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HCS 247 is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Case...

Care Career is seeking a travel nurse RN Case Management for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Case...

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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,...

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 \n \n Perm Staff Jobs is seeking a Registered Nurse (RN) Clinic for a nursing job in Loveland, Colorado. Job Description & Requirements\n \n Specialty: Clinic \n Discipline: RN \n Duration: Ongoing \n Employment Type: Staff \n \n...

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...

Gainwell Technologies is seeking a DRG Quality Advisor Nurse for a remote role within the continental United States. The position focuses on QA audits, DRG validation, coding audits, and ensuring compliance with clinical and coding guidelines.

Working remotely in a full-time capacity, the RN DRG Appeals Specialist will perform comprehensive reviews of inpatient DRG payer denials, including the validation of medical records and the formulation of appeal responses based on clinical...

Provides peri-operative nursing care to assigned patients utilizing the nursing process. Performs within the standards of professional practice and hospital...

Description Location: UCHealth UCHlth Anschutz Inpt Pavilion, US:CO:Aurora Department: UCHA Obstetrics Emergency Dept Work Schedule: Full Time, 72.00 hours per pay period (2 weeks) Shift: Nights Pay: $35.29 - $54.71 / hour. Pay is dependent on...

UnitedHealth Group is seeking a Utilization Review Nurse, RN to perform inpatient utilization management in California. The role involves reviewing inpatient criteria, preauthorizations, and ensuring medical necessity while applying evidence-based...

The Triage Registered Nurse is responsible for identifying and coordinating patient/family needs and for providing preventive and supportive care to the terminally ill patient/family unit. The Triage Registered Nurse provides continuity of care to...

Role Summary We are looking for a highly organized Hotel & Resort Coordination Specialist to assist with managing accommodation arrangements and coordinating client requests. This role plays a key part in ensuring all lodging details are...

*Description* The Certified Nursing Assistant (CNA) supports the Mission and Vision of Saint John's Health Center. This is achieved by assisting the Registered Nurse and Licensed Vocational Nurse in...

Cadence, the clinical AI company automating chronic disease management, is hiring an RN Manager, Alerts to lead nursing teams responsible for alert review and triage across our chronic care population. You will own staffing, scheduling, and...

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...

A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing...

Make a difference every single day! Are you ready to bring your strong clinical competencies and make a crucial impact on the lives of others? Do you have a passion for the highest quality and patient satisfaction? Then please respond to this dynamic...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and evaluating care of patients. The Clinic RN utilizes the nursing process by use of...

Optum is seeking a Utilization Review Nurse, RN, to lead inpatient utilization management, applying evidence-based guidelines and criteria to determine medical necessity for admissions and authorizations. The role requires 3+ years of...

Florida Telehealth Medical Group is seeking a Remote Registered Nurse to work 100% online, reviewing patient histories and guiding care via telehealth platforms. You will participate in online visits, educate patients, and adhere to established...

Sullivan County Community Hospital in Sullivan, IN is seeking a nursing professional to manage remote patient monitoring for patients at home. The role involves vital sign monitoring, patient education, and coordination with care teams. Home...

IntellaTriage is seeking a compassionate registered nurse (RN) to join our remote hospice triage team. You will provide after-hours telephone triage for hospice patients and families, assess needs, and coordinate timely interventions with empathy...