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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...

About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey .

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...

CVS Health is seeking a Utilization Management Nurse Consultant for a remote role supporting EST/CST time zones. The position requires 2+ years of RN experience, current unrestricted RN licensure, and ability to work weekends/evenings as part of a...

Job ID: 33022 *Description*Take on a key role within an award-winning health system. Help improve patient experiences as part of a world-class healthcare team. Take your career in an exciting new direction. You can do all this and more at UCLA...

Explore opportunities with Amedisys, part of the Optum family of businesses. We provide home health, hospice and community-based services that help people receive quality care where they feel most comfortable: at home. Rooted in personalized care,...

Join Us at our Virtual Job Fair to learn more about this position! Tuesday, November 3rd | 12pm - 2pm CDT Register here: At UnitedHealthcare, we are simplifying the health...

Our client, a mutual benefit corporation and health plan provider, seeks an accomplished Registered Nurse (Utilization Management) .Candidate must be authorized to work in USA without requiring sponsorshipLocation: 100% Remote for California...

Hiring for all shifts: Day Shift, Mid-Day Shift, & Nocturnist shifts available| Fully RemoteTX license required and/or IMLC LOQ preferredConsult-Liaison Psychiatry Role | 2+ years of consult-liaison experience post-residency required.Are you a...

Our client, a mutual benefit corporation and health plan provider, seeks an accomplished Registered Nurse (Utilization Management) .Candidate must be authorized to work in USA without requiring sponsorshipLocation: 100% Remote for California...

Registered Nurse Navigator - Cancer Center Exams - 10 Hour Days Do you have a passion for the highest clinical quality and patient happiness? Would you like to use your expert clinical competencies with an organization known nationally...

Conduct nursing assessments and enroll patients in chronic care management.Develop care plans and coordinate transitions across healthcare settings.Collaborate with teams to improve quality and value-based outcomes.Requirements:Active RN license...

About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey .

Molina Healthcare of California is hiring a Transition of Care Coach LVN/LPN. This role is remote; however, candidates must have a valid and unrestricted California LVN/LPN licensure. The hours will be Monday through Friday...

Hiring for all shifts: Day Shift, Mid-Day Shift, & Nocturnist shifts available| Fully Remote$20K Bonus Eligible for Full-Time PsychiatristsTX license required and/or IMLC LOQ preferredConsult-Liaison Psychiatry Role | 2+ years of consult-liaison...

CVS Health is seeking a Medicare Precertification Utilization Management Nurse Consultant to apply clinical judgment in determining coverage and coordinating patient care. The role supports a 9:00 am–5:30 pm schedule in the candidate's time zone...

CLINICAL DOCUMENTATION SPEC III PRN - REMOTE Camden, NJ Job ID 73418 Job Type Per Diem Shift Day Specialty Other Professional About us Cooper Norcross Health, formerly Cooper University Health Care, is...

Wellpath / Correct Care Solutions is seeking a Registered Nurse Telehealth to provide remote nursing support and assist in delivering patient care via telehealth services. You will collaborate with onsite staff to assess needs, plan care, and...

A healthcare company seeks a Remote Utility Management Nurse to optimize insurance coding practices and enhance revenue management. This part-time role offers flexible hours and compensation ranging from $45 to $75 per hour, depending on...

Clinic Registered Nurse (RN) Setting: Healthcare Facilities Job Type: Contract - Full Time Pay: $45 / Hour Hours: 40.00 Location: Silver Spring, MD The Registered Nurse – Clinic/Wellness/Immunization works in a variety of either remote or clinic...

Datavant is seeking a experienced Coding Consultant Outpatient - PRN to work remotely in the United States. You will review medical records, assign accurate codes for diagnoses and procedures, and ensure correct sequencing and APC assignments.

CVS Health in Illinois seeks a Case Management Coordinator to support Medicare and Medicaid members, coordinating appointments, benefits education and care management tools. This full-time role emphasizes independent, home-based work with...

*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...

Guiding families through their initial discussions about in-home care, the full-time hourly Home Care Consultant will manage a high volume of inbound and outbound calls, connecting with potential clients to understand their needs and explain...

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...