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CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...

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Location Address: 1100 Central Avenue SEAlbuquerque, NM 87106-4930 Compensation Pay Range: Minimum Offer $62,400.00Maximum Offer $95,305.60Now Hiring: RN - Clinical Documentation Specialist Summary:...

Description Location: UCHealth UCHlth Anschutz Outpt Pavilion, US:CO:Aurora Department: Derm Clinic Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $33.61 - $52.10 / hour. Pay is dependent on applicant's relevant...

Summit Medical Group is recruiting for a Remote Patient Monitoring Registered Nurse position. This is a full time hybrid position that allows work from home, with minimum office hours quarterly upon successful...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data...

JOB DESCRIPTION Job Summary Provides support for delegation oversight quality improvement activities. Responsible for overseeing delegated activities to ensure compliance with National Committee for Quality Assurance (NCQA), Centers for...

Healthfirst is New York City's largest not-for-profit health insurer, dedicated to improving health through community-driven, value-based care. For over 30 years, we have led the shift from volume to value by focusing on better outcomes,...

Description WHAT IT'S LIKE AT SGMC HEALTH Purpose. No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place.

Description Location: UCHealth UCHlth Anschutz Outpt Pavilion, US:CO:Aurora Department: Derm Clinic Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $33.61 - $52.10 / hour. Pay is dependent on applicant's relevant...

A major healthcare organization is hiring an RN in Arlington, Virginia, who will perform authorization reviews and communicate with HCBS providers. Candidates must possess an unrestricted RN license and have at least three years of experience in...

This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to validate the...

Anticipated End Date: 2026-04-21 Position Title: Transitions of Care RN 100% Virtual, CareBridge - Bilingual Preferred Job Description: Transitions of Care RN 100% Virtual, CareBridge -...

The function of the Registered Nurse- Residential MHMR is to ensure the provision of a comprehensive program of preventative, intervention and emergency medical care for the individuals. Essential Duties and...

Job Type Full-time Description Gateway Rehab Center (GRC) has an outstanding opportunity for a Nurse Liaison Gateway Rehab who will be responsible for the pre-admission case management, ASAM level of care assessment, and...

General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work...

Are you a bedside nurse seeking a change from the hospital setting? If you answered "yes", Alliant Health Solutions, a "2025 Best Place to Work and Healthiest Employer", may be the place for you! Alliant is recruiting...

Resp & Qualifications PURPOSE: The Clinical Appeals Nurse completes research, basic analysis, and evaluation of member and provider disputes regarding adverse and adverse coverage decisions. The...

Summary As a leader in eldercare for nearly 70 years, we are always looking for qualified people to join the Stella Maris team. Unique opportunity to join the dynamic, collaborative and well-established Admissions...

Contract | Remote | We're hiring 10 elite nurses CircleLink Health is building a team of top-tier Compact Registered Nurses who want more than a typical remote role. This is a performance...

Description Location: UCHealth Anschutz Inpt Pavilion, CO,Aurora Department: UCHA Care Management Work Schedule: PRN, 0.00 hours per pay period (2 weeks) Shift: Days Pay: $38.91 - $60.31 / hour. Pay is dependent on applicant's relevant experience...

Job description **This role is 100% remote. We are looking for experienced telehealth RNs to join our case management team.** Who We Are At HV Occupational Health and Safety, we are passionate about fostering...

Description Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical records daily during admission for all payers, as required by the...

JOB SUMMARY The Utilization Review (UR) Nurse is a registered nurse who provides clinical review against nationally recognized medical necessity criteria for the purpose of evaluating medical necessity or hospitalization...

UW Health is seeking a Registered Nurse (RN) Home Health for a nursing job in Madison, Wisconsin. Job Description & Requirements Specialty: Home Health Discipline: RN Duration: Ongoing Employment Type: Staff Description: Work Schedule: 90% FTE,...