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- ...opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job... ...Review Location/s: Main Campus Jackson Job Title: RN - Utilization Reviewer - Coordinated Care - PT - Remote Job Summary...SuggestedPart timeWork experience placementCasual workSeasonal workRemote workShift work
University of Mississippi Medical Center
United States1 day ago - ...Job Description: The Position: Quality Reviewer RN Schedule: Monday - Friday 8:30 AM - 5:00 PM The Quality Reviewer is a Registered Professional Nurse who will ensure the accuracy, completeness and integrity of documentation completed by the COC.. This individual...SuggestedWork at officeLocal areaMonday to Friday
Americare
New York, NY1 day ago - ...RN experienced with OASIS and certified ICD 10 Reviewer - HOME HEALTH SERVICES Must have ICD-10 Certification and live in Atlanta, GA Join the PruittHealth @Home family, where we deliver quality care where the patients choose to be! We know that home is where the...SuggestedLive inFlexible hours
PruittHealth
Norcross, GA2 days ago - ...Discover more about us at Responsibilities: Under the direction of the Long Term Services and Supports (LTSS) Supervisor, the LTSS Reviewer is responsible for completing care and service needs reviews. Using evidence-based LTSS needs assessment knowledge and health care...SuggestedRemote workFlexible hours
AmeriHealth Caritas
Newtown Square, PA2 days ago $52 per hour
...Job Title: Health Service Reviewers (RN) Pay (openings for each location/market): Albany up to $52/hr Central Islip up to $60/hr Overview: These RNs will be doing a mix of standard quality audits, complaint initiated investigations, and more...SuggestedWork at officeLocal areaMonday to FridayMedix
Central Islip, NY3 days ago- ...provision of quality care throughout the continuum of care. The Registered Nurse Utilization Management/Episodic Case Manager (UM/ECM - RN) Reviewer facilitates clinically appropriate and fiscally responsible care through communication with the providers and health plan...SuggestedShift workDay shift
Cook Children's Health Care System
Fort Worth, TX4 days ago - ...POSITION SUMMARY: The Prior Authorization RN is responsible for reviewing and processing medical prior authorization requests to ensure services are medically necessary, meet evidence-based guidelines, and align with the health plan’s policies. This RN plays a critical...Suggested
Medasource
Phoenix, AZ15 hours ago - A leading pediatric healthcare provider in Fort Worth, Texas is seeking a Registered Nurse (RN) Med Surg to coordinate efficient healthcare resource utilization. The ideal candidate has a BSN, at least five years of clinical experience, and two years in utilization or...Suggested
- A leading pediatric healthcare organization is seeking a Utilization RN II responsible for managing medical necessity for inpatient admissions. The role demands expertise in utilization management and collaboration with healthcare providers. Candidates should have at least...SuggestedRemote job
- A nonprofit healthcare organization is hiring a Surgical Clinical Reviewer to evaluate surgical data and charts. Applicants should possess a nursing background and 2-5 years of relevant experience. The role requires strong attention to detail and effective collaboration...Suggested
- A healthcare service provider in New York is seeking a Pediatric Quality Reviewer RN to ensure accurate documentation for OASIS assessments. This full-time role, operating Monday to Friday, offers comprehensive benefits including medical, dental, and vision insurance, along...SuggestedFull timeMonday to Friday
$67.5k - $126k
A leading health organization is seeking a Claims Review Clinician to provide expertise in analyzing medical claims and preparing appeals to ensure compliance and accuracy. The ideal candidate will have strong analytical skills and a solid understanding of ICD-10-CM/PCS...SuggestedRemote job- A healthcare provider in Columbia, SC is seeking an experienced RN OASIS and ICD 10 Reviewer to join their Home Health Services team. The ideal candidate must have active RN licensure and ICD-10 certification, showcasing experience with OASIS documentation. This role involves...Suggested
- A leading home health provider is seeking a Registered Nurse RN OASIS and ICD 10 Reviewer in Norcross, Georgia. The role involves conducting assessments and maintaining patient care within home environments. Ideal candidates will have ICD-10 Certification and an active...SuggestedFlexible hours
- A healthcare organization in Fort Worth, TX seeks a UM/ECM - RN Reviewer to coordinate health care resources for members. This role involves assessing clinical information, working with providers and ensuring quality care within the healthcare system. Candidates should...SuggestedFull time
- A healthcare review organization is looking for experienced Registered Nurses (RNs), Nurse Practitioners (NPs), or Practicing Assistants... ...in scheduling and is fully remote. Candidates must have an active RN, NP, or PA license and prior experience in disability reviews. The...Remote jobReliefFlexible hours
- ...leading healthcare solutions provider is seeking a Clinical Care Reviewer to evaluate medical necessity for inpatient and outpatient... ...or BSN, a minimum of 3 years of clinical experience, and a valid RN license in the District of Columbia. The position offers a competitive...Remote job
- ...Brooklyn is looking for a Registered Nurse to join as a Quality Reviewer. This full-time position requires ensuring the accuracy of documentation... ...with CMS standards. Candidates should possess a New York State RN License and documentation skills. The role offers comprehensive...Full time
$93.4k - $116.8k
...Overview Are you an experienced RN with a strong background in Quality including quality of care reviews, incident investigation, and regulatory compliance? VNS Health Plans is seeking a seasoned clinical professional to play a critical role in reviewing and resolving...Work experience placementFlexible hoursVNS Health
New York, NY3 days ago- A healthcare solutions organization in Atlanta is seeking a Review Nurse for its Prior Authorization & Utilization Management team. The ideal candidate must be a Registered Nurse with a valid Georgia nursing license and at least three years of clinical experience. Responsibilities...
