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Job Title: Remote Prior Authorization Registered NurseJob Description We are seeking experienced Registered Nurses (RNs) to join a remote Prior Authorization team supporting Dual Eligible (Medicare and Medicaid) populations. In...

BRING YOUR GREATEST SKILLS TO THE GREATER GOOD As a critical care nurse and officer on the U.S. Army or Army Reserve health care team, you manage the care of our Soldiers and their families, making immediate decisions and applying your critical...

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Building Location: Building B - St Marys Medical Center Department: 2003910 SMMC 10-CRITICAL CARE - SMMC HOSP Job Description: Responsible for organizing and providing nursing care to patients through the process of assessment, planning,...

BRING YOUR GREATEST SKILLS TO THE GREATER GOOD As a critical care nurse and officer on the U.S. Army or Army Reserve health care team, you manage the care of our Soldiers and their families, making immediate decisions and applying your critical...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. **This position is remote. Candidates must be local to New England States for consideration** The Clinical...

CVS Health is seeking an experienced Registered Nurse (RN) for Utilization Management in a remote, work-from-home role. You will review clinical data, apply guidelines and collaborate with care teams to ensure appropriate, high-quality,...

Building Location: Building B - St Marys Medical Center Department: 2003900 SMMC 9-CRITICAL CARE - SMMC HOSP Job Description: Education Qualifications: Responsible for organizing and providing nursing care to patients through the process of...

Case Manager Utilization RNWorks collaboratively with an MD to coordinate and screen for the appropriateness of admissions and continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the...

Job Summary and Responsibilities As our Educator in Critical Care in accordance with our mission and core values of integrity, compassion, collaboration, and excellence, this position is established to serve as a...

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...

Become a part of our caring community At Humana, we put the health and well-being of our members at the center of everything we do. As an Onsite Care Coordination Nurse, you will play a vital role in supporting members during critical moments in...

Clinical Positions in Pulmonary & Critical Care Medicine 2026-2027 Job #JPF11102 Medicine-Pulmonary Disease / David Geffen School Of Medicine / UCLA Position Overview Salary range: The posted UC Salary Scales set...

Physicians East seeks a QEC Pre Procedure Screening Nurse for a part-time remote role based in Greenville, NC. The nurse will review patient charts, screen for procedural eligibility, and coordinate with physicians to ensure proper evaluation and...

Clinical Documentation Improvement Specialist-RN- Remote The Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) assists with the identification of diagnoses, conditions, and procedures that are representative of the...

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Job Summary And ResponsibilitiesAs our Critical Care/Emergency Educator, and in accordance with our mission and core values of integrity, compassion, collaboration, and excellence, you will serve as a consultant and resource professional by acting...

Job Summary and ResponsibilitiesAs our Educator in Critical Care Emergency, In accordance with our mission and core values of integrity, compassion, collaboration, and excellence, this position is established to serve as a consultant/resource...

Get AI-powered advice on this job and more exclusive features. This range is provided by Medix. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $37.00/hr...

Job Description Provides support for clinical facility site reviews. Under the supervision of leadership, uses clinical judgement within appropriate scope to independently conduct reviews and other monitoring activities for primary care...

Description: Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient...

Overview Utilization Management for the assigned inpatient Care Management population. This position is designed to facilitate an effective process of the Mercy Care Management model; supporting quality patient care, safety and financial...

Kingman Healthcare Incorporated (KHI)Staff Position Description Position Title: Utilization Review Nurse Position Code: RN-6027 Department: Case Management Safety Sensitive: Yes...

Job Description The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families needing...

*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...