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LanceSoft is seeking a travel nurse RN Urology for a travel nursing job in Burbank, California. Job Description & RequirementsSpecialty: UrologyDiscipline:...

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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,...

A healthcare technology company seeks an experienced Registered Nurse for a remote role providing clinical technology services. This position is for independent contractors, focusing on chart reviews and clinical data analysis. Candidates should...

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...

A healthcare quality organization is seeking a Nurse Reviewer to perform comprehensive medical necessity reviews for Medicaid claims. The ideal candidate will have a BSN and an active RN license, along with experience in medical record review.

The Lead, RN Case Manager is an experienced RN Case Manager who provides clinical and operational support to the Care Management leadership team. In addition to performing the full scope of an RN Case Manager, the Lead is...

Clinical Nurse Consultant As part of the Oncology Field Medical organization, the Clinical Nurse Consultant (CNC) is a trusted clinical expert responsible for developing professional relationships and educating key Health Care...

Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical necessity for...

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...

Quality Management Consultant Registered Nurse (RN) The Quality Management (QM) Consultant Registered Nurse (RN) demonstrates leadership, experience, and creative approaches to improving quality-of-care outcomes across the organization.

Details Client Name Ronald Reagan UCLA Medical Center Job Type Travel Offering Nursing Profession RN...

TEKsystems in Texas (remote) is seeking an experienced Registered Nurse to transition from bedside care into care coordination, member advocacy, and improved health outcomes. This fully remote role supports high-risk populations while balancing...

Salary Range $40.00 - $42.00 Hourly Position Type Full Time Category Nurse Description WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy — we're a dedicated partner in care, transforming how patients...

Position Summary Utilization management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours. Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate,...

Position Summary Compassionate and experienced Registered Nurse with expertise in hospice admissions, patient assessments, and care coordination across hospitals, long-term care facilities, assisted living communities, and home settings.

A health care provider organization is seeking a Case Management Nurse to coordinate care for members. This role requires a Nursing Diploma and direct clinical experience, along with the current Michigan RN license. Responsibilities include...

Make a Meaningful Impact as a Field Registered Nurse Live in New Hampshire? Bring your nursing expertise to Massachusetts! If you're an RN looking for a rewarding career outside of the hospital, join Maximus and help Massachusetts residents...

RN- Registered Nurse Shift Hour 12-Hours Shift Hours per week Minimum of 2 shifts per week or as needed Shift Days, Nights, Weekends and Holidays Length of Assignment As needed Nursing Specialty...

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...

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...

Vaya Health seeks a Physical Health Registered Nurse to perform clinical reviews for authorization requests and medical necessity. You will reference standardized criteria and coordinate with physician peers when needed. This role is part of a...

Peraton's SafeGuard Services seeks a Nurse Reviewer to conduct medical record reviews, applying clinical judgment to claim payments and supporting fraud investigations. Telework is available from any state. The ideal candidate will hold a...

Job Title: Clinical Review Nurse (Remote) Position Summary: We are seeking a detail-oriented and clinically skilled Clinical Review Nurse to join our team in a fully remote role. The Clinical Review Nurse is...

A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and...