- ...and Hospice. Responsibilities include performing clinical record reviews, educating staff on OASIS requirements, and ensuring compliance... ...regulatory standards. The ideal candidate will possess a current RN license, and relevant experience in quality assurance. This...
- A healthcare provider in Boise is seeking a Clinical Documentation Specialist - RN to enhance clinical documentation and coding processes. Responsibilities include reviewing clinical documentation, ensuring compliance with regulations, and collaborating with staff for accurate...
$60 - $85 per hour
A leading education technology firm is seeking an experienced registered nurse for a remote Expert Question Reviewer role in NCLEX-RN exam preparation. You will evaluate practice questions for clinical accuracy and alignment with NCSBN standards. The ideal candidate will...Remote jobHourly payContract workFlexible hours$60 - $85 per hour
.... About the role We're looking for an experienced registered nurse to join our content quality team as an Expert Question Reviewer for NCLEX-RN exam preparation materials. You'll review practice questions across all NCLEX-RN content areas — including Medical-Surgical,...Hourly payContract workRemote workFlexible hours$54 - $57 per hour
PRN Healthcare is seeking a local contract nurse RN Clinical Document Improvement Specialist for a local contract nursing job in Chicago, Illinois. Job Description & Requirements Specialty: Clinical Document Improvement Specialist Discipline: RN Start Date: 04/20/2026...Hourly payWeekly payDaily paidContract workLocumReliefLocal areaShift workPRN Healthcare
Schiller Park, IL3 days ago$2,622 per week
Care Team Solutions is seeking a travel nurse RN Clinical Document Improvement Specialist for a travel nursing job in Rochester, Minnesota. Job Description & Requirements Specialty: Clinical Document Improvement Specialist Discipline: RN Start Date: 04/20/2026 Duration...Weekly payContract workShift workDay shiftCare Team Solutions
Rochester, MN3 days ago$53 - $58 per hour
Talent4Health is seeking a local contract nurse RN Clinical Document Improvement Specialist for a local contract nursing job in Chicago, Illinois. Job Description & Requirements Specialty: Clinical Document Improvement Specialist Discipline: RN Start Date: 04/27/2026 Duration...Hourly payContract workSecond jobLocal areaShift workWeekend workDay shiftTalent4Health
Schiller Park, IL8 hours ago$2,700 per week
Talent4Health is seeking a travel nurse RN Clinical Document Improvement Specialist for a travel nursing job in Chicago, Illinois. Job Description & Requirements Specialty: Clinical Document Improvement Specialist Discipline: RN Start Date: 04/28/2026 Duration: 13 weeks...Shift workWeekend workTalent4Health
Schiller Park, IL1 day ago$63 - $70 per hour
Medasource is seeking a local contract nurse RN Clinical Document Improvement Specialist for a local contract nursing job in Modesto,... ...: Clinical Document Improvement Specialist (RN) - Quality / Peer Review Location: Modesto, CA Contract Length: 13 Weeks Schedule: Day Shift...Hourly payWeekly payContract workLocal areaRelocationShift workDay shiftMedasource
Modesto, CA1 day ago- Clinical Document Integrity Specialist - RN (PRN) - (927053) WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas‑Fort Worth... ...CDI Specialist facilitates appropriate clinical documentation reviews concurrently to ensure that the level of services and acuity of...Full timeReliefRemote work
