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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...

Responsibilities: Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. ...

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...

*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...

*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...

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Salary: USD25 - USD28 per hour HealthVisionDentalWeekly Pay401kPrior Authorization Specialist (LPN /MA / Certified Medical Assistant) Position Title: Prior Authorization...

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...

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...

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...

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...

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plan is currently hiring a Medical Policy Research Specialist/ Registered Nurse (RN) - Remote in Virginia! ...

Community Health Network is seeking a Remote Patient Monitoring LPN for Community ProCare at Home. This fully remote role supports patients enrolled in a remote monitoring program, reviewing transmitted data and initiating outreach according to...

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:...

Responsive Recruiter ComForCare Home Health Care - Hilton Head is looking for a compassionate and skilled Home Health LPN to join our dedicated care team in beautiful Hilton Head, SC. This is a rewarding opportunity to make a real...

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 -...

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...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

A healthcare recruitment firm is seeking a Lead Healthcare Recruiter (Utilization Management RN) for a remote 6-month contract. The ideal candidate will have an active RN license and experience with health plan operations. Responsibilities include...

JOB DESCRIPTION Job Summary Work Location: California - Ability to work remote, but selected candidate must reside in the state of California. This position requires California RN Licensure. Candidates must...

Registered Nurse (RN)–Torrance,CA Local Pay: $76.00/hour (W2) Join our team and make a meaningful impact by delivering exceptional care in a professional healthcare setting.

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...

The Gardens at Country in Swansea, MA is seeking an experienced MDS LPN for a full-time remote role. You will perform MDS assessments, review records, and collaborate with nursing and interdisciplinary teams to ensure high-quality resident care.

Why Join Sunrise Senior Living At Sunrise Senior Living, we believe meaningful work starts with purpose. Our team members are passionate about making a positive difference in the lives of residents every...

The Hong Kong Study Skills Research Institute in Milwaukee, WI, is seeking a Licensed Practical Nurse (LPN) for a fully remote role. This position offers a competitive pay range of $21 - $28 per hour, stable Monday-Friday schedule, and...