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Leveraging clinical expertise, the fully remote Multi Benefit Services RN Consultant in Wisconsin will review Medicaid prior authorization requests, determine medical necessity, and support providers while ensuring compliance with state policy...

*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...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Seeking a Spanish Bilingual Nevada Licensed Concierge Nurse Consultant, the fully remote position will manage up to 5-7 new cases daily, performing risk assessments, providing claimant service, and ensuring effective communication among all...

CVS Health is seeking an Appeals Nurse Consultant to join our remote team. You will review and resolve clinical appeals, applying clinical judgment and regulatory knowledge to ensure fair outcomes for members and providers. This full-time...

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

Job ID: Posted: Location: Eden Prairie, Minnesota, United StatesSalary: $91,700 - $163,700/yearJob Area: Medical & Clinical OperationsCompany: UnitedHealth GroupOptum is a global organization that delivers care, aided by technology to help...

Nursing Care Coordinator Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care.

CVS Health is seeking a remote Appeals Nurse Consultant to review and resolve clinical appeals with sound clinical judgment and regulatory knowledge. The role supports a remote team with standard Monday–Friday hours and occasional on-call.

A technology and business consulting firm is seeking a Clinical Medical Review Nurse to analyze health data and provide insights for internal stakeholders. The ideal candidate has a Registered Nurse license, along with four years of clinical...

*Job Summary and Responsibilities* As our Charge Nurse, you'll oversee a department of frontline nurses caring for patients. Your previous experience in acute care, LTC, or nursing homes adds tremendous value to our nursing team. Every day...

*Job Summary and Responsibilities* As our Nurse Shfit Manager, you will be a pivotal health care professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery. Every day, you will...

Get AI-powered advice on this job and more exclusive features. This range is provided by The Judge Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range...

*Job Summary and Responsibilities* As our Nurse Shift Manager, you will help lead and coordinate our exceptional nursing team so they can deliver timely, compassionate, and life-saving care to patients in critical situations. Every...

Stanford Health Care in Palo Alto is seeking an Oncology Nurse Navigator to coordinate care from diagnosis through survivorship. As a licensed RN with oncology experience, you will partner with physicians, social workers, nutritionists, and...

Oscar Health is seeking a Utilization Review Nurse to join our team. You will review cases, verify medical records, and consult with care providers to assess treatment appropriateness using Oscar Clinical Guidelines, MCG, and InterQual. The...

Saint Luke's Hospital of Kansas City in the United States is seeking an experienced Registered Nurse for our Primary Care Shoal Creek location. The role features a Monday through Friday schedule, 8:00 am to 4:30 pm, with no nights, weekends, or...

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...

*Job Summary and Responsibilities* As our Clinical Nurse, you will be a central figure in our patient care team, delivering exceptional, compassionate care that truly makes a difference in our patients' lives. Every day you will collaborate...

RN - Quality & Safety Improvement Consultant V, Patient SafetyOnsite in Downey, CA. Travel: Yes, 10% of the time.Patient Safety Officer RN in acute care hospital setting. You will attend national safety goal monitoring committees, sit on nursing...

Area Quality Specialist Registered Nurse Find your purpose giving patient care teams the knowledge and tools they need to better care for patients as an Area Quality Specialist Registered Nurse! This is a rare opening on a...

Job 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...

To support an upcoming clinical project, experienced Registered Nurses (RNs) will find a fully remote contract opportunity as a Remote RN Clinical Consultant, focusing on conducting comprehensive medical record and clinical chart reviews while...

About This Role The Case Manager Extended Care Coordinator RN is responsible for overseeing and managing skilled patients in rehabilitation at contracted Skilled Nursing facilities. This role is ideal for those who excel in coordinating care and...

Job Summary Responsible for the oversight and management of skilled patients and temporary skilled patients in rehabilitation in contracted Skilled Nursing facilities; this includes checking benefits, managing up to discharge and issuing denial...