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LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Torrance, California. Job Description & RequirementsSpecialty: Utilization...

Description This posting is for multiple openings of a Call Center Advice RN at The Nurse Advice Call Center in Brea, CA! We offer Part Time and Full Time positions, based on availability. Please ask at the time of...

GQR Healthcare is seeking a local contract nurse RN Case Management for a local contract nursing job in Los Angeles, California. Job Description & RequirementsSpecialty:...

Medlivo is seeking a travel nurse RN Wound Care for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: Wound...

Santa Barbara Cottage Hospital is seeking a licensed practical nurse to join BHPS Utilization Management as a remote reviewer of medical necessity and benefit determinations. You will assess cases using clinical guidelines and coordinate with...

Providing clinical review support on an as-needed basis, the part-time PRN Clinical Review Nurse (RN) will review medical records for medical necessity, authorization compliance, and payer guideline alignment while supporting appeal submissions...

The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nations top hospital systems for best...

Job Title : Registered Nurse (Navy Nurse Corps) Category / Component : Officer • Both Overview Navy Nurse Corps officers deliver professional nursing care to service members, families, and global communities in leading edge military medical...

CVS Health is seeking an experienced Utilization Management Nurse Consultant for a 100% work-from-home, full-time position open to MST/PST residents. You will coordinate and document utilization and benefit management activities, ensuring timely,...

Nexus Health Systems is seeking a seasoned Utilization Review Registered Nurse (UR RN) for a fully remote role in the US. The ideal candidate will have experience in utilization review, case management, or behavioral health, and will ensure...

Job Title : Registered Nurse (Navy Nurse Corps) Category / Component : Officer • Both Overview Navy Nurse Corps officers deliver professional nursing care to service members, families, and global communities in leading edge military medical...

We are so glad you are interested in joining Sutter Health! Position Overview: Aids patients in obtaining the correct level of care with the appropriate provider at the right time. Provides advance clinical telephone support to...

Job Description: This position is full time, with openings on both day shift and night shift. 6:00 am - 6:30 pm. Weekend rotation varies - every other to every third weekend. Self scheduling is offered in this position. Are you searching for a...

A national healthcare recruiting firm is seeking remote workers fluent in Spanish for a role supporting HEDIS project management. Responsibilities include coordinating the collection and abstraction of medical records, participating in vendor...

Job Description Part and Full-time roles are eligible for a $30,000 sign-on bonus — apply today to learn more! Varied scheduling options are available, including 8-hour, 10-hour, and 12-hour shifts, as...

Cross Country Education is seeking a local contract nurse RN School RN for a local contract nursing job in Downey, California. Job Description & Requirements Specialty: School RN Discipline: RN Duration: 41 weeks 36 hours per week Shift: 12 hours...

Cadence is looking for a Clinical Navigator (Licensed Practical Nurse) to provide virtual chronic care support for Medicare patients. The role involves conducting patient outreach, documenting interactions in the Cadence platform, and ensuring...

Utilization Review Nurse Sentara Health Plans Community Care is looking to hire a Utilization Review Nurse. The Utilization Review Nurse is responsible for utilization management services within the scope of licensure. Conducts...

Brighton Health Plan Solutions seeks an experienced Utilization Management Nurse (LPN) to perform medical necessity and benefit reviews remotely. You will work within UM processes, coordinate with partners, and ensure timely, compliant...

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...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing, and evaluating the care of patients. The staff RN utilizes the nursing process by use of...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This is a hybrid remote position with occasional float in-person at our Mount Auburn Primary Care offices in...

GQR Healthcare is seeking a local contract nurse RN DOU - Direct Observation Unit for a local contract nursing job in Panorama City, California. Job Description &...

University of Miami is seeking a Nurse Navigator 2 to coordinate care for patients under the UHealth system. This full-time remote position will connect patients, families and clinicians to provide information and resources during diagnostic...

Trillium Health Resources is seeking a Compliance Nurse to perform clinical compliance reviews and evaluate claims to ensure adherence to regulatory and coverage requirements. The role requires RN licensure in NC, travel within catchment,...