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  •  ...Nurse Analyst The Nurse Analyst is responsible for collecting, analyzing, and screening information from a variety of sources and is required to use that information to determine whether patient abuse, neglect, prescription drug diversion, fraud, waste, or abuse has... 
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    Work experience placement
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    Illinois Attorney General

    Oak Brook, IL
    1 day ago
  • $66k - $68k

    MaziCTools is looking for a full-time Prior Authorization Nurse Analyst to review medical documentation for prior authorization requests. This role offers a remote work opportunity, providing an excellent balance of flexibility with no on-call work. The ideal candidate... 
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    Remote job
    Full time

    MaziCTools

    New York, NY
    2 days ago
  • $153.09k - $200k

     ...broad range of industries and proudly serves more than half of the Fortune 100. Arnold & Porter is seeking an experienced Legal Nurse Analyst to support its Products Liability and Mass Tort Litigation practice working a hybrid schedule in one of the following offices:... 
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    Palo Verde Community College District

    Chicago, IL
    2 days ago
  • Arnold & Porter Kaye Scholer LLP seeks an experienced Legal Nurse Analyst to support its Products Liability and Mass Tort Litigation practice on a hybrid schedule in Los Angeles and other offices. The role involves evaluating medical issues, citing standards of care, causation... 
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    Anacalifornia

    Los Angeles, CA
    2 days ago
  • Job Title: Registered Nurse-Review Analyst Location: Hybrid - Michigan (Applicants must currently reside in Michigan to be considered) (1 day in a week) Schedule: 8am to 5pm (M-F) Engagement Description Registered Nurse with current MI license 2 years patient care... 
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    1 day per week

    w3r Consulting

    Detroit, MI
    2 days ago
  • $30 - $34 per hour

    Registered Nurse-Review Analyst Location: Detroit, MI, 48226 Duration: 10 Months Job Type: Contract Work Type: Hybrid (one day a week) Dept: Medicare Medical Policy Pay: $30-$34 per Hour on W2 At Srimatrix Health, we're dedicated to connecting talents with opportunities... 
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    1 day per week

    SriMatrix health

    Detroit, MI
    1 day ago
  • A healthcare consulting firm is seeking a Registered Nurse-Review Analyst to work in a hybrid role based in Michigan. Suitable candidates must have a current Michigan RN license and at least 2 years of patient care experience, particularly in ICU, ER, or Medical Surgical... 
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    w3r Consulting

    Detroit, MI
    2 days ago
  •  ...reconstruction and biomechanics, with regular publication in peer-reviewed journals. For the position we are seeking licensed registered nurses with experience as a Nurse Paralegal or Legal Nurse Consultant reviewing digital medical records and preparing medical chronologies... 
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    Full time
    Remote work
    Flexible hours

    BRC

    San Antonio, TX
    more than 2 months ago
  • Arnold & Porter is seeking an experienced Legal Nurse Analyst to support its Products Liability and Mass Tort Litigation practice on a hybrid schedule in Seattle and other offices. The role involves evaluating medical issues, reviewing records, and assisting with case strategy... 
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    Arnold & Porter Llp

    Seattle, WA
    3 days ago
  •  ...Quality Improvement/CDI Analyst - Registered Nurse - On-Site Functions of Position CDI Specialist Identify opportunities to impact risk adjustment factors through documentation of complicating and comorbid, or major complicating and comorbid conditions and formulate... 
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    Full time
    Monday to Friday

    Missouri Delta Medical Center

    Sikeston, MO
    1 day ago
  • Arnold & Porter Kaye Scholer LLP seeks an experienced Legal Nurse Analyst to support its Products Liability and Mass Tort Litigation practice, working a hybrid schedule across multiple offices including Chicago. The role combines clinical expertise with litigation support... 
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    Palo Verde Community College District

    Chicago, IL
    2 days ago
  •  ...Process Improvement Analyst The Process Improvement Analyst will collaborate with Accreditation Service staff and other clinical operations...  ...role RN or LVN licensure from the State of Texas Board of Nursing or recognized compact state license, preferred Skills and... 
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    Full time
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    Local area

    UMC Health System

    Lubbock, TX
    4 days ago
  •  ...clinical risk management. Experience with facilitating a root cause analysis. Education: Required: Bachelor of Science Degree in Nursing. Preferred: Master of Science Degree in Nursing or related healthcare field is preferred and/or designation as a Certified... 
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    Choc

    Orange, CA
    4 days ago
  •  ...RN Nurse MGR, RISK / SAFETY OFFICER Under the direction of the Clinical Quality Improvement Director, the Risk Manager/Patient Safety Officer has primary oversight of the facility-wide risk and patient safety program. Responsible for directing process improvements that... 
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    Direct Staffing Inc

    Mount Pleasant, SC
    5 days ago
  • The Registered Nurse- Regional Consultant Minimum Data Set (MDS) Consultant provides support, education, and training to the MDS Coordinators in the facilities on the Resident Assessment Instrument (RAI) process in accordance with the laws, regulation, and company standards... 
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    Flexible hours

    Sanstonehealth

    Greensboro, NC
    1 day ago
  • A healthcare solutions provider is seeking a Registered Nurse for Claims & Appeals Review. This remote role supports compliance and quality assurance in appeal reviews. Candidates should have a Bachelor's degree in healthcare and valid RN license in Florida. Key responsibilities... 
    Remote job

    Compunnel Inc.

