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Spectraforce Technologies, Inc. is seeking a Clinical Review Nurse - Prior Authorization for remote work with PST/CST alignment. The role evaluates pre-authorization requests to confirm medical necessity and appropriate care levels per standards...

CVS Health is seeking an experienced RN Utilization Management Nurse Consultant for Medicare joint procedures. This remote, full-time role follows a Monday–Friday schedule (9:00 am–5:30 pm in your time zone) with occasional evenings/holidays,...

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...

Relocation to Southern New Mexico is required. The Nurse Consultant/ Regional Director of Clinical Operations position is comprised of two essential objectives; to partner with facilities as the primary clinical resource in...

Guardian Life is seeking an experienced RN Clinical Consultant to serve as a clinical expert supporting short-term and long-term disability claims. You will analyze medical information, assess functional capacity, and provide clinical guidance to...

Nurse Consultant Reports to the Nursing Services Supervisor and works as part of a supportive, collaborative clinical team. The Nurse Consultant is a key clinical member of the NLACRC team, supporting individuals with developmental...

Job Summary: Collaborates with Education Consultants and managers to develop, design, deliver and evaluate/improve education strategies and special projects/programs based on clients departmental goals and needs, as well as...

Trustaff is seeking a travel nurse RN Clinic for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: ClinicDiscipline:...

Buena Vista Home Health, Palliative Care & Hospice (BV) is seeking an experienced OASIS Review Nurse (RN) for a remote, part-time QA role. The RN will ensure OASIS assessments are accurate, complete, and compliant with CMS regulations and state...

Public Consulting Group is seeking a Client Success Partner for EDPlan Health. You will manage relationships across states, deliver training, and lead client engagements focusing on school nurse EHR workflows. The role blends nursing...

Description Location: UCHealth Admin 2450 Peoria, Aurora - CO Department: UCHealth Virtual Nursing Work Schedule: Full Time, 72.00 hours per pay period (2 weeks) Shift: Day and Night Rotation Pay: $35.29 - $54.71 / hour. Pay is dependent on...

TalentBurst, Inc is seeking a travel nurse RN Research / Clinical Research for a travel nursing job in Fullerton, California. Job Description & RequirementsSpecialty:...

Vail Health has become the world's most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state-of-the-art facility provides exceptional care to all of our patients, with the most...

Trustaff is seeking a travel nurse RN Clinic for a travel nursing job in Los Angeles, California. Job Description & RequirementsSpecialty: ClinicDiscipline:...

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...

Purpose Statement/Position Summary: The Registered Nurse II Specialist conducts patient assessments, participates in the development of the plan of care, implements and evaluates care according to patient specific age and/or developmental...

Job PostingWork Location: Los Angeles, CA, USAWork Schedule Monday-Friday 8am-5pmSalary Range: $70.59 - 106.80 HourlyEmployment Type 2 - Staff: Career Duration IndefiniteThe employee's primary work location will be the assigned clinic; however,...

RN/NP Clinical Quality Reviewer Primary Care, Acute Symptom Triage & Travel Health | Contract, up to 25 hrs/week About the Role We are seeking Nurses & Nurse Practitioners with clinical experience in one or more of the...

Trinity Health MI is seeking an RN Intake Coordinator for the Inpatient Psychiatric Medical Unit (PMU). The role coordinates patient intake and admission processes, conducts clinical assessments, evaluates referrals, and ensures timely placement...

Nurse - Clinical Review The Clinical Review Nurse makes prospective medical necessity determinations on prior authorization requests for HealthHelp's specialty programs, including Diagnostic Imaging, Cardiology, Musculoskeletal, Physical...

Job Title Regulatory and Compliance Nurse Location Remote/Nationwide, USA Additional Location(s) Employee Type Employee Working Hours Per Week 40 Job...

Concurrent Utilization Review (UR) Nurse The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time clinical reviews to ensure the medical necessity and appropriateness of healthcare services provided to members...

Providing comprehensive nursing care remotely, the full-time South Carolina Licensed Telehealth RN will coordinate and deliver clinical services, manage care planning, and support virtual providers while ensuring patient-centered care through...

Piper Companies is seeking a Clinical Appeals Nurse to join a leading health insurance organization for a contract remote opportunity located in North Carolina. The Clinical Appeals Nurse will serve as a clinical...

Description Location: UCHealth Admin 2450 Peoria, Aurora - CO Department: UCHealth Virtual Nursing Work Schedule: Full Time, 72.00 hours per pay period (2 weeks) Shift: Day and Night Rotation Pay: $35.29 - $54.71 / hour. Pay is dependent on...