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OU Health seeks an experienced Utilization Review Nurse (RN) to support the Children's Behavioral Health Center. The role involves evaluating medical necessity, coordinating with Payors, and ensuring appropriate hospital stay authorizations after...

Eliot Community Human Services, Inc. seeks a Nurse Manager to lead the CBHC Child Team. You will supervise the medical and nursing staff, coordinate medical and psychiatric services, and foster a collaborative, compassionate culture focused on...

Job Title: Nurse, Clinical Medical Review Location: Columbia, MD (Primarily remote, but hybrid) Duration: 6 Months Contract PURPOSE: We are seeking a qualified RN or LPN with experience supporting HEDIS reporting and abstraction processes in a...

Pediatric Nurse Practitioners - NPs Practice From Anywhere Telehealth | Arizona | Remote & Flexible Great care doesn't always require an exam room. EasyHealth is expanding our Telehealth Nurse Practitioner network and seeking Pediatric NPs...

HealthHelp, a WNS company, seeks a Clinical Review Nurse for a fully remote role in the United States. You will perform prospective reviews for medical necessity on prior authorization requests across multiple specialty programs and refer...

Pediatric Registered Nurse Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care,...

Certified Nursing Assistant (CNA)Valley Presbyterian Hospital Make a Difference in Patient Care Every Day At Valley Presbyterian Hospital, our CNAs are at the heart of patient care. We're looking for a compassionate and reliable Certified Nursing...

St. Louis Children's Hospital is seeking an RN for after-hours triage and nursing support via the Answer Line. The role involves assessing patient needs, guiding care plans, and educating families within established guidelines. Part-time...

Clarity Pediatrics is seeking a Nurse Care Coordinator (RN) to join our remote care team. You will coordinate clinical appointments, educate families, manage medication authorizations, and serve as the primary contact between families, providers,...

SJS HSHS St. John's Hospital is seeking a Pediatric Clinical Educator-Nursing to advance clinical education across the system. The role involves teaching nursing staff, promoting education, and delivering training both virtually and in-person...

Description: FAMILY NURSE PRACTITIONER JOB SUMMARY Provides continuous and comprehensive services necessary for the promotion of optimal health, prevention and treatment, in an underserved community clinic. To perform a variety of advanced clinical...

The Virtual Nurse, RN at MUSC coordinates and delivers professional clinical, quality, and educational services to patients engaging with MUSC via virtual care. This role reports to leadership within the MUSC Center for Telehealth and aims to...

Job Title: Clinical Quality Assurance Nurse Pay: see below Registered Nurse - $28.50/hr (Non-negotiable) LPN/LVN- $26.50/hr (non-negotiable) Regular Schedule after training: M-F...

Valeris is seeking a Patient Support Nurse to engage patients from enrollment through treatment, addressing barriers and supporting therapy initiation. You will educate on treatment, navigate insurance, and triage to additional services as needed.

About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack...

Clarity Pediatrics, Inc. is seeking a Nurse Care Coordinator (RN) to join our fully remote interdisciplinary care team. You will coordinate appointments, educate families, manage med authorizations, and serve as the primary contact between...

Kaizen Lab Inc. is seeking a 1:1 Nurse in Middletown, NY, to provide dedicated care for a 9-year-old with Autism. This role requires NYS Nursing licensure and offers competitive compensation at $35/hr. The position supports onboarding and...

Job Description Join Cedars-Sinai! Cedars-Sinai has been named to the Honor...

Molina Healthcare is seeking a Care Review Clinician (RN or LPN) for a remote, full-time position operating 8a-5p Pacific Time, Monday through Friday. You will support clinical member services review processes, verify medical necessity, and ensure...

Angels of Care Pediatric Home Health is seeking an RN Nurse Navigator to join the Angel Link Health Home Services team. This remote role supports Star and Star Kids PDN clients by coordinating care across the healthcare team and managing Medicaid...

Centene Corporation in the United States is seeking a Nursing professional to analyze prior authorization requests and determine medical necessity and level of care in line with standards and coverage. You will collaborate with medical teams to...

Who We Are: Since 1985, BHCHP's mission has been to provide or assure access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. We care for over 11,000 homeless individuals each...

Essential Duties and Responsibilities: Review requests for services including admission, discharges and continued stays for adherence to clinical criteria, state and federal policy, and related requirements. Issue...

Northeast Georgia Health System seeks a CDI Specialist to enhance clinical documentation and ensure appropriate reimbursement for DRG-based payers. You will engage physicians, nursing staff, and coding teams to clarify documentation and improve...

Molina Healthcare is seeking a Wisconsin-licensed RN for a remote IRIS Self-Directed Personal Care (SDPC) role. You will oversee a group of IRIS participants, assess needs, and educate providers and participants in their homes and communities.