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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...

Job DescriptionJob Summary 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...

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...

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...

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...

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...

Home Health Clinical Referral NurseOrganization: SCAH-Sutter Care at Home - UTPosition Overview: The Home Health Clinical Referral Nurse serves as the initial point of contact for potential home health patients, working closely with our clerical...

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...

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: 2003910 SMMC 10-CRITICAL CARE - SMMC HOSP Job Description: Responsible for organizing and providing nursing care to patients through the process of assessment, planning,...

Tele-ICU Critical Care Physician AdventHealth is a faith-based healthcare organization dedicated to extending the healing ministry of Christ. We offer whole-person care that addresses the physical, emotional, and spiritual needs of...

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...

Travel Long Term Care RN Company: Fusion Medical Staffing Location: Facility in Glendale, CA Job Details Fusion Medical Staffing is seeking a skilled...

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...

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...

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...

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...

Description Location: UCHealth Anschutz Pavilion - Aurora Department: Critical Care Metro Float Pool - Either ICU or PCU Metro Denver Critical Care Float Pool RNs will support patients and teams at University of Colorado Hospital, Highlands Ranch...

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...

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...

AMN Healthcare Local is seeking a per diem / prn nurse RN ICU - Intensive Care Unit for a per diem / prn nursing job in Los Angeles, California. Job Description & Requirements Specialty: ICU - Intensive Care Unit Discipline: RN Duration: Ongoing...

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...

Where You'll Work Founded in 1926, Dignity Health - Glendale Memorial Hospital and Health Center is a 334-bed, acute care, nonprofit hospital. Serving over 70,000 patients annually, the hospital offers a full complement of...

Staffmark Group is recruiting a Registered Nurse for a remote role. Primary duties include reviewing peer review reports, ensuring evidence-based rationales, and ensuring compliance with client, contract, and regulatory standards. The ideal...

CVS Health is seeking a Care Manager in Illinois to advocate for members enrolled in Medicare/Medicaid, coordinating care with providers, community organizations and family supports to address complex health and social needs. This role focuses on...