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JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and...

*Job Summary and Responsibilities* As our Registered Nurse (RN), you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you will...

Supplemental Health Care is seeking a local contract nurse RN School RN for a local contract nursing job in Sun Valley, California. Job Description & Requirements Specialty: School RN Discipline: RN Start Date: ASAP Duration: 13 weeks 20 hours per...

Geisinger is seeking a Licensed Practical Nurse to serve as a patient navigator, guiding incoming calls and facilitating entry of new patients into the program. Provides patient education, promotes understanding of the condition, and ensures...

*Job Summary and Responsibilities* As our surgical services nurse at Glendale Memorial Medical Center you will prepare patients for surgical procedures and assist in the operating room to ensure they receive excellent nursing when they are at...

Overview Utilization Review Nurse - Remote at Astrana Health Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Compensation: $30.00 - $34.00 / hour Department: HS -...

Remote LPN/LVN – Chronic Care Management (Full‑Time, Work From Home) CARDIOVASCULAR INSTITUTE OF EXCELLENCE PLLC is a dedicated medical practice company headquartered in Wagoner, Oklahoma. With a focus on delivering high‑quality...

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...

The Gardens at Cedarwood is seeking an experienced MDS LPN for a full-time remote position based in Franklin, MA. The role offers a remote, fully remote work setting with a salary of $8,200 per month. Responsibilities include completing...

Remote position, however, candidates must reside in the State of TX or State of IL. This position is a contract for about 9 months. Pay: $41/hour Job Responsibilities: RN working in the insurance or managed...

Part C Grievance & Appeals Nurse Become a part of our caring community The Part C Grievance & Appeals (G&A) Nurse (Utilization Management Nurse 2) utilizes clinical nursing skills to support the coordination, documentation and...

Summary: Under supervision, the incumbent of this position provides professional nursing care to clinic patients. Works collaboratively with the providers within the team setting to facilitate quality care for the patient.

Job Summary: The Clinical Nurse Specialist role at Kaiser Permanente Southern California Region is a clinical manager who partners with the operational manager to ensure that nursing staff delivers safe and effective care. The role is built...

ComplexCare Solutions, Inc. is seeking a Clinical Quality Assurance Analyst (RN-BSN required) for a temporary remote role lasting up to one year. The position focuses on auditing and training to support clinical data standards across the...

BrightSpring Health Services seeks a part-time Tele-Triage Licensed Practical Nurse (LPN) to provide remote triage and care planning for populations in the assigned locations. Must hold an LPN compact license and have experience in home health or...

Optum is seeking an Inpatient Care Management Nurse to assess and interpret member needs, guiding utilization of health services to improve outcomes. You will collaborate with clinicians, perform case reviews, and support discharge planning from...

Mist Registered Nurse (Rn) – Position Summary The Multidisciplinary Inbasket Support Team (MIST) Registered Nurse is a highly skilled ambulatory care nurse who provides comprehensive, remote clinical support to primary care patients and...

Job Description Make a Difference Every Single Day When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters. This shared culture of...

Randstad USA is hiring a Licensed Practical Nurse/Licensed Vocational Nurse to support the Commercial Prior Authorization team. This 100% remote, non-patient-facing role processes and communicates prior authorization requests and determinations...

Greenlife Healthcare Staffing is looking for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to clinical studies. With a...

Care Coordinator/LPNEmpassion is one of the most impactful and exciting start ups in health care. We are focused on improving the experience and lowering costs for seniors at end of life. Specifically, we provide palliative and hospice care for...

Qualifications VA Health Professional Trainees (HPT) pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. A HPT is an individual...

Job Profile Summary Job Profile Summary This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following duties:...

Overview It's inspiring to work with a company where people truly BELIEVE in what they're doing! When you become part of the Chapters Health Team, you'll realize it's more than a job. It's a mission. We're committed to providing...

Home Infusion Nurse 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...