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Registered Nurse (RN) | Utilization Review Location: California Agency: job.com Pay: Competitive weekly pay (inquire for details) Shift...

Trustaff is seeking a travel nurse RN Clinic for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: ClinicDiscipline:...

Trustaff is seeking a travel nurse RN Clinic for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: ClinicDiscipline:...

RN- Care Review Clinician- UM/Discharge Planning (Remote- CA License Req) CA, United States and 5 more Trending Job Description JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment...

Sedgwick is seeking a Nurse for Utilization Review in a telecommuter role based in Tennessee. You will provide timely, evidence-based utilization reviews to maximize quality care and cost-effective outcomes for injured employees. The ideal...

We are so glad you are interested in joining Sutter Health!OrganizationSHSO-Population Health Services-UtahPosition OverviewThe Virtual Mental Health Intake RN is a Registered Nurse who provides competent and thorough intake services by conducting...

TalentBurst, Inc is seeking a travel nurse RN Research / Clinical Research for a travel nursing job in Fullerton, California. Job Description & RequirementsSpecialty:...

CVS Health in Sacramento, CA seeks a registered nurse to support Utilization Management in a 24/7 operation. This full-time role includes evaluating care options, applying clinical criteria, coordinating with providers, and promoting efficient use...

Remote RN –Grievances & Appeals | $55/hr Remote –Anywhere in the USA $55/hour | Weekly Pay Monday–Friday | 9 AM–5 PM EST Equipment Provided NY-Licensed RNs –We're Hiring! Phaxis is seeking experienced RNs for a fully remote...

GQR Healthcare is seeking a local contract nurse RN Case Management for a local contract nursing job in Woodland Hills, California. Job Description & RequirementsSpecialty:...

A technology and business consulting firm is seeking a Clinical Medical Review Nurse to analyze health data and provide insights for internal stakeholders. The ideal candidate has a Registered Nurse license, along with four years of clinical...

Synthires is seeking experienced Registered Nurses to contribute to a project enhancing AI in healthcare. You will review inpatient documentation, annotate medical records, and assess AI-generated outputs for accuracy and safety. Prior AI...

UnitedHealthcare is seeking an experienced registered nurse to join our team. In this role you will assess, plan, and implement person-centered strategies, connect members with resources, and coordinate care across the continuum. The...

Job Description Key Responsibilities Telehealth Patient Care: Provide remote patient care and support through telehealth platforms. Virtual Assessments: Conduct virtual patient assessments, including reviewing...

Penn State University is seeking a part-time, on-call remote forensic nurse (TeleSANE) to provide remote forensic nursing consultations from home with equipment provided. Self-scheduled: 48 hours of evening and overnight call per month,...

Prolific is seeking Registered Nurses to help train and evaluate AI models. You will be invited to join Prolific as a Domain Expert participant and get paid to train and evaluate models. Researchers pay up to $65/hr per AI task, with tasks...

Job PostingWork Location: Los Angeles, CA, USAWork Schedule Monday-Friday 8am-5pmSalary Range: $70.59 - 106.80 HourlyEmployment Type 2 - Staff: Career Duration IndefiniteThe position requires flexibility to travel and float to other clinic...

NTT DATA, Inc. seeks a Clinical Reviewer Specialist to perform clinical and medical necessity reviews for member and provider appeals, evaluating records against NCQA standards and Medicaid requirements. Role offers remote work within...

Peraton Overview Peraton is a next-generation national security company that drives missions of consequence spanning the globe and extending to the farthest reaches of the galaxy. As the world's leading mission capability...

nTech Workforce seeks a HEDIS Clinical Review Nurse to support an annual HEDIS retrospective project. You will drive medical record retrieval, abstraction, provider outreach, and quality measure management in a team focused on compliance 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...

SelectHealth - Murray is hiring for a part-time, fully remote role to review medical records for HEDIS audits. The ideal candidate is a registered nurse with clinical experience and BSN pathway, capable of working remotely and meeting audit...

SCAN Health Plan Job OpportunityFounded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists...

CareHarmony's Intake Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN)...

CVS Health is seeking an experienced RN Utilization Management Nurse Consultant for Medicare joint procedures. This remote, full-time role follows a Monday–Friday schedule (9:00 am–5:30 pm in your time zone) with occasional evenings/holidays,...