needs and barriers to care, recommending personalized care plans ...TopUSAJobs.com ·1 week ago on TopUSAJobs -
RN Care Manager - MI
Healthcare · Virtualvocations · Oxnard, CAA company is looking for a Care Manager (RN) to develop and facilitate complex care management activities for members with physical needs. Key Responsibilities Evaluate member needs and barriers to care, recommending personalized care plans ...TopUSAJobs.com ·1 week ago on TopUSAJobs -
Remote Bilingual RN New York Licensed
Business Opportunities · Virtualvocations · Irvine, CAA company is looking for a Registered Nurse (RN) for a remote Telehealth/Virtual position. Key Responsibilities Conduct assessments and gather data for patient care coordination and discharge planning Collaborate with healthcare providers t...TopUSAJobs.com ·1 week ago on TopUSAJobs -
Remote Bilingual RN New York Licensed
Healthcare · Virtualvocations · Fullerton, CAA company is looking for a Registered Nurse (RN) for a remote Telehealth/Virtual position. Key Responsibilities Conduct assessments and gather data for patient care coordination and discharge planning Collaborate with healthcare providers t...TopUSAJobs.com ·1 week ago on TopUSAJobs -
RN Clinical Signoff Reviewer
Healthcare · Virtualvocations · North Hollywood, CAA company is looking for an RN Clinical Signoff Reviewer for a national remote position. Key Responsibilities Confirm findings on MS-DRG and APR-DRG clinical validation reviews to verify accuracy of DRG assignment and reimbursement Utilize...TopUSAJobs.com ·1 week ago on TopUSAJobs -
Clinical Quality Registered Nurse
Healthcare · Virtualvocations · North Hollywood, CAA company is looking for a Clinical Quality Registered Nurse (RN) to support the Healthcare Quality Management Team in administering the Clinical Quality Management Program. Key Responsibilities Review medical records and create case summari...TopUSAJobs.com ·1 week ago on TopUSAJobs -
RN Supervisor Care Management
Business Opportunities · Virtualvocations · Long Beach, CAA company is looking for a Supervisor, Care Management (RN) to oversee the care management team and ensure quality care delivery for members. Key Responsibilities Supervise day-to-day operations and escalations related to care management for...TopUSAJobs.com ·1 week ago on TopUSAJobs -
RN Clinical Documentation Specialist
Healthcare · Virtualvocations · Fullerton, CAA company is looking for an RN Clinical Documentation Specialist to improve the quality and accuracy of clinical documentation. Key Responsibilities: Assign codes based on documentation to determine working DRG Analyze medical records to i...TopUSAJobs.com ·1 week ago on TopUSAJobs -
RN Clinical Care Specialist
Healthcare · Virtualvocations · North Hollywood, CAA company is looking for a Clinical Care Specialist to manage chronic care for patients in long-term care facilities. Key Responsibilities Coordinate and implement Chronic Care Management (CCM) services for chronically ill patients Create ...TopUSAJobs.com ·2 weeks ago on TopUSAJobs -
RN Supervisor Care Management
Healthcare · Virtualvocations · North Hollywood, CAA company is looking for a Supervisor, Care Management (RN) to oversee the care management team and ensure quality care delivery for members. Key Responsibilities Supervise day-to-day operations and escalations related to care management for...TopUSAJobs.com ·2 weeks ago on TopUSAJobs -
RN Clinical Documentation Specialist
Healthcare · Virtualvocations · Irvine, CAA company is looking for an RN Clinical Documentation Specialist to improve the quality and accuracy of clinical documentation. Key Responsibilities: Assign codes based on documentation to determine working DRG Analyze medical records to i...TopUSAJobs.com ·2 weeks ago on TopUSAJobs