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Join a Meaningful Mission Maximus is a leading global organization dedicated to enhancing health and employment services for millions of individuals each year. In the UK, we employ around 5,000 passionate professionals who...

Job Description Job Summary Join our team as a Clinical Review Nurse, where you will play a crucial role in supporting the review of medical claims and appeals. You will ensure compliance with state and federal...

Job Type Full-time Description Gateway Rehab Center (GRC) has an outstanding opportunity for a Nurse Liaison Gateway Rehab who will be responsible for the pre-admission case management, ASAM level of care assessment, and...

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...

Job Description Scope of Position: The Ohio State University Wexner Medical Center?s mission is to improve health in Ohio and across the world through innovation in research, education, and patient care. The team provides patient care and...

Where You'll Work With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world...

Job Description Summary We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach...

Utilization Management Nurse Job Description Responsible for reviewing and documenting prior authorization and concurrent stay requests, as well as member case histories, in compliance with...

remote within one of our plan states, IL, TX, NM, OK, MT or TN Registered Nurse responsible for collaborating with healthcare providers, members, and business partners, to optimize member benefits, evaluate medical necessity and promote...

RN - Utilization Review Nurse | 3+ Years of Experience | Remote in IL | Contract Walker Healthforce is seeking a RN - Utilization Review Nurse with 3+ Years of Experience to support a Healthcare Payor Client based out of IL.

Overview: Starting Pay at $34.82/HR, can be more based on experience Schedule: Monday-Friday (8a-4:30p), 40 hrs/week *Experience with adult care preferred* The Family AIDS Clinic and Education...

Join the Team at Concierge Home Care - Where Care Changes Lives! At Concierge Home Care, we believe in the power of home health care to change lives-for patients and team members alike. Our mission, "Caring for people who...

Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately...

In order to have an accurate count of participants, we need you to register for the Recruitment Fair on the District's website. Please select "apply for this position" under the heading to the right labeled "Apply Now". Interviews slots will fill up...

Overview Mount Carmel Behavioral Health is hiring Admissions RN's! Available Shifts and Hours: 7p-7a with rotating weekends Sign on Bonus:...

Job Description Summary The Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet evidence-based guidelines and member benefit plans. This includes...

Job Description: • Participates in the development and ongoing implementation of QM Work Plan activities. • Improve quality products and services, by using measurement and analysis to process, evaluate and make recommendations to meet...

Job Description The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and families...

The Student Nurse is responsible for providing a variety of direct and indirect patient care activities as supervised and directed by the Registered Nurse. Care is provided in collaboration with the patient, family, and other members of the patient...

CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to...

Clinical Review Nurse - Remote ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to join a...

The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal and/or...

$7,500 Sign-on Bonus for External Candidates Explore opportunities with Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of...

A Brief Overview Collaborates and coordinates with all members of the health care team, patient and family (or significant others) to coordinate and ensure timely and efficient delivery of required workflow, services and...

IDD Behavioral Health Nurse Full Time No Weekends A Great Opportunity At ViaQuest Psychiatric & Behavioral Solutions we offer unique and individualized care to children, adolescents,...