Clinical Review Nurse - Harlan

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. · Position Purpose Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to d ...

We are an equal opportunity employer and we take pride in delivering quality care to each of our residents. · This job is looking for an energetic, compassionate Regional Nurse Consultant to support Skilled Nursing Facilities in the Omaha/Council Bluffs area.The Clinical Resource ...

We are seeking an experienced and strategic Director of Case Management to lead and oversee hospital-based case management operations. · ...

We are seeking an experienced and strategic Director of Case Management to lead and oversee hospital-based case management operations. · ...

+Job Summary · This role provides critical analytical and reimbursement related guidance and support to all operating segments across Sanford.+Responsible to review Medicare/Medicaid documentation to assist nursing centers in completing minimum data set (MDS) documentation to ass ...

We are looking for Telemetry Registered Nurse (RN) for an immediate opening in Harlan. · You should have 1-2 years of recent experience in your specialty. · Day One Health Coverage: · Clinical Support: · Lucrative Referral Bonus: · ...

We are looking for Intensive Care Unit (ICU) Registered Nurse (RN) for an immediate opening in Harlan, Kentucky.You should have 1-2 years of recent experience in your specialty and a willingness to be flexible and adaptable in new environments. · ...

Trustaff is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Harlan, Kentucky. · Job Description & Requirements · Specialty: Med Surg / Telemetry · Discipline: RN · Start Date: 03/23/2026 · Duration: 13 weeks · 36 hours per week · Shift: 12 hours, nights ...

Facilitates the denial and appeal process through exercising clinical expertise and clinical by reviewing medical records for medical necessity and policy requirements. · ...

Case Management Director · Ottumwa, IA · Full Time · Must-Haves · Graduate of a program of Registered Nursing. · Minimum of two years of Case Management experience in utilization management, case management, discharge planning or other cost / quality management program. · Curren ...

We are seeking a Quality Improvement Advisor to serve as the primary liaison and coach for healthcare facilities within your state. As a remote position located in Iowa, you will focus on identifying areas for improving patient care and outcomes. · ...

Supplemental Health Care is seeking a travel nurse RN Telemetry for a travel nursing job in Harlan, Kentucky. · Job Description & Requirements · Specialty: Telemetry · Discipline: RN · Start Date: ASAP · Duration: 13 weeks · 36 hours per week · Shift: 12 hours, nights · Employmen ...

Leads and manages multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. · ...

Provides support for clinical member services review assessment processes. · ...

By joining Sedgwick, you'll be part of something truly meaningful. It's what our colleagues do every day for people around the world who are facing the unexpected. · We invite you to grow your career with us, · experience our caring culture, · and enjoy work-life balance.Reviews ...

The job goal is to advance the college's mission and vision through continuous improvement decisions. The general job summary is to teach the provided State Nurse Aide curriculum and supervise students in both lab and clinical settings. · ...

Iowa Orthopedic Center is actively seeking a motivated RN – Pre/Post Op to join our team at our new, state of the art Ambulatory Surgery Center in Grimes, IA. · ...

To teach the Nurse Aide curriculum supervise students in both lab and clinical settings. · Teach the provided State Nurse Aide curriculum · Effectively teach the Nurse Aide curriculum · ...

Work Schedule · Standard (Mon-Fri) · Environmental Conditions · Various outside weather conditions · Join Us as a Senior Clinical Research Associate (Level I) – Make an Impact at the Forefront of Innovation · We have successfully supported the top 50 pharmaceutical companies and ...

The Clinical Coder is responsible and accountable for reviewing medical record documentation and assigning codes for reimbursement and statistical purposes. · Maintains a working knowledge of coding fundamentals: ICD-10-CM coding for inpatient, outpatient, and/or physician servic ...