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Sentara Health is seeking a Remote Utilization Review Registered Nurse based in Virginia. The role focuses on utilization review and prior authorization for inpatient and outpatient cases, with emphasis on upholding regulatory criteria and...

Registered Nurse (RN) - Utilization Review | Remote | California License Required Position: Registered Nurse (RN) - Utilization Review (UM RN) Location: Torrance, CA (Remote Position)...

The Registered Nurse provides expert professional nursing care; assesses, plans, implements and evaluates the care rendered to patients with urgent, emergent or potential...

Fully Remote : Clinical Documentation Specialist Job Description Facilitate the improvement of clinical documentation by collaborating with physicians, nursing staff, and other patient caregivers.

SHIFT: Any (United States of America) Seeking Breakthrough Makers Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will...

Phaxis - Healthcare is hiring for a REMOTE RN opportunity focused on Grievance & Appeals and Utilization Review. The role requires candidates to reside in New York State and hold an active NY RN license. The schedule is Monday–Friday, 9...

Exceptional care starts with exceptional people. For us, this is more than a job- it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner...

RN Status Review Specialist It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Use your nursing expertise in a strategic, non-bedside role. As an RN Status Review Specialist, you'll evaluate patient...

Case Management Utilization RNSalary: $68.95 - $84.38 / hourLocation: Los Angeles, California, Los Angeles Medical CenterEmployee Status: RegularSchedule: Part-time, 32 hours per week, Day shiftJob Summary:Works collaboratively with an MD to...

The Registered Nurse provides expert professional nursing care; assesses, plans, implements and evaluates the care rendered to patients with urgent, emergent or potential...

Job Title Conducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital...

City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health Plans Community Care is looking to hire a Utilization Review Nurse. The Utilization Review Nurse is...

*Job Summary and Responsibilities* As our surgical services nurse at Glendale Memorial Medical Center you will prepare patients for surgical procedures and assist in the operating room to ensure they receive excellent nursing when they are at...

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, and...

Registered Nurse 5% FTE, day/evening shift. Varied shifts between 07:45am and 9:00pm, this position including a weekend and holiday rotation. Must work at least 18 hours in a 6 week period, with minimum of 5 hours being on the weekend or...

HSS Clinical Coordinator RN At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the...

CVS Health is seeking a Registered Nurse to join our Utilization Management team in a full-time, remote capacity across the United States, including Iowa. You will review clinical information, apply guidelines, and coordinate care to ensure...

Your Future Role At A Glance Location: Remote Facility: Ascension Network Services Department: Utilization Management Schedule: Days l Full-Time Salary range: $78,561.60 - $110,905.60 per year (Texas) | Pay...

Inova is seeking an Outpatient Registered Nurse (RN) for Virtual On Demand care/triage. The role runs 5pm–5am with some weekends/holidays. Location is remote, and candidates must reside in the DMV area and attend daytime trainings/meetings.

Job Title This is a remote, PRN position but will need onsite training in Mishawaka Indiana. Shift: Days - 8 hr shift LOCAL CANDIDATES ONLY! Why Choose Saint Joseph Health System? At Saint Joseph Health System, our values...

Sagility, a healthcare technology and services company, is seeking an experienced Senior Care Specialist (Registered Nurse) to work from home. In this seasonal telephonic role, you will conduct health assessments, develop care plans, and coach...

Details Client Name PIH HEALTH Job Type Travel Offering Nursing Profession Registered Nurse Specialty...

Overview Join our team as a day shift, full-time, Virtual Care Registered Nurse (RN). Why Join Us? Thrive in a People-First Environment and Make Healthcare Better Thrive: We...

Forensic Registered Nurse (RN) Scheduled Weekly Hours: 36 Work Shift: Days/Afternoons (United States of America) Summary of Primary Function The Forensic Registered Nurse (RN) is a highly specialized professional who...

About This Role The Case Management Utilization RN works collaboratively with physicians to coordinate patient admissions and continued stays, ensuring appropriate care levels and safe discharge plans. This role is ideal for those who thrive in a...