    Florida, NY
    23 hours ago
  • One Community Health in Sacramento, CA is seeking an experienced OB Registered Nurse to join our team. You will provide comprehensive prenatal, perinatal, and postpartum care to pregnant patients, collaborating with clinicians to improve maternal and infant health in our... 

    One Community Health

    Sacramento, CA
    5 days ago
  • $70k - $80k

     ...Piper Companies is seeking a Remote Clinical Appeals Analyst to provide clinical expertise in reviewing and resolving complex member and provider appeals. Candidates must hold an active North Carolina licensure as an RN, LPN, PT, or OT and have significant clinical experience... 
    Full time
    Contract work
    Remote work
    Monday to Friday

    Piper Companies

    United States
    4 days ago
  •  ...Clinical Denial Audit/Analyst RN Education: Minimum of an associate's degree in nursing is required; BSN is preferred. Requires a current RN license for the state of Arkansas. Must have two (2) years of relevant experience. Training and Experience: Minimum of two... 
    Full time
    Contract work
    Local area

    Unity Health

    Searcy, AR
    4 days ago
  •  ...Epic Clinical Documentation RN Analyst The Epic Clinical Documentation RN Analyst supports the mission of the facility by configuring...  ...of an accredited Diploma, Associate or Baccalaureate School of Nursing. BSN/certification expected within reasonable time period.... 

    Vitruvian Health

    Dalton, GA
    3 days ago
  •  ...Epic Registered Nurse Application Analyst The EMR Registered Nurse Application Analyst understands system build and functionality, ability to analyze and understand business workflows and the knowledge to make solution recommendations that meet organizational goals.... 
    Local area
    Remote work

    Covenant HealthCare

    Saginaw, MI
    1 day ago
  •  ...Analysis Team to make appropriate changes to prevent future denials. Required: Certifications/Licenses/Experience: Active Registered Nurse (RN) in Indiana or other compact licensure state Minimum of two (2) years performing utilization review, charge audit, case... 
    Full time

    Deaconess

    Evansville, IN
    4 days ago
  •  ...healthcare organization is looking for a Senior Clinical Reimbursement Analyst to provide analytical guidance across segments. This role...  ...on reimbursement processes. The ideal candidate should have a nursing background and MDS experience. This is a full-time remote... 
    Full time
    Remote work

    Good Samaritan

    Madison, WI
    4 days ago
  •  ...our community. Position Summary: The Infection Prevention Analyst duties include assisting with planning, organizing, coordinating...  .... Qualifications: Requires completion of Registered Nurse program, BSN or MSN preferred.  Public Health Nursing Certification... 
    Local area

    Madera Community Hospital

    Madera, CA
    10 days ago
  •  ...Job Description Job Description Clinical Analyst RN - Full Time Shift: 8:00am - 4:30pm Job Description: PATIENT POPULATION...  ...of Meditech clinical systems required. Baccalaureate degree in Nursing required within 3 years of hire. Experience in implementation... 
    Full time
    Work at office
    Shift work
    Weekend work

    Sierra View Local Health Care District

    Porterville, CA
    10 days ago
  • $74.8k - $112.1k

     ...Salary Range: $74,800.00 - $112,100.00 Job Purpose American Honda Finance Corporation (AHFC) is currently seeking a Regulations Analyst-Exams for our Compliance division. This Analyst position will support the administration and coordination of audit and exam... 
    Full time
    Temporary work
    Work experience placement
    Work at office
    Remote work
    Shift work

    American Honda Finance Corp.

    Torrance, CA
    4 days ago
  •  ...Appeal Analyst RN Duration: 3+ months contract with potential for FTE conversion Appeal Analyst RN who will train new hire in the...  ...member outcomes. Education: ~ Bachelor's degree in nursing or Equivalent Experience Licenses: ~ Active New Jersey Registered... 
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    US Tech Solutions

    Hopewell, NJ
    5 days ago
  • $79.1k - $105.95k

     ...years experience in the health care delivery system/industry. Additional licensing, certifications, registrations Requires a Registered Nurse License. Knowledge Specialized knowledge/skills: Requires working knowledge of principles of utilization management. Requires... 
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    Horizon Blue Cross Blue Shield of New Jersey

    Parsippany, NJ
    2 days ago
  • A leading healthcare organization in Arizona is seeking a Registered Nurse RN Clinical Support Analyst I to enhance clinical operations with informatics expertise. The role involves user support, educator functions, and ensuring technology enhances patient care. Ideal candidates... 
    Full time

    Banner Health

    Sun City, AZ
    1 day ago
  • $45k - $70k

     ...Job Overview The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to determine the necessity... 
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    Dane Street

    United States
    1 day ago