by Andrea B. MSN, RN, NI-BC, CPC | Aug 5, 2025
Who You Are You are devoted, compassionate, and enjoy being on the front lines of healthcare, changing the lives of patients by supporting them and the team by focusing on customers. You’re excited about being part of a team that is building a healthcare... by Andrea B. MSN, RN, NI-BC, CPC | Aug 5, 2025
Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members... by Andrea B. MSN, RN, NI-BC, CPC | Aug 5, 2025
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on... by Andrea B. MSN, RN, NI-BC, CPC | Aug 5, 2025
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they... by Andrea B. MSN, RN, NI-BC, CPC | Aug 5, 2025
The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care. Clinical and/or technical expertise is utilized... by Andrea B. MSN, RN, NI-BC, CPC | Aug 5, 2025
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.Join HCSC and be part of a purpose-driven company that will... by Andrea B. MSN, RN, NI-BC, CPC | Aug 5, 2025
Become a part of our caring community and help us put health first Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA... by Andrea B. MSN, RN, NI-BC, CPC | Aug 5, 2025
Job Description: Clinical Liaison Tutera Senior Living & Health Care Are you a Sales and Marketing Professional seeking an exciting new career opportunity? Look no further! Tutera Senior Living & Health Care is seeking rockstars to join our team! If you are... by Andrea B. MSN, RN, NI-BC, CPC | Aug 5, 2025
The Accreditation Review Associate will assist facilities in becoming accredited with the designations of Chest Pain and Heart Failure Accreditation per the criteria defined by ACC Accreditation Services. Major Duties and Responsibilities: Conduct on-site or video... by Andrea B. MSN, RN, NI-BC, CPC | Aug 5, 2025
It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary: The Appeals and Grievances BH Quality...