Must be registered and licensed to practice in the applicable State. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure contin
Magnet Medical is seeking a travel nurse RN Med Surg for a travel nursing job in Clovis, California. Job Description & RequirementsSpecialty: Med...
This Job at a Glance Job Reference Id: ORD-206920-NP-CATitle: NPDates Needed: As soon as credentialed - 30 daysShift Type: Day ShiftAssignment Type: OutpatientCall Required:...
LanceSoft is seeking a travel nurse RN PACU - Post Anesthesia Care for a travel nursing job in Fresno, California. Job Description & RequirementsSpecialty: PACU - Post...
Key Responsibilities
Perform clinical reviews of denied cases and reevaluate medical claims and records
Resolve escalated complaints regarding utilization management and report quality of care issues
Provide training and mentorship for less experienced appeals nurses and administrative team memb
HonorVet Technologies is seeking a travel nurse RN Home Health for a travel nursing job in Fresno, California. Job Description & RequirementsSpecialty: Home...
Clovis, CA – Seeking Entry Level Scribe ...
LanceSoft is seeking a travel nurse RN Director of Nursing for a travel nursing job in Fresno, California. Job Description & RequirementsSpecialty: Director of...
A company is looking for a Clinical Specialty Liaison - Registered Nurse. Key Responsibilities
Serve as a single point of contact for specialty pharmacies and distributors, providing telephonic nursing services
Manage coordination of specialty pharmacy operations and participate in customer meeti
Key Responsibilities
Lead and develop a multidisciplinary team, ensuring high performance and accountability
Oversee daily operations and ensure timely progression of members through surgical pathways
Monitor operational KPIs and collaborate with internal teams to resolve care-related issues
Re
IDR Healthcare is seeking a travel nurse RN PACU - Post Anesthesia Care for a travel nursing job in Fresno, California. Job Description & RequirementsSpecialty: PACU - Post...
Supplemental Health Care is seeking a travel nurse RN Home Health for a travel nursing job in Fresno, California. Job Description & RequirementsSpecialty: Home...
Prime Time Healthcare Nursing is seeking a travel nurse RN LDRP - Labor Delivery Recovery & Postpartum for a travel nursing job in Fresno, California. Job Description &...
A company is looking for a Medical Information Specialist (Nurse).
Community Medical Centers is seeking a Registered Nurse (RN) Clinical Coordinator, Nurse Resident for a nursing job in Fresno, California. The RN Residency Coordinator serves as the program director for the RN nursing residency, managing the development, delivery, and evaluation of the program to pr
LanceSoft is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Fresno, California. Job Description & RequirementsSpecialty: Labor and...
Community Medical Centers is seeking a Registered Nurse (RN) Skilled Nursing Facility (SNF) Assistant Director Skilled Nursing for a nursing job in Fresno, California. Job Description &...
Pulmonary with Sleep Medicine Job in Southern California.California is looking for a Pulmonologist with Sleep Medicine.Must be BE or BC, licensed in CA.Median MGMA with a generous bonus structure.Benefits include relocation allowance, CME, vacation and sick days.Come join this well organized and lon
Your future is waiting for you as a Hospital Medicine Physician in London, Kentucky We believe in bringing ???better??? to our local community in London, Kentucky???better care, better collaboration, and a deep commitment to the people we serve.If you???re looking for a role that supports your profe
Key Responsibilities
Conduct clinical audits and reviews to ensure compliance with coding and regulatory requirements
Utilize fraud detection software to assess potential fraud, waste, and abuse
Analyze claims and medical records to provide clinical opinions on appropriate service utilization
R