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Job Description The Concurrent Review Nurse plays a vital role in ensuring that members receive the appropriate level of care by conducting concurrent reviews, evaluating medical necessity, and contributing to discharge planning according...

Description Location: UCHealth UCHlth Anschutz Inpt Pavilion, US:CO:Aurora Department : OR Operating Room AIP - We're hiring an RN or CST to join our liver, kidney, and pancreas transplant team. Our program performs both open and robotic...

City/State: Nyack, New York Department: Highland Multi Specialty Clinic Work Shift: Day Work Days: MON-FRI Scheduled Hours: Day Scheduled Daily Hours: Hours Vary Scheduled Weekly Hours: 40 Hourly Rate/Range: n/a For positions that have only a rate...

Careers With Purpose Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. Facility:...

Telehealth Nurse Lynn Community Health Center (LCHC) is one of Massachusetts' largest community health centers, delivering comprehensive, high-quality, and affordable care to more than 46,000 patients each year. Located in the heart of...

Research Nurse Coordinator III The Research Nurse Coordinator III is responsible for all activities associated with clinical study coordination, subject enrollment, data management/integrity, regulatory compliance, project/study...

Centene is seeking a Nursing professional to perform concurrent reviews from a home-based setting, ensuring appropriate care levels and discharge planning. Requires an Iowa license (or compact) and nursing degree with 2–4 years of related...

Nurse Practitioners Mercor is hiring experienced Nurse Practitioners to help evaluate and improve cutting-edge AI systems. In this role, you'll evaluate AI-generated clinical content and workflows, leveraging your real-world expertise in...

Actalent is seeking a Concurrent Review Nurse to conduct concurrent reviews, evaluate medical necessity, and contribute to discharge planning. The role emphasizes collaboration with Medical Affairs, documentation in TruCare systems, and education...

Clinical Nurse II, Procedural The Clinical Nurse II, Procedural provides individualized and specialized nursing care to patients in accordance with physician's orders, recognized nursing techniques, legal aspects of current nurse practice...

Physicians East seeks a QEC Pre Procedure Screening Nurse for a part-time remote role based in Greenville, NC. The nurse will review patient charts, screen for procedural eligibility, and coordinate with physicians to ensure proper evaluation and...

UnitedHealth Group is seeking a Transitional Care Nurse Liaison to educate and support high-risk patients during transitions from acute care. You will work with Boulder Community Health and partners to reduce readmissions through patient...

Army Public Health Nurse Job Overview As an Army Public Health Nurse, you'll assess health risks and implement programs to monitor the spread of disease. You'll promote wellness for Soldiers and their families while also informing policy and...

Working remotely in a full-time capacity, the Registered Nurse Utilization Management will manage complex reviews and processing of authorization requests for various medical services, ensuring compliance with regulatory standards while...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. **This position is remote. Candidates must be local to New England States for consideration** The Clinical...

Army Public Health Nurse Job Overview As an Army Public Health Nurse, you'll assess health risks and implement programs to monitor the spread of disease. You'll promote wellness for Soldiers and their families while also informing policy and...

Prior Authorization Reviewer 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...

Office Assistant Work Schedule: 40% FTE, day shift working Monday – Friday, working 4, 4 hour shifts between 7a – 5p. This is a work from home position. Applicants hired into this position can work from most states and this...

Clinical Documentation Improvement Specialist-RN- Remote The Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) assists with the identification of diagnoses, conditions, and procedures that are representative of the...

Utilization Management Nurse – Physical Health Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) serving 46 counties across North Carolina. We manage services for individuals with serious mental health...

Salary: $70,779.53 - $77,857.48 Annually Location : Homebased, GA Job Type: Full-Time Salaried Job Number: 2026-00669 Division: Healthcare Facility...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Part Time Southborough, MA, US Salary Range: $38.00 To $40.00...

Humana is seeking a skilled Utilization Management Registered Nurse to interpret and coordinate medical services and benefit determinations for post-acute care such as SNF, Home Health, and DME. You will report to the Manager of Utilization...

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...

Job Summary: Provides consultation and leadership in designated areas of expertise independently. Collaborates with interdisciplinary teams and stakeholders to address issues and achieve project objectives. Coordinates...