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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 Profile Summary Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's...

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

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...

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...

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...

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.

THIS IS A REMOTE POSITION Part Time/Contract Position DUTIES: -Assess patient health problems over the phone and via secure video -Schedule appointments and refer patients -Advise and monitor...

POSITION SUMMARY The Clinical Staff Nurse is a skilled and experienced professional Registered Nurse (RN) responsible for excellence in the clinical practice of nursing and the management of patient care. Reporting to the...

Clinical Quality & Compliance Nurse Reviewer (Remote - Travel within Illinois) Location: Remote with on-site visits across Illinois Salary Range: $73,000-$83,000 annually Position Overview The Clinical Quality &...

Centene Corporation is seeking a Licensed Practical Nurse (LPN) or Registered Nurse (RN) for a remote case management role in Pennsylvania. The selected candidate will perform concurrent reviews, determine appropriate care levels, and assist with...

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...

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.

Registered Nurse Locations: Los Angeles, California Job Category: Registered Nurse Position Type: Full-Time Shift: Evenings Job Description Join a team that's shaping the...

Overview In New Mexico, you'll deliver lifesaving care for the community you love and live in, soaring above Amazing landscapes. With 3+ years of recent critical care you'll fly in state-of-the-art helicopters-an ICU in the...

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...

VIVA HEALTH in Birmingham, AL seeks a Connect for Quality Nurse. This is a remote position with occasional on-site work within the service area. The role focuses on improving quality of care, increasing member and provider satisfaction, and...

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...

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

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...

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...

Job Description: Flight Nurse – Pediatric Focus (PICU/Pediatric ED Experience Preferred) Join Our Life Flight Team | Elevate Your Nursing Career Are you a highly skilled critical care nurse with a passion for pediatric care and a sense of...

POSITION SUMMARY The Clinical Staff Nurse is a skilled and experienced professional Registered Nurse (RN) responsible for excellence in the clinical practice of nursing and the management of patient care. Reporting to the...

A-Line Staffing Solutions is seeking a Clinical Review Nurse for a concurrent review role in a remote-capable setting. The RN will assess member eligibility through chart review and coordinate with providers to gather necessary